J Korean Foot Ankle Soc.  2006 Dec;10(2):168-172.

Treatment of Deep Infection Following Repair of Achilles Tendon Rupture

• Lee WC
• Kim YM
• Ko HS

Abstract

PURPOSE: Theaim of this study was to review the results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer.
MATERIALS AND METHODS
Five cases of Achilles tendon infection in five patients were treated using reverse sural arterialized flap and/or flexor hallucis longus transfer at our hospital with followed up of average 23.6 months (range, 13-43 months). Three patients were male and average age at surgery was 52.0 years (range, 42-59 years). Clinical results were evaluated by the method of Percy and Conochie, and the isokinetic peak torque value was interpreted according to the guideline of Sapega.
RESULTS
The clinical result was excellent in three cases, good in one case and fair in one case. The isometric peak torque value for 30 degrees per second was normal in two cases, possibly abnormal in one case, and probably abnormal in two cases, and for 120 degrees, normal in one case, probably abnormal in four cases. Five cases in five patients were satisfied with the result of treatment.
CONCLUSION
We can expect satisfactory results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer.

Keyword

Achilles tendon rupture; Deep infection; Reverse sural arterialized flap; Flexor hallucis longus transfer

MeSH Terms

Achilles Tendon*
Humans
Male
Rupture*
Torque