TITLE

Digital Vascular Mapping of the Integument About the Achilles Tendon

AUTHOR(S)
Yepes, Horacio; Tang, Maolin; Geddes, Christopher; Glazebrook, Mark; Morris, Steven F.; Stanish, William D.
PUB. DATE
May 2010
SOURCE
Journal of Bone & Joint Surgery, American Volume;May2010, Vol. 92-A Issue 5, p1215
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Soft-tissue coverage and vascularity likely play a vital role in the genesis of wound complications and infections during open Achilles tendon repair. Planning an appropriate surgical approach might decrease the prevalence of these complications. Methods: Five adult cadavers underwent whole-body arterial perfusion with a mixture of lead oxide, gelatin, and water. The skin of the foot and ankle was dissected, and the vascular supply was evaluated with angiography. All angiograms were analyzed with use of statistical software. Results: We constantly identified three vascular zones: (1) the medial vascular zone, which had the richest blood supply; (2) the lateral vascular zone, in which the density of vascularity was good and much better than that in the posterior zone; and (3) the posterior vascular zone, which showed the poorest blood supply. Conclusions: The richest vascular zones of the skin covering the Achilles tendon are located toward the medial and lateral aspects of the Achilles tendon. On the basis of the present study, we recommend using a medial or lateral incision in the integument covering the tendon, as the posterior incision will be located in a less vascular zone.
ACCESSION #
50505477

 

Related Articles

  • One-stage treatment of deep infection following repair of Achilles tendon rupture with flexor hallucis longus transfer. Lee, Kang; Moon, Jeong; Seo, Jeong; Lee, Woo // Knee Surgery, Sports Traumatology, Arthroscopy;Mar2009, Vol. 17 Issue 3, p313 

    We present one-stage treatment of deep infection following repair of Achilles tendon rupture using flexor hallucis longus transfer. Flexor hallucis longus was used not only to connect the defect in Achillles tendon, but also to control the soft tissue infection with its abundant blood supply,...

  • Beckham to miss World Cup after injury. Wilson, Stephen // Adirondack Daily Enterprise;3/16/2010, Vol. 117 Issue 64, p10 

    The article reports on the surgery undergone by 34-year-old midfielder David Beckham for torn left Achilles' tendon, after he was injured while playing for Italian club AC Milan, which will make him miss the World Cup that begins in June 11, 2010 in South Africa.

  • Nerve-related characteristics of ventral paratendinous tissue in chronic Achilles tendinosis. Andersson, Gustav; Danielson, Patrik; Alfredson, Håkan; Forsgren, Sture; Alfredson, Håkan // Knee Surgery, Sports Traumatology, Arthroscopy;Oct2007, Vol. 15 Issue 10, p1272 

    Ultrasound and Doppler examination has shown high blood flow-neovascularisation inside and outside the ventral Achilles tendon in chronic painful tendinosis, but not in pain-free normal Achilles tendons. In patients with Achilles tendinosis, injections with the sclerosing substance polidocanol,...

  • Cochrane in CORR: Surgical Interventions for Treating Acute Achilles Tendon Ruptures (Review). Mundi, Raman; Madden, Kim; Bhandari, Mohit // Clinical Orthopaedics & Related Research;Jun2014, Vol. 472 Issue 6, p1703 

    The article discusses review of surgical interventions for treating acute achilles tendon ruptures. Topics discussed include performing randomized and quasi-randomized trials for comparing surgical and non-surgical treatment of achilles tendon rupture and use of Medline database for gathering...

  • Degradation and Remodeling of Small Intestinal Submucosa in Canine Achilles Tendon Repair. Gilbert, Thomas W.; Ann M. Stewart-Akers; Simmons-Byrd, Abby; Badylak, Stephen F. // Journal of Bone & Joint Surgery, American Volume;Mar2007, Vol. 89-A Issue 3, p621 

    Background: Extracellular matrix derived from porcine small intestinal submucosa is used for the repair of musculo-tendinous tissues. Preclinical evaluation and clinical use have suggested that small intestinal submucosa extracellular matrix degrades rapidly after implantation and can be...

  • The Influence of Early Weight-Bearing Compared with Non-Weight-Bearing After Surgical Repair of the Achilles Tendon. Suchak, Amar A.; Bostick, Geoff P.; Beaupré, Lauren A.; Durand, D'Arcy C.; Jomha, Nadr M. // Journal of Bone & Joint Surgery, American Volume;Sep2008, Vol. 90-A Issue 9, p1876 

    Background: The optimal rehabilitation protocol after surgical repair of an Achilles tendon rupture has not been well defined. The objective of this randomized study was to compare the effect of early weight-bearing with that of non-weight-bearing on early postoperative recovery following repair...

  • What's New in Orthopaedic Research. Rodeo, Scott A.; Delos, Demetris; Weber, Alex; Xiaodong Ju; Cunningham, Matthew E.; Fortier, Lisa; Maher, Suzanne // Journal of Bone & Joint Surgery, American Volume;10/20/2010, Vol. 92-A Issue 14, p2491 

    The article presents several studies relating to orthopaedic medicine in the U.S. It includes the influence of the mechanical environment on tendon and ligament structure and function and the effects of mechanical stimulation on Achilles tendon healing. Also mentioned is the interface tissue...

  • INTERMEDIATE TO LONG-TERM RESULTS OF A TREATMENT PROTOCOL FOR CALCANEAL FRACTURE MALUNIONS. Clare, Michael P.; Lee III, William E.; Sanders, Roy W. // Journal of Bone & Joint Surgery, American Volume;May2005, Vol. 87-A Issue 5, p963 

    Background: Nonoperative management of displaced intra-articular calcaneal fractures may result in malunion affecting the function of both the ankle and the subtalar joint. The purpose of this study was to report the intermediate to long-term results of a treatment protocol for calcaneal...

  • Successful treatment of a fracture of a huge Achilles tendon ossification with autologous hamstring tendon graft and gastrocnemius fascia flap: a case report. Ishikura, Hisatoshi; Fukui, Naoshi; Takamure, Hiroshi; Ohashi, Satoru; Iwasawa, Mitsuyasu; Takagi, Kentaro; Horita, Ayako; Saito, Ikuo; Mori, Toshihito // BMC Musculoskeletal Disorders;11/24/2015, Vol. 16, p1 

    Background: Fracture of an ossified Achilles tendon is a rare entity, and no standard treatment has been established. This is the first report to describe the use of a hamstring tendon graft and gastrocnemius fascia flap for Achilles tendon reconstruction.Case Presentation:...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics