scholarly journals Achilles tendon Z-plasty with rollover tensor fascia lata graft for correction of equinus foot deformity

2021 ◽  
Vol 8 (6) ◽  
pp. 1938
Author(s):  
Madhusoodan Gupta ◽  
Ankur Goel ◽  
Deepti Varshney ◽  
Vishal K. Biswkarma

Equinus deformity is a condition in which dorsiflexion movement of the ankle joint is limited or decreased. Equinus deformity arises due to contracture/shortening/tightening in achilles tendon or soleus muscles or gastrocnemius muscle. The lengthening procedure of the achilles tendon can be done by various techniques such as the open or percutaneous method and Z-plasty versus sliding technique. Here we reported a case of post-traumatic equinus deformity of the right foot. The patient’s dorsiflexion movement was restricted. In this case, the patient was operated for open Z-plasty of the achilles tendon with rollover tensor fascia lata graft for lengthening of the contracted achilles tendon. The patient was discharged on the third postoperative day uneventfully. After 7 months of follow-up, the patient was walking normally without limping with the full range of motion at the right ankle joint as similar to his left ankle joint.   

The Foot ◽  
2020 ◽  
Vol 43 ◽  
pp. 101663
Author(s):  
H.A.M. Gendera ◽  
F.O. Lambers-Heerspink ◽  
V.E. Bruls ◽  
M.M.W. Drees

2016 ◽  
Vol 21 (03) ◽  
pp. 410-413
Author(s):  
A.K. Bhat ◽  
A.M. Acharya ◽  
N. Soni

Incidence of multiple flexor tendon rupture following distal radius fractures is rare with very few cases being reported in literature. We present an unusual case of a patient who had come to us with complaints of weakness and paresthesia of the right hand of one month prior and with a past history of dorsal plating for distal radius fracture nine years ago. Radiographs showed a distal radius fracture malunion with intact dorsal plate and protrusion of screws through the volar cortex. On exploration, attritional ruptures of all digital flexors were found with sparing of the Flexor Pollicis Longus tendon. The fibrous mass was excised and flexors reconstructed with a fascia lata graft. Attempt was made to correct the malunion with radial and ulnar osteotomies. At one year the patient had excellent restoration of digital flexion.


2008 ◽  
Vol 14 (2) ◽  
pp. 96-99 ◽  
Author(s):  
P.R.J.V.C. Boopalan ◽  
Thilak S. Jepegnanam ◽  
V.T.K. Titus ◽  
Seetharam Y. Prasad ◽  
Samuel B. Chittaranjan

2018 ◽  
Vol 22 (4) ◽  
pp. 183-185
Author(s):  
Luciele Stochero ◽  
Luciele Zibetti Alberton ◽  
Sofia Bezerra ◽  
Rui D'Ávila ◽  
Alice Becker Teixeira ◽  
...  

Dura mater grafts are commonly applied in neurosurgery. The bovine pericardium is safe and associated with rare complications. We report a case of a patient presenting with tuberculum sellae meningioma and unusual complication after frontotemporal duroplasty using bovine pericardium. After two days of good postoperative evolution, the patient presents with neurological worsening and CT scan shows intraparenchymal hematoma on the right, with perilesional edema, requiring surgery to drain and replace the pericardium of a fascia lata graft. with good postoperative evolution. Pediculated pericranium, temporal fascia and fascia lata are the most effective and safe choice to replace the dura mater. Among heterologous grafts, bovine pericardium is associated with few complications. However, complications such as inflammationand infection are related to the substance glutaraldehyde, present in such graft.


1997 ◽  
Vol 10 (03) ◽  
pp. 141-145 ◽  
Author(s):  
B. A. Selcer ◽  
J. D. Smith ◽  
D. N. Aron

SummaryThis report documents a complicated trauma case in a dog that was successfully managed by substitution of a missing patellar ligament with an autogenous tensor fascia lata free graft. Important to the success of the case was the use of a careful postoperative regime of progressive controlled mobilization with the aid of the hinged transarticular external skeletal fixator. Because of the advantages provided by use of the autogenous tensor fascia lata graft and the hinged transarticular external skeletal fixator, patient morbidity was low and the end result was good.An autogenous tensor fascia lata free graft was successfully used to completely substitute for a missing patellar ligament in a dog. Postoperative rehabilitation was facilitated by the use of the hinged transarticular external skeletal fixator. The technique is described along with the results. Complete substitution of the patellar ligament with a graft has not been reported in the dog.


2003 ◽  
Vol 51 (4) ◽  
pp. 376-382 ◽  
Author(s):  
Franz Haas ◽  
Franz J. Seibert ◽  
Horst Koch ◽  
Martin Hubmer ◽  
Harald E. T. Moshammer ◽  
...  

2019 ◽  
Vol 101 (7) ◽  
pp. e160-e163
Author(s):  
D Izadi ◽  
S Al-Zahid ◽  
J Smith ◽  
CG Wallace

We describe a rare case of ectopic papillary thyroid cancer in the thyroglossal duct tract invading the floor-of-mouth musculature. The postablative defect was reconstructed with a bone-anchored tensor fascia lata graft to resuspend the floor of mouth to the mandible as a neogeniohyoid sling, enabling maintenance of a functional tongue position for normal speech and swallowing. This reconstruction should be considered when suprahyoid musculature is resected without breaching the oral lining.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Selam Yekta Sendul ◽  
Halil Huseyin Cagatay ◽  
Burcu Dirim ◽  
Mehmet Demir ◽  
Zeynep Acar ◽  
...  

Purpose. To evaluate of functional and cosmetic effectiveness of lower eyelid sling technique with fascia lata graft in patients with lagophthalmos due to facial paralysis.Material and Method. Ten patients with a mean age of55.1±19.77years who underwent lower eyelid sling surgery with a fascia lata graft between September 2011 and January 2014 were included in this prospective study. Preoperatively and postoperatively patients were evaluated in terms of corneal epithelial defects, Schirmer’s test, and tear break-up time (TBUT). Cosmetically, vertical eyelid aperture, margin reflex distances 1 and 2 (MRD1 and MRD2) and scleral show were evaluated preoperatively and postoperatively.Results. One patient had facial paralysis on the right side whereas the other 9 patients had facial paralysis on the left side. Preoperatively, 3 patients were detected with corneal ulcer, whereas 7 patients were detected with persistent corneal epithelial defects localized in the lower half of the cornea. In the 3 patients with preoperative corneal ulcer, the ulcer recovered with corneal opacity, whereas in the 7 patients with punctate epitheliopathy, postoperative corneal transparency was obtained.Discussion. Lower eyelid sling technique with fascia lata graft is an effective technique for the repositioning of the lower eyelid and preventing the corneal complications.


Sign in / Sign up

Export Citation Format

Share Document