The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons · 2018
Results of Achilles Tendon Excision for Purpose of Wound Closure: Case Series.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Yuan Wei, Satkunanantham Mala, Sechachalam Sreedharan
Аннотация
The loss of Achilles tendon results in reduced plantar flexion strength; however, in patients who are not fit for major reconstructive surgery, with soft-tissue defects overlying the tendon, Achilles tendon excision is a useful adjunct procedure for wound closure. We report 3 patients with infections around the Achilles tendons needing debridement procedures who underwent Achilles tendon excision for the purpose of wound closure. Local healing was achieved in all patients; all returned to their premorbid ambulatory status, and 2 could perform heel raise. Our series showed that Achilles tendon excision eases soft-tissue reconstruction around it and that the primary aim of wound closure was met with a reasonable functional outcome. As such, it is a viable option for selected patients with infections around the Achilles tendon who are poor candidates for flaps.