Neglected Achilles Tendon Rupture V-Y Tendinous Flap Reconstruction and Isokinetic Plantarflexion Torque Evaluation - Report of 3 Cases -

진구성 아킬레스 건 파열 V-Y 건판 재건술과 등속성 족저 굴곡력 분석 - 3례 보고 -

The tendinous ends of neglected achilles tendon rupture tend to retract and separate with atrophy due to gastrosoleus muscle contracture, leaving a wide gap occupied with fibroadipose scar tissue. It is almost impossible to perform simple end-to-end anastomosis after the intervening scar tissue being excised. Therefore many surgical procedures have been proposed to reconstruct the large gap. We treated three such cases by V-Y advancement flap and double Krackow suture technique, and their postoperative strength of triceps surae were evaluated with Cybex isokinetic strength testing. All patients returned to preinjury activities with satisfaction, but the ankle plantar flexor power showed about 20-30% deficit.