Single-stage Achilles tendon reconstruction using a composite sensate free flap of dorsalis pedis and tendon strips of the extensor digitorum longus in a complex wound
The reconstruction of the posterior heel including a wide defect of the Achilles tendon is difficult as a result of complicated infection, deficient soft tissue for coverage, and functional aspects and defects of the tendon itself. As a single-stage procedure, various methods of tendon transfer and...
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| Veröffentlicht in: | Annals of plastic surgery 2003-06, Vol.50 (6), p.653-657 |
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| container_title | Annals of plastic surgery |
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| creator | Kim, Sug Won Hong, Joon Pio Lee, Won Jai Chung, Yoon Kyu Tark, Kwan Chul |
| description | The reconstruction of the posterior heel including a wide defect of the Achilles tendon is difficult as a result of complicated infection, deficient soft tissue for coverage, and functional aspects and defects of the tendon itself. As a single-stage procedure, various methods of tendon transfer and tendon graft have been reported along with details of local flaps or island flaps for coverage. With advances in microsurgical techniques and subsequent refinements, several free composite flaps, including tendon, fascia, or nerve, have been used to reconstruct large defects in this area without further damaging the traumatized leg. The authors report such a single-stage reconstruction of a composite Achilles tendon defect using the extensor digitorum longus tendon of the second to fourth toe in combination with a dorsalis pedis flap innervated by the superficial peroneal nerve. The follow-up of this case has proved a satisfactory outcome to date. |
| doi_str_mv | 10.1097/01.sap.0000041479.79049.71 |
| format | Article |
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As a single-stage procedure, various methods of tendon transfer and tendon graft have been reported along with details of local flaps or island flaps for coverage. With advances in microsurgical techniques and subsequent refinements, several free composite flaps, including tendon, fascia, or nerve, have been used to reconstruct large defects in this area without further damaging the traumatized leg. The authors report such a single-stage reconstruction of a composite Achilles tendon defect using the extensor digitorum longus tendon of the second to fourth toe in combination with a dorsalis pedis flap innervated by the superficial peroneal nerve. The follow-up of this case has proved a satisfactory outcome to date.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/01.sap.0000041479.79049.71</identifier><identifier>PMID: 12783024</identifier><identifier>CODEN: APCSD4</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Achilles Tendon - injuries ; Achilles Tendon - surgery ; Adult ; Biological and medical sciences ; Follow-Up Studies ; Fractures, Open - complications ; Fractures, Open - diagnosis ; Fractures, Open - surgery ; Humans ; Male ; Medical sciences ; Multiple Trauma - diagnostic imaging ; Multiple Trauma - surgery ; Muscle, Skeletal - transplantation ; Orthopedic surgery ; Reconstructive Surgical Procedures - methods ; Recovery of Function ; Risk Assessment ; Rupture - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Flaps ; Tendon Injuries - complications ; Tendon Injuries - diagnostic imaging ; Tendon Injuries - surgery ; Tendons - transplantation ; Tibial Fractures - complications ; Tibial Fractures - diagnosis ; Tibial Fractures - surgery ; Treatment Outcome ; Ultrasonography</subject><ispartof>Annals of plastic surgery, 2003-06, Vol.50 (6), p.653-657</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c374t-5d640650c4774d0bcf69bdc2fc16f5d9e13c64bce5f435a8d245a82e655f26a3</citedby><cites>FETCH-LOGICAL-c374t-5d640650c4774d0bcf69bdc2fc16f5d9e13c64bce5f435a8d245a82e655f26a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14886258$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12783024$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Sug Won</creatorcontrib><creatorcontrib>Hong, Joon Pio</creatorcontrib><creatorcontrib>Lee, Won Jai</creatorcontrib><creatorcontrib>Chung, Yoon Kyu</creatorcontrib><creatorcontrib>Tark, Kwan Chul</creatorcontrib><title>Single-stage Achilles tendon reconstruction using a composite sensate free flap of dorsalis pedis and tendon strips of the extensor digitorum longus in a complex wound</title><title>Annals of plastic surgery</title><addtitle>Ann Plast Surg</addtitle><description>The reconstruction of the posterior heel including a wide defect of the Achilles tendon is difficult as a result of complicated infection, deficient soft tissue for coverage, and functional aspects and defects of the tendon itself. As a single-stage procedure, various methods of tendon transfer and tendon graft have been reported along with details of local flaps or island flaps for coverage. With advances in microsurgical techniques and subsequent refinements, several free composite flaps, including tendon, fascia, or nerve, have been used to reconstruct large defects in this area without further damaging the traumatized leg. The authors report such a single-stage reconstruction of a composite Achilles tendon defect using the extensor digitorum longus tendon of the second to fourth toe in combination with a dorsalis pedis flap innervated by the superficial peroneal nerve. The follow-up of this case has proved a satisfactory outcome to date.</description><subject>Achilles Tendon - injuries</subject><subject>Achilles Tendon - surgery</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Follow-Up Studies</subject><subject>Fractures, Open - complications</subject><subject>Fractures, Open - diagnosis</subject><subject>Fractures, Open - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multiple Trauma - diagnostic imaging</subject><subject>Multiple Trauma - surgery</subject><subject>Muscle, Skeletal - transplantation</subject><subject>Orthopedic surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Recovery of Function</subject><subject>Risk Assessment</subject><subject>Rupture - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps</subject><subject>Tendon Injuries - complications</subject><subject>Tendon Injuries - diagnostic imaging</subject><subject>Tendon Injuries - surgery</subject><subject>Tendons - transplantation</subject><subject>Tibial Fractures - complications</subject><subject>Tibial Fractures - diagnosis</subject><subject>Tibial Fractures - surgery</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkcFu1DAQhi0EokvhFZCFBLcsduzYCbdVBQWpEkjt3fLak62RYwdPIsoT8Zp420U7h380o2_-OfyEvONsy9mgPzK-RTtv2bEkl3rY6oHJqvwZ2fBOqEZo1j8nG8Zl32gmxQV5hfiTMd72Ur0kF7zVvWCt3JC_tyEdIjS42APQnbsPMQLSBZLPiRZwOeFSVreEOq5YYWqpy9OcMSxAERLa2scCVaKdaR6pzwVtDEhn8FVt8v_9qlWY8cgs90Dhoa4xF-rDISy5rBONOR1WpCGdvkR4oL_zmvxr8mK0EeHNqV-Suy-f766-Njffr79d7W4aJ7Rcms4ryVTHnNRaerZ3oxr23rWj42rs_ABcOCX3DrpRis72vpVVW1BdN7bKikvy4cl2LvnXCriYKaCDGG2CvKLRQgjFW1HBT0-gKxmxwGjmEiZb_hjOzDElw7i53f0w55TMY0pG83r89vRl3U_gz6enWCrw_gRYdDaOxSYX8MzJvldt14t__9qgFA</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>Kim, Sug Won</creator><creator>Hong, Joon Pio</creator><creator>Lee, Won Jai</creator><creator>Chung, Yoon Kyu</creator><creator>Tark, Kwan Chul</creator><general>Lippincott Williams & Wilkins</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>7X8</scope></search><sort><creationdate>20030601</creationdate><title>Single-stage Achilles tendon reconstruction using a composite sensate free flap of dorsalis pedis and tendon strips of the extensor digitorum longus in a complex wound</title><author>Kim, Sug Won ; Hong, Joon Pio ; Lee, Won Jai ; Chung, Yoon Kyu ; Tark, Kwan Chul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c374t-5d640650c4774d0bcf69bdc2fc16f5d9e13c64bce5f435a8d245a82e655f26a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Achilles Tendon - injuries</topic><topic>Achilles Tendon - surgery</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Follow-Up Studies</topic><topic>Fractures, Open - complications</topic><topic>Fractures, Open - diagnosis</topic><topic>Fractures, Open - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Multiple Trauma - diagnostic imaging</topic><topic>Multiple Trauma - surgery</topic><topic>Muscle, Skeletal - transplantation</topic><topic>Orthopedic surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Recovery of Function</topic><topic>Risk Assessment</topic><topic>Rupture - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps</topic><topic>Tendon Injuries - complications</topic><topic>Tendon Injuries - diagnostic imaging</topic><topic>Tendon Injuries - surgery</topic><topic>Tendons - transplantation</topic><topic>Tibial Fractures - complications</topic><topic>Tibial Fractures - diagnosis</topic><topic>Tibial Fractures - surgery</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Sug Won</creatorcontrib><creatorcontrib>Hong, Joon Pio</creatorcontrib><creatorcontrib>Lee, Won Jai</creatorcontrib><creatorcontrib>Chung, Yoon Kyu</creatorcontrib><creatorcontrib>Tark, Kwan Chul</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>MEDLINE - Academic</collection><jtitle>Annals of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Sug Won</au><au>Hong, Joon Pio</au><au>Lee, Won Jai</au><au>Chung, Yoon Kyu</au><au>Tark, Kwan Chul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single-stage Achilles tendon reconstruction using a composite sensate free flap of dorsalis pedis and tendon strips of the extensor digitorum longus in a complex wound</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>50</volume><issue>6</issue><spage>653</spage><epage>657</epage><pages>653-657</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><coden>APCSD4</coden><abstract>The reconstruction of the posterior heel including a wide defect of the Achilles tendon is difficult as a result of complicated infection, deficient soft tissue for coverage, and functional aspects and defects of the tendon itself. As a single-stage procedure, various methods of tendon transfer and tendon graft have been reported along with details of local flaps or island flaps for coverage. With advances in microsurgical techniques and subsequent refinements, several free composite flaps, including tendon, fascia, or nerve, have been used to reconstruct large defects in this area without further damaging the traumatized leg. The authors report such a single-stage reconstruction of a composite Achilles tendon defect using the extensor digitorum longus tendon of the second to fourth toe in combination with a dorsalis pedis flap innervated by the superficial peroneal nerve. The follow-up of this case has proved a satisfactory outcome to date.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>12783024</pmid><doi>10.1097/01.sap.0000041479.79049.71</doi><tpages>5</tpages></addata></record> |
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| subjects | Achilles Tendon - injuries Achilles Tendon - surgery Adult Biological and medical sciences Follow-Up Studies Fractures, Open - complications Fractures, Open - diagnosis Fractures, Open - surgery Humans Male Medical sciences Multiple Trauma - diagnostic imaging Multiple Trauma - surgery Muscle, Skeletal - transplantation Orthopedic surgery Reconstructive Surgical Procedures - methods Recovery of Function Risk Assessment Rupture - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps Tendon Injuries - complications Tendon Injuries - diagnostic imaging Tendon Injuries - surgery Tendons - transplantation Tibial Fractures - complications Tibial Fractures - diagnosis Tibial Fractures - surgery Treatment Outcome Ultrasonography |
| title | Single-stage Achilles tendon reconstruction using a composite sensate free flap of dorsalis pedis and tendon strips of the extensor digitorum longus in a complex wound |
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