Long-Term Outcomes of Gastrocnemius V–Y Plasty Gastrosoleus Fascial Turndown Flap for Chronic Tendo-achilles Injuries with Complex Gap (Kuwada Type IV Injuries)

Introduction The Achilles tendon is one of the strongest and most ruptured tendons; with no appropriate treatment it either heals in elongation or gap nonunion. Management of such chronic tears is critical and several procedures have been described. Complex gaps of over 6–8 cm need a combination technique. Purpose of Study To assess the long-term functional outcome of surgical technique of combined gastrosoleus turndown flap augmented with V–Y plasty for chronic tendoachilles tear with a complex gap of over 8 cm. Materials and Methods We retrospectively analyzed all the patients who were operated for tendoachilles tears from 2013 to 2018 and selected 12 patients who had a gap of 8 cm. Demographic details, history, clinical and radiological findings, post-op follow-up were collected from hospital database. The acute, open, chronic tears with gap of