Single-Stage Reconstruction of Soft-Tissue Defects Including the Achilles Tendon Using the Dorsalis Pedis Arterialized Flap Along with the Extensor Digitorum Brevis as Bridge Graft

1994 ◽  
Vol 93 ◽  
pp. 1090-1094 ◽  
Author(s):  
Victor Babu ◽  
Samuel Chittaranjan ◽  
George Abraham ◽  
Ravi J. Korula
2018 ◽  
Vol 108 (5) ◽  
pp. 409-418
Author(s):  
Jiasharete Jielile ◽  
Pengfei Li ◽  
Wulan Bahetiya ◽  
Aynaz Badelhan ◽  
Bayixiati Qianman ◽  
...  

Motorcycle spoke injuries involving the soft tissue, Achilles tendon, and calcaneal defects are rare in children. Currently, calcaneal defects are very challenging to treat. Multiple methods have been used in clinical practice; however, an effective treatment has yet to be established, especially when Achilles tendon and soft-tissue defects are also present. It is important to address this condition, because the calcaneus plays a key role in standing and gait. Unsatisfactory treatment of calcaneal defects may significantly decrease patients' quality of life (eg, by limiting mobility). In this article, we report the effective treatment of calcaneal defects in four children using distraction osteogenesis with an external fixator framework designed by the authors. From May 2014 to May 2015, four children (age range, 6–11 years) with defects of the Achilles tendon, soft tissue, and calcaneus resulting from a motorcycle accident were treated at our hospital. The Achilles tendon and soft-tissue defects were treated with second-stage reconstruction. In the third-stage surgery, osteotomy of the residual calcaneus was performed. A customized external fixator was used to lengthen the calcaneus at a rate of 1.5 mm/day in the posterior direction and reposition it by 40° in the inferior direction. In all four children, the calcaneus was lengthened by 5 cm. Distraction osteogenesis through external fixation is effective for restoring the length, width, and height of the calcaneus in children.


2015 ◽  
Vol 74 (1) ◽  
pp. 121-125 ◽  
Author(s):  
Matthew L. Iorio ◽  
Kevin D. Han ◽  
Karen K. Evans ◽  
Christopher E. Attinger

1980 ◽  
Vol 140 (4) ◽  
pp. 492-498 ◽  
Author(s):  
John D. Franklin ◽  
R.Bruce Shack ◽  
Jeffrey D. Stone ◽  
James J. Madden ◽  
John B. Lynch

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