Gastrocnemius Flap | Plastic Surgery Key, VY Plasty and fascial turndown flap can be augmented to the transfer if there is a wide gap between the torn ends of the tendon. … Fifteen chronic Achilles tear (>6 weeks) were treated with tendon repair using gastrocnemius advancement flap augmented with FHL transfer. The patients were followed-up at 1.5, 3, 6,12 and 24 months. …
4/22/2017 · Abstract. Achilles pain and dysfunction often result from neglected Achilles ruptures more than 6 weeks old. Chronic ruptures can lead to functional loss due to retraction with tendon fibrosis and atrophy, lengthening of the gastrocnemius -soleus complex, and decreased push-off strength.
12/1/2020 · For defects of 2–3 cm, a gastrocnemius recession is adequate for the approximation of tendon ends; however, tendon defects of >3 cm, often need V–Y advancement and turndown flap [10,19,20]. Although these fascial advancements of more than 5 cm usually close the defect and permit end to end repair, it has been reported to result in increased muscle weakness [ 20 ].
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 degrees on itself to augment the repair.
For the V?Y tendon plasty, the V?shaped part was designed in the gastrocnemius aponeurosis; the arms of the V should be at least one and a half times longer than the size of the defect in the Achilles tendon; then the V?shaped part should be slowly torn and pulled towards the distal stumps with caution until it can bridge the gap (Fig. 6 …
flexor hallucis longus transfer +/- VY advancement of gastrocnemius. The Achilles tendon is one of the most commonly ruptured tendons of the lower extremity . Clinically, acute Achilles tendon rupture can be easily diagnosed and cured; however, a significant number of.
CONCLUSION: Management of chronic rupture of the Achilles tendon with a gap with flexor halluces longus tendon transfer combined with a gastrocnemius recession is a safe and reliable method with a significantly improved functional outcome, muscle advancement through gastrocnemius recession decreases the length of the gap without affecting the muscle function, flexor halluces longus tendon.
Figure 50.1 Gastrocnemius Flap. Introduction The gastrocnemius flap is one of the most useful flaps. Described very early, it has been proven to be easy to raise and very reliable. Typically, it can be used by non-specialized reconstructive surgeons, since its field of application concerns the area of the knee and upper part of the…, Reconstruction with VY advancement. technique make V cut with apex at musculotendinous junction with limbs divergent to exit the tendon ; V is incised through only the superficial tendinous portion leaving the muscle fibers intact; Flexor hallucis longus transfer ± VY advancement of gastrocnemius. technique. excise degenerative tendon edges
