Successful treatment of a chronically infected and necrotic tendo Achillis in a diabetic with excision, flexor hallucis longus transfer and split-skin grafting
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...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 2008-02, Vol.90 (2), p.186-188 |
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| container_title | Journal of bone and joint surgery. British volume |
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| creator | PEARCE, C. J SEXTON, S GERRARD, D HATRICK, A SOLAN, M |
| description | 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. |
| doi_str_mv | 10.1302/0301-620X.90B2.20101 |
| format | Article |
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J ; SEXTON, S ; GERRARD, D ; HATRICK, A ; SOLAN, M</creator><creatorcontrib>PEARCE, C. J ; SEXTON, S ; GERRARD, D ; HATRICK, A ; SOLAN, M</creatorcontrib><description>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.</description><edition>British volume</edition><identifier>ISSN: 0301-620X</identifier><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2044-5377</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620X.90B2.20101</identifier><identifier>PMID: 18256085</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Achilles Tendon - injuries ; Achilles Tendon - physiopathology ; Achilles Tendon - surgery ; Biological and medical sciences ; Chronic Disease ; Diabetes Mellitus, Type 2 - complications ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Humans ; Leg - pathology ; Leg Ulcer - drug therapy ; Leg Ulcer - microbiology ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Skin Transplantation - methods ; Soft Tissue Injuries - drug therapy ; Soft Tissue Injuries - microbiology ; Soft Tissue Injuries - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tendon Transfer - methods ; Treatment Outcome</subject><ispartof>Journal of bone and joint surgery. British volume, 2008-02, Vol.90 (2), p.186-188</ispartof><rights>2008 INIST-CNRS</rights><rights>Copyright British Editorial Society of Bone & Joint Surgery Feb 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-d2a03dd59d319fc45b1a7d56675d9b5077ef28dd76b80515517c3fd33dec60083</citedby><cites>FETCH-LOGICAL-c439t-d2a03dd59d319fc45b1a7d56675d9b5077ef28dd76b80515517c3fd33dec60083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20110554$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18256085$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PEARCE, C. J</creatorcontrib><creatorcontrib>SEXTON, S</creatorcontrib><creatorcontrib>GERRARD, D</creatorcontrib><creatorcontrib>HATRICK, A</creatorcontrib><creatorcontrib>SOLAN, M</creatorcontrib><title>Successful treatment of a chronically infected and necrotic tendo Achillis in a diabetic with excision, flexor hallucis longus transfer and split-skin grafting</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>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.</description><subject>Achilles Tendon - injuries</subject><subject>Achilles Tendon - physiopathology</subject><subject>Achilles Tendon - surgery</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Humans</subject><subject>Leg - pathology</subject><subject>Leg Ulcer - drug therapy</subject><subject>Leg Ulcer - microbiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Skin Transplantation - methods</subject><subject>Soft Tissue Injuries - drug therapy</subject><subject>Soft Tissue Injuries - microbiology</subject><subject>Soft Tissue Injuries - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tendon Transfer - methods</subject><subject>Treatment Outcome</subject><issn>0301-620X</issn><issn>2049-4394</issn><issn>2044-5377</issn><issn>2049-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1rFDEUhoModq3-A5Eg6JWzniSTycxlW_yCghcqeBey-dhNzSZrksH21_hXzbRLBW-8CiTPecN5H4SeE1gTBvQtMCDdQOH7eoJzuqZAgDxAKwp933EmxEO0ukdO0JNSrgCg55w9RidkpHyAka_Q7y-z1rYUNwdcs1V1b2PFyWGF9S6n6LUK4Qb76Kyu1mAVDY5W51S9xtVGk_CZ3vkQfGlQmzJebezy-MvXHbbX2hef4hvsgr1OGe9a3NzucEhxO5f2p4rF2XwbXA7B1678aEHbrFz1cfsUPXIqFPvseJ6ib-_ffb342F1-_vDp4uyy0z2bameoAmYMnwwjk9M93xAlDB8Gwc204SCEdXQ0RgybETjhnAjNnGHMWD0AjOwUvb7LPeT0c7alyr0v2oagok1zkQKoIFyw_4Jk4g0caQNf_gNepTnHtoSkdBom2oupQf0d1BotJVsnD9nvVb6RBOSiWS4O5eJQLprlreY29uKYPW_21vwdOnptwKsjoEoz6FrLrfR7rqUQ4LxnfwBzI7If</recordid><startdate>20080201</startdate><enddate>20080201</enddate><creator>PEARCE, C. J</creator><creator>SEXTON, S</creator><creator>GERRARD, D</creator><creator>HATRICK, A</creator><creator>SOLAN, M</creator><general>British Editorial Society of Bone and Joint Surgery</general><general>British Editorial Society of Bone & Joint Surgery</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>20080201</creationdate><title>Successful treatment of a chronically infected and necrotic tendo Achillis in a diabetic with excision, flexor hallucis longus transfer and split-skin grafting</title><author>PEARCE, C. J ; SEXTON, S ; GERRARD, D ; HATRICK, A ; SOLAN, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-d2a03dd59d319fc45b1a7d56675d9b5077ef28dd76b80515517c3fd33dec60083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Achilles Tendon - injuries</topic><topic>Achilles Tendon - physiopathology</topic><topic>Achilles Tendon - surgery</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Humans</topic><topic>Leg - pathology</topic><topic>Leg Ulcer - drug therapy</topic><topic>Leg Ulcer - microbiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Skin Transplantation - methods</topic><topic>Soft Tissue Injuries - drug therapy</topic><topic>Soft Tissue Injuries - microbiology</topic><topic>Soft Tissue Injuries - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tendon Transfer - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PEARCE, C. J</creatorcontrib><creatorcontrib>SEXTON, S</creatorcontrib><creatorcontrib>GERRARD, D</creatorcontrib><creatorcontrib>HATRICK, A</creatorcontrib><creatorcontrib>SOLAN, M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PEARCE, C. J</au><au>SEXTON, S</au><au>GERRARD, D</au><au>HATRICK, A</au><au>SOLAN, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful treatment of a chronically infected and necrotic tendo Achillis in a diabetic with excision, flexor hallucis longus transfer and split-skin grafting</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>2008-02-01</date><risdate>2008</risdate><volume>90</volume><issue>2</issue><spage>186</spage><epage>188</epage><pages>186-188</pages><issn>0301-620X</issn><issn>2049-4394</issn><eissn>2044-5377</eissn><eissn>2049-4408</eissn><coden>JBSUAK</coden><abstract>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.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>18256085</pmid><doi>10.1302/0301-620X.90B2.20101</doi><tpages>3</tpages><edition>British volume</edition><oa>free_for_read</oa></addata></record> |
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| subjects | Achilles Tendon - injuries Achilles Tendon - physiopathology Achilles Tendon - surgery Biological and medical sciences Chronic Disease Diabetes Mellitus, Type 2 - complications Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Humans Leg - pathology Leg Ulcer - drug therapy Leg Ulcer - microbiology Male Medical sciences Middle Aged Orthopedic surgery Skin Transplantation - methods Soft Tissue Injuries - drug therapy Soft Tissue Injuries - microbiology Soft Tissue Injuries - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tendon Transfer - methods Treatment Outcome |
| title | Successful treatment of a chronically infected and necrotic tendo Achillis in a diabetic with excision, flexor hallucis longus transfer and split-skin grafting |
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