Using a Posterior Compartment Fasciotomy and Paratenon Closure in Acute Achilles Tendon Repair
| Autor: | William R. Creevy, Kyle Lybrand, Xinning Li, David Saper |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Achilles Tendon Fasciotomy 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedic Procedures Orthopedics and Sports Medicine Surgical repair 030222 orthopedics Achilles tendon business.industry Dissection Soft tissue 030229 sport sciences Fascia Anatomy Plastic Surgery Procedures musculoskeletal system Surgery medicine.anatomical_structure Acute Disease Orthopedic surgery Flexor hallucis longus muscle business |
| Zdroj: | Orthopedics. 39 |
| ISSN: | 1938-2367 0147-7447 |
| DOI: | 10.3928/01477447-20160503-04 |
| Popis: | Soft tissue management, dissection, and handling are of paramount importance during Achilles tendon repair. Although surgical repairs of Achilles tendons have predictably excellent outcomes, complications including wound infection and stiffness are not uncommon. The authors' surgical technique for Achilles tendon repair includes tagging the posterior paratenon for later layered repair and incising the posterior fascia, exposing the flexor hallucis longus muscle belly. This posterior compartment fasciotomy allows for both hematoma evacuation away from the tenuous posterior skin and mobilization of the posterior paratendon for complete closure over the repaired Achilles tendon. With this modified technique, the authors report a 1% infection rate and a 1% failure rate. [ Orthopedics. 2016; 39(4):e790–e793.] |
| Databáze: | OpenAIRE |
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