Reconstruction of Soft Tissue Defects Overlying the Achilles Tendon Using the Super Extended Abductor Hallucis Muscle Flap

2008 ◽  
Vol 65 (6) ◽  
pp. 1459-1462 ◽  
Author(s):  
Wolfgang Michlits ◽  
Sabine Gruber ◽  
Christian Windhofer ◽  
Peter Macheiner ◽  
Molly Walsh ◽  
...  
2017 ◽  
Vol 16 (3) ◽  
pp. 208-211 ◽  
Author(s):  
Edgardo R. Rodriguez-Collazo ◽  
Ryan J. Pereira ◽  
Grace C. Craig

Loss of soft tissue coverage distally around the foot poses threats of amputation of the exposed boney structures. An amputation of a portion of the foot leads to loss of the biomechanical structural integrity of the foot. This promulgates an imbalance with its inherent risks of developing new ulcers. This in turn potentiates the limb loss cycle. The reverse abductor hallucis muscle flap is ideally suited for small to moderate-sized defects in the vicinity of the first metatarsophalangeal joint based on its arc of rotation. In this article, we present cases of 5 patients who failed local wound care and healing by secondary intention for at least 6 months duration. The patients were treated successfully using reverse abductor hallucis muscle flap.


2013 ◽  
Vol 71 (5) ◽  
pp. 595-599 ◽  
Author(s):  
Sebastien Durand ◽  
Laura Sita-Alb ◽  
Sopiep Ang ◽  
Alain-Charles Masquelet

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

2013 ◽  
Vol 36 (11) ◽  
pp. 701-706 ◽  
Author(s):  
Nabi Mopuri ◽  
Vasu Karri ◽  
Nakul Patel ◽  
Niri Niranjan

2011 ◽  
Vol 1 (2) ◽  
pp. e8
Author(s):  
Patrick Duhamel ◽  
Sébastien Fossat ◽  
Michel Brachet ◽  
Laurent Mathieu ◽  
Sylvain Rigal ◽  
...  

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