Successful treatment of a chronically infected and necrotic tendo Achillis in a diabetic with excision, flexor hallucis longus transfer and split-skin grafting

被引：8

作者：

Pearce, C. J. ^{[1
]}

Sexton, S. ^{[1
]}

Gerrard, D. ^{[1
]}

Hatrick, A. ^{[1
]}

Solan, M. ^{[1
]}

机构：

[1] Frimley Pk Hosp, Frimley GU16 7UJ, Surrey, England

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2008年 / 90B卷 / 02期

关键词：

D O I：

10.1302/0301-620X.90B2.20101

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Chronic infections and ulceration around the tendo Achillis are difficult to manage. Split-skin grafts do not survive even on healthy exposed tendon. Refractory cases may require plastic surgical intervention with the use of free flaps. Patients with significant vascular disease are not suitable for such techniques. Flexor hallucis longus tendon transfer is an established treatment for chronic ruptures of the tendo Achillis. We report the successful treatment of an infected tendo Achillis with excision and reconstruction with flexor hallucis longus transfer. The muscle belly of this tendon allowed later skin grafting while the tendon transfer provided good functional recovery.

引用

页码：186 / 188

页数：3

共 18 条

[1]

Ademoglu Y, 2001, J Foot Ankle Surg, V40, P158

[2]

Boorboor P, 2006, CHIRURG, V77, P1144, DOI 10.1007/s00104-006-1235-y

[3] Flexor hallucis longus tendon transfer: Evaluation of postoperative morbidity [J].