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Chronic Achilles Tendon Rupture. V-Y Lengthening, FHL Transfer and Reinforcement With Biological Patch
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February 21, 2022
Chronic Achilles tendon rupture after the previous suture five weeks before. The production mechanism was ...
read more ↘ a cross section with a metallic element that makes skin incision difficult. An end-to-end suture is performed, previously refreshing the tendon edges and a wide release. After the release of soft tissues, a gap of > 3cm under tension is observed, so a V-Y Lengthening is performed. To reinforce the suture and avoid a new failure, a FHL transfer and a reinforcement with a Smith & Nephew Regeneten biological patch are associated. Postoperative results are satisfactory. Immobilization with cast and wedges for 8 weeks is performed. Rehabilitation is then performed to increase mobility and strength.
↖ read less
read more ↘ a cross section with a metallic element that makes skin incision difficult. An end-to-end suture is performed, previously refreshing the tendon edges and a wide release. After the release of soft tissues, a gap of > 3cm under tension is observed, so a V-Y Lengthening is performed. To reinforce the suture and avoid a new failure, a FHL transfer and a reinforcement with a Smith & Nephew Regeneten biological patch are associated. Postoperative results are satisfactory. Immobilization with cast and wedges for 8 weeks is performed. Rehabilitation is then performed to increase mobility and strength.
↖ read less
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