PERONEOUS LONGUS TENDON TRANSFER WITH POSTERIOR TIBIAL ARTERY PERFORATOR BASED PROPELLAR FLAP FOR THE SINGLE STAGE RECONSTRUCTION OF COMPOSITE DEFECT FOLLOWING RE-RUPTURE OF TENDOACHILLES.

DR. BHARAT RAJIVKUMAR SAXENA; DR. CHANDRAKANT GHARWADE; DR. SHAMOL BANERJEE

Volume : VIII, Issue : II, February - 2019

PERONEOUS LONGUS TENDON TRANSFER WITH POSTERIOR TIBIAL ARTERY PERFORATOR BASED PROPELLAR FLAP FOR THE SINGLE STAGE RECONSTRUCTION OF COMPOSITE DEFECT FOLLOWING RE-RUPTURE OF TENDOACHILLES.

Dr. Bharat Rajivkumar Saxena, Dr. Chandrakant Gharwade, Dr. Shamol Banerjee

Abstract :

Re–rupture of repaired tendo–achilles tendon is attributed to the fact that it‘s a zone of poor vascularity of skin, subcutaneous tissue & tendon resulting in complex problems to reconstruct in single stage. Various options are available for its reconstruction. In this article the peroneous longus tendon is transferred and used to stabilize the ankle joint along with posterior tibial artery perforator based propeller flap for soft tissue cover in same sitting. The peroneous longus tendon is preferred over other options as a good length of tendon can be obtained distally, having considerable load be� strength, ease and safety of harvesting and transfer with good post–operative results. A local propeller flap based on Posterior tibial artery perforator is used for soft tissue cover as it is of paramount importance to provide good vascularized skin that gives good microcirculation leading to good final healing of the composite reconstruction.