J Korean Orthop Assoc.  1982 Oct;17(5):1039-1043. 10.4055/jkoa.1982.17.5.1039.

Repair of Neglected Rupture of the Achilles Tendon using V-Y Tendinous Flap

• Kim KS
• Min SS
• Choi SC

• KMID: 2457853
• DOI: http://doi.org/10.4055/jkoa.1982.17.5.1039

Abstract

The 6 patients with neglected rupture of the Achilles tendon were treated by end to end anastomosis using the V-Y tendinous flap originated by Abraham in 1975. A tendinous flap was developed over the tendon by making an inverted V incision, which was then repaired in a Y fashion. The postoperative results were satisfactory with no functional disability of the ankle and with recovery of muscle strength for periods of 8 months to 15 months, but slight limited dorsiflexion of the ankle in two cases were noticed. The advantages of this method are: 1. Optimum functional recovery. 2. Recovery of muscle strength and tendon contour. 3. Prevention of late stretching or possible rupture of the healed tendon at the rupture site.

Keyword

Achilles tendon; Neglected rupture; V-Y tendinous flap

MeSH Terms

Achilles Tendon*
Ankle
Humans
Methods
Muscle Strength
Rupture*
Tendons