V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions

  • German Joannas Instituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, Argentina
  • Leandro Casola Instituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, Argentina
  • Guillermo Arrondo Instituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, Argentina
  • Daniel Niño Gomez Instituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, Argentina
  • Santiago Labbate Instituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, Argentina
Keywords: Achilles tendon/surgery, Rupture/surgery, Tendon injuries, Fascia, Treatment outcome

Abstract

Objective: To find a safe repair site for a proximal mini-incision to expose the fascia at the level of the gastrocnemius medialis (GM) myotendinous junction (MTJ). Methods: Seventeen anatomic specimens of popliteal fossa, leg, and foot fixed in formalin were dissected, and the perpendicular distance from the apex of the medial malleolus to the GM MTJ was measured. Results: The minimum and maximum perpendicular distances from the apex of the medial malleolus to the GM MTJ were 14.00cm and 20.5cm, respectively. Average distance was 16.56cm. Conclusion: We were able to establish a constant value and the average GM MTJ height, which allows for V-Y lengthening through 2 mini-incisions. In reviewing the literature, there was no description of the approaches proposed in this study. Level of Evidence VI; Therapeutic Studies; Case Series.Achilles tendon/surgery

Published
30-08-2020
How to Cite
Joannas, G., Casola, L., Arrondo, G., Niño Gomez, D., & Labbate, S. (2020). V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions. Journal of the Foot & Ankle, 14(2), 123-125. https://doi.org/10.30795/jfootankle.2020.v14.1186