Open achilles tendon defects: a 12-year study on the injury mechanisms, reconstructions, and late complications.

Abstract:

BACKGROUND:Open injuries of the Achilles tendon, which can be complicated by skin and bone injuries, continue to be a great challenge for surgeons. This study aims to report our experience with treatment of open Achilles tendon defects, focusing on the injury mechanisms, soft tissue coverage and late complications. METHODS:A retrospective review was performed on 31 patients with open Achilles tendon defects between 1999 and 2011. The analyzed factors were injury mechanisms, surgeries, and long follow-up complications. The defect lengths of the Achilles tendons in the study ranged from 1 to 11 cm and the soft tissue defects ranged from 3 × 3 to 12 × 10 cm. Nine types of flaps were used for the coverage of concomitant skin defects. RESULTS:Motorcycle spoke injuries were the most common cause of injury. There was no complete flap loss or rerupture of the reconstructed Achilles tendon. At the latest follow-up, all limbs were preserved and all the patients had regained full walking abilities. The algorithm of one-stage reconstruction was established, according to the defect length of the Achilles tendon and the defect size of skin. Late complications included maximum dorsiflexion loss and failure of heel raising ability on the single reconstructed foot. CONCLUSION:Open Achilles tendon defects are characteristic of concurrent skin and bone injuries and the reconstruction protocols of the different tissues should not be separated.

journal_name

J Reconstr Microsurg

authors

Zhu YL,Xu YQ,Mei LB,Wang Y,Li FB,Sun LH

doi

10.1055/s-0033-1358787

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

569-80

issue

8

eissn

0743-684X

issn

1098-8947

journal_volume

30

pub_type

杂志文章
  • A review of therapeutic nerve decompression for neuropathy in Hansen's disease with research suggestions.

    abstract::Nerve decompression surgery for leprosy neuritis has a long history and large literature. New understanding of the high frequency of spontaneous recovery from nerve function impairment requires re-evaluation of the value of decompression in acute nerve dysfunction with strong evidence-based protocols. Several reports ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1248237

    authors: Nickerson DS,Nickerson DE

    更新日期:2010-05-01 00:00:00

  • Simultaneous soft-tissue reconstruction and revascularization of the thumb with a flow-through distally-pedicled radial forearm flap.

    abstract::The authors report the application of the flow-through concept to a distally-pedicled radial forearm flap for simultaneous thumb revascularization and soft-tissue coverage. A distally-pedicled radial forearm flap was used to cover a skin defect at the base of thumb and thenar area. The flap artery (reversed radial art...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000206

    authors: Karacalar A,Idil O,Ozcan M

    更新日期:1998-10-01 00:00:00

  • Safe ischemia time in free-flap surgery: a clinical study of contact-surface cooling.

    abstract::Although the effectiveness of cooling in extending tolerable ischemia time is well-established experimentally, most free-flap surgeons are still concerned about this problem and try to limit the ischemic period to less than 1 hr. Clinically, contact-surface cooling has been used empirically to prolong the limits of is...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006613

    authors: Shaw WW,Ko CY,Ahn CY,Markowitz BL

    更新日期:1996-10-01 00:00:00

  • The impact of current immunosuppression strategies in renal transplantation on the field of reconstructive transplantation.

    abstract::Composite tissue allograft (CTA) transplantation, such as the clinical face and hand transplants, has now been performed in multiple centers across the world. The transplants have successfully treated complex injuries that have either failed conventional approaches or where autologous reconstruction could not restore ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1285988

    authors: Chang J,Davis CL,Mathes DW

    更新日期:2012-01-01 00:00:00

  • Sensory recovery of innervated and non-innervated radial forearm free flaps: functional implications.

    abstract::Findings reported in the literature on the sensation provided by intraorally applied innervated vs. non-innervated radial forearm free flaps differ. In an effort to understand these differences in sensory recovery, the authors carried out sensory evaluations in 12 patients who had undergone radial forearm free flaps. ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2000-7549

    authors: Netscher D,Armenta AH,Meade RA,Alford EL

    更新日期:2000-04-01 00:00:00

  • A comparison of human recombinant tissue-type plasminogen activator and urokinase in microsurgical thrombolysis in the rat.

    abstract::A comparison was made between several characteristics of tissue-type plasminogen activator (t-PA) and urokinase (UK), potentially useful in microsurgery to restore perfusion to ischemic free-tissue transfers. An intraarterial infusion of one of the drugs (or normal saline [NS] as a control) was performed in conjunctio...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006781

    authors: Levy EA,Sadove AM,Eppley BL,Evan AP

    更新日期:1991-07-01 00:00:00

  • Successful management of foot drop by nerve transfers to the deep peroneal nerve.

    abstract::Traumatic damage to the common peroneal nerve due to sharp injury, gunshot wound, sciatic nerve tumor, radiculopathy, or hip replacement surgery may result in foot drop. We present an alternative strategy for reanimation of foot drop following deep peroneal nerve palsy, successfully restoring voluntary movement. Fourt...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0028-1082894

    authors: Nath RK,Lyons AB,Paizi M

    更新日期:2008-08-01 00:00:00

  • Microvascular free flap based on the medial femoral main cutaneous artery.

    abstract::This article introduces a free flap based on the medial femoral main cutaneous artery. Flap transfer was carried out in two cases with complete postoperative success. An anatomical description of the midportion of the medial femoral region, based on magnification and binocular dissection microscope studies is provided...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1007090

    authors: Kuo ET,Ji ZL,Zhao YC,Lu V,Si XG,Lei XH,Huang Y

    更新日期:1985-07-01 00:00:00

  • Operative Time and Flap Failure in Unilateral and Bilateral Free Flap Breast Reconstruction.

    abstract:BACKGROUND: There is an increasing trend toward bilateral breast reconstruction. Using the National Surgical Quality Improvement Program (NSQIP) database, we sought to understand the association between unilateral and bilateral free flap breast reconstruction and operative time and flap failure. METHODS: We selected a...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0038-1627445

    authors: Kwok AC,Edwards K,Donato DP,Tatro E,Xu Y,Presson AP,Agarwal JP

    更新日期:2018-07-01 00:00:00

  • Comparative study between acute intraoperative arterial elongation and the use of the interpositional vein graft for arterial reconstruction.

    abstract::This study compares the acute intraoperative arterial elongation technique with the interposition vein-graft method for the closure of small arterial gaps that cannot be repaired by undermining alone. Ten conditioned female mongrel dogs were divided into two groups: a vein graft interposition group and an acute expans...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006523

    authors: Ruiz-Razura A,Sozer SO,Layton EG,Hill LH,Cohen BE

    更新日期:1995-03-01 00:00:00

  • Successful replantation of the lower leg after 42-hour ischemia: case report.

    abstract::A case of right lower-leg replantation after 42-hr ischemia is presented. Revascularization of the other foot with circulatory decompensation after 36-hr ischemia was carried out simultaneously. The replanted lower leg survived. Following its shortening in replantation by 12 cm, right lower-leg lengthening by 8 cm was...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006729

    authors: Datiashvili RO,Chichkin VG

    更新日期:1992-11-01 00:00:00

  • Quantification of neutrophil adhesion to skeletal muscle venules following ischemia-reperfusion.

    abstract::Ischemia-reperfusion is encountered in a wide variety of surgical situations. The damage resulting from ischemia-reperfusion may be due, in part, to the infiltration and activation of neutrophils into the reperfused tissue. The purpose of the study was to examine ischemia-reperfusion induced neutrophil activation in s...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006829

    authors: Goldberg M,Serafin D,Klitzman B

    更新日期:1990-07-01 00:00:00

  • Double level amputation: should it be replanted?

    abstract::Multiple level amputation has been described as a contraindication to replantation. This is a case report of a patient with a double level amputation through the palm and forearm that was successfully replanted. Because of the need for multiple stages of reconstructive surgery, it was not clear until the end result th...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1007016

    authors: Belsky MR,Ruby LK

    更新日期:1986-04-01 00:00:00

  • Nerve graft prefabrication: preliminary study.

    abstract::This study aimed to produce prefabricated nerve graft as effective as autologous nerve graft without donor site morbidity for repairing segmental nerve defects. Thirty rats were used and were separated into three groups. In the first group, vein graft excised from jugular vein was sutured to make a bridge between epin...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1076087

    authors: Ulkur E,Karagoz H,Celikoz B,Turan P,Arbak S,Yapar M

    更新日期:2008-02-01 00:00:00

  • The profunda femoris artery "fourth perforator" island flap: a new perforator flap in lower-limb reconstruction.

    abstract::Although the lateral thigh flap has been well described as a fasciocutaneous flap based on one or more of the four perforators of the profunda femoris artery, the role for these individual perforators as perforator flaps has not been described. These profunda femoris artery perforators offer a particularly useful opti...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1275494

    authors: Rozen WM,Donahoe S,Wilson JL

    更新日期:2011-05-01 00:00:00

  • Microsurgical Reconstruction of Large Oncologic Chest Wall Defects for Locally Advanced Breast Cancer or Osteoradionecrosis: A Retrospective Review of 26 Cases over a 5-Year Period.

    abstract:BACKGROUND:Locally advanced breast cancer (LABC) and chest wall osteoradionecrosis (ORN) often require extensive and composite tissue resection, including muscles, ribs, pleura, and lung parenchyma. As such, these cases necessitate complex reconstructive procedures for skeletal chest wall reconstruction and soft tissue...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0035-1563395

    authors: Arya R,Chow WT,Rozen WM,Patel NG,Griffiths M,Shah S,Ramakrishnan VV

    更新日期:2016-02-01 00:00:00

  • Endoneural and epineural blood flow evaluation with free vascularized and conventional nerve grafts in the canine.

    abstract::Blood flow distribution in conventional and vascularized canine nerve grafts was analyzed. Between 4 and 6 days after operation, blood flow at both the fascicular (endoneural) and the nerve-sheath (epineural) levels was significantly greater in the nonvascularized nerve grafts than in their vascularized counterparts (...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1007044

    authors: Daly PJ,Wood MB

    更新日期:1985-10-01 00:00:00

  • Evaluation of a novel reverse thermosensitive polymer for use in microvascular surgery.

    abstract::Microvascular clamps have several potential shortcomings, including the risk of vessel injury. LeGoo, a novel reverse thermosensitive polymer (Pluromed Inc., Woburn, MA), is investigated as a substitute to vascular clamping in a microsurgical model and the technical details are described. Femoral vessels of Sprague Da...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0028-1104556

    authors: Manchio JV,Litchfield CR,Zeheb R,Bryan DJ

    更新日期:2009-01-01 00:00:00

  • Morphomic analysis for preoperative donor site risk assessment in patients undergoing abdominal perforator flap breast reconstruction: a proof of concept study.

    abstract:BACKGROUND:Morphomics are three-dimensional measurements of aspects of the human anatomy generated by computed tomographic (CT) imaging. The purpose of this study was to generate preliminary data on the efficacy of morphomics, as a potential risk stratification tool, in predicting abdominal donor site wound-healing com...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0034-1376400

    authors: Levi B,Rinkinen J,Kidwell KM,Benedict M,Stein IC,Lisiecki J,Enchakalody B,Wang SC,Kozlow JH,Momoh AO

    更新日期:2014-11-01 00:00:00

  • Attributes and shortcomings of acoustic Doppler sonography in identifying perforators for flaps from the lower extremity.

    abstract::The preoperative identification of perforators can facilitate the appropriate design of perforator flaps from the lower extremity. Although computed tomographic arteriography can now be considered the gold standard in this regard, this technology is not universally available or inexpensive, with a nonnegligible risk f...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0029-1220860

    authors: Hallock GG

    更新日期:2009-07-01 00:00:00

  • An optimized method of vessel dissection in establishment of the rat aortic transplantation model.

    abstract::The high demand for microsurgical skills in those without a strong microsurgery background limits the application of the rat aortic transplant model to transplantation research. In this study, we established a rat aortic transplant model using a hydrodissection technique as a minimal-touch technique in vessel dissecti...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1278710

    authors: Luo M,Qiu F,Qiu J,Liu Y,Fan Y,Guo Y

    更新日期:2011-07-01 00:00:00

  • The Boomerang Thigh Flap: Optimizing the Donor Site for an Extended Skin Island Flap.

    abstract:BACKGROUND: The anterolateral region of the thigh is one of the most used donor areas for flaps. However, there are cases in which large defects require more than the conventional skin island provided by the anterolateral thigh flap (ALT). For an extended skin island flap, we developed a new boomerang thigh flap (BTF),...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0038-1667130

    authors: Barreiro GC,Fioravanti AB,Borges LHS,Snider CC

    更新日期:2018-10-01 00:00:00

  • A Novel Method of Neo-osseous Flap Prefabrication: Induction of Free Calvarial Periosteum with Bioactive Glass.

    abstract:BACKGROUND: Reconstruction of craniofacial bone defects is a primary focus of craniofacial surgery. Although autogenous bone grafts remain as the gold standard, alloplastic materials have also gained widespread popularity due to their off-the-shelf availability, ease of use, and durability. In addition to replacing the...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0037-1598254

    authors: Aliyev A,Ekin Ö,Bitik O,Korkusuz P,Yersal NC,Çelik HH,Tunçbilek G

    更新日期:2018-06-01 00:00:00

  • Microvascular anastomoses using an Nd-YAG laser.

    abstract::The authors performed anastomoses of small vessels with the Nd-YAG laser, comparing these with conventional suture anastomoses. Some arteries were sutured with 10-0 nylon with about eight suture sites, and others were held by stay sutures at three points with laser irradiation performed between them. Two surgeons perf...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2000-8399

    authors: Nakamura T,Fukui A,Maeda M,Kugai M,Inada Y,Teramoto N,Ishida A,Tamai S

    更新日期:2000-10-01 00:00:00

  • A review of local and regional flaps for distal leg reconstruction.

    abstract::Reconstruction of defects or wounds of the distal third of the leg with exposed bone, tendon, or hardware is challenging. Free tissue transfer has allowed limb salvage in many cases but requires a relatively healthy and stable patient, long operative times, and a significant expense. Small and moderate-size wounds of ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0029-1223847

    authors: Parrett BM,Talbot SG,Pribaz JJ,Lee BT

    更新日期:2009-09-01 00:00:00

  • Epidural anesthesia during lower extremity free tissue transfer.

    abstract::A continuous epidural bupivacaine infusion was used for anesthesia in 20 patients who underwent lower extremity free tissue transfer. In 60 percent of the patients, general anesthesia supplementation with nitrous oxide was used for comfort during prolonged lying on the operating table. In all cases, this technique pro...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006939

    authors: Strecker WB,Wood MB,Wedel DJ

    更新日期:1988-07-01 00:00:00

  • Modified classification and single-stage microsurgical repair of posttraumatic infected massive bone defects in lower extremities.

    abstract::Posttraumatic infected massive bone defects in lower extremities are difficult to repair because they frequently exhibit massive bone and/or soft tissue defects, serious bone infection, and excessive scar proliferation. This study aimed to determine whether these defects could be classified and repaired at a single st...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0033-1348064

    authors: Yang YF,Xu ZH,Zhang GM,Wang JW,Hu SW,Hou ZQ,Xu DC

    更新日期:2013-11-01 00:00:00

  • Single-stage maxillary and nasal floor reconstruction with the double-paddle rectus abdominis musculocutaneous free flap.

    abstract::Palatal integrity is essential for useful speech, deglutition, good oral hygiene, and prevention of nasal regurgitation. Maxillary defects after tumor extirpation, therefore, can have serious functional and cosmetic implications. Given the often disappointing results obtained with local and regional pedicled flaps for...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-974647

    authors: Herman CK,Benacquista T,Brindzei N,Berdichevsky M,Baum T,Strauch B

    更新日期:2007-04-01 00:00:00

  • Patellar tendon reconstruction using a free latissimus dorsi flap following resection of a prepatellar myxofibrosarcoma: case report.

    abstract::The authors' experience indicates that good functional results are achievable in cases with wide resection of the knee extensor mechanism. They report a low-grade myxoid fibrosarcoma patient in whom a one-stage functional reconstruction was carried out by transfer of a free latissimus dorsi flap without secondary surg...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2005-871749

    authors: Machens HG,Siemers F,Kaun M,Krapohl B,Reichert B,Russlies M,Krüger S,Stöckelhuber B,Mailänder P

    更新日期:2005-05-01 00:00:00

  • A new experimental flap design: the saphenous artery periosto-fasciocutaneous flap of the rat.

    abstract::Vascularized periosteal graft is a frequently applied flap model for bone prefabrication studies due to its inhabitance of osteoprogenitor cells and osteoinductive potential. Various bones such as rib and fibula are reported as a potential source for the harvest of the periosteal flap in experimental studies on higher...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1301068

    authors: Bayramiçli M,Ersoy B,Sirinoğlu H

    更新日期:2012-03-01 00:00:00