Abstract
A reconstructive technique for treatment of Achilles tendon rupture with an extensive
defect is presented. The primary goal of this salvage procedure is to create functional
length and anatomic continuity among muscle, tendon, and bone. The procedure uses
a combination of fascial advancement techniques: the V-Y advancement and the gastrocnemius-soleus
fascia turndown graft. In this technique, the inverted “V” inscribed on the proximal
gastrocnemius fascia is partially elevated from the underlying soleus and twisted
180° on itself to augment the repair. Advancing the musculotendinous junction and
creating a turndown graft provide substantial length. This combined technique allows
the surgeon to repair ruptures with segmental defects greater than 10 cm in length.
Keywords
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Article info
Publication history
Published online: April 05, 2010
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
