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KMID : 0896720000040020087
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Journal of the Korean Society of Foot Surgery
2000 Volume.4 No. 2 p.87 ~ p.92
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Neglected Achilles Tendon Rupture V-Y Tendinous Flap Reconstruction and Isokinetic Plantarflexion Torque Evaluation - Report of 3 Cases -
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Jung Hong-Geun
Kim Myung-Ho
Kim Gun-nam
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Abstract
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The tendinous ends of neglected achilles tendon rupture tend to retract and separate with atrophy due to gastrosoleus muscle contracture, leaving a wide gap occupied with fibroadipose scar tissue. It is almost impossible to perform simple end-to-end anastomosisi after the intervening scar tissue being excised. Therefore many surgical procedures have been proposed to reconstruct the large gap. We treated three such cases by V-Y advancement flap and double Krackow suture technique, and their postoperative strength of triceps surae were evaluated with Cybex isokinetic strength testing. All patients returned to preinjury activities with satisfaction, but the ankle plantar flexor power showed about 20-30% deficit.
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KEYWORD
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Achilles tendon, Neglected rupture, V-Y advancement flap
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FullTexts / Linksout information
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Listed journal information
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