Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2015 Mar 18:15:e9.
eCollection 2015.

Longitudinal slit procedure in addition to negative pressure wound therapy for a refractory wound with exposed achilles tendon

Erika Ohata  1 , Shunsuke Yuzuriha  1 , Yoshito Mishima  2 , Kiyoshi Matsuo  1
Affiliations
Case Reports

Longitudinal slit procedure in addition to negative pressure wound therapy for a refractory wound with exposed achilles tendon

Erika Ohata et al. Eplasty. .

Abstract

Objective: This case report reviews features of negative pressure wound therapy, particularly for the exposed Achilles tendon, and describes an additional effective procedure.

Methods: An 87-year-old man presented with a soft-tissue defect measuring 3×5 cm with the exposed Achilles tendon as a sequela of deep burn. The condition of his affected leg was ischemic because of arteriosclerosis. We used negative pressure wound therapy and made 2 longitudinal slits penetrating the tendon to induce blood flow from the ventral side to the dorsal surface.

Results: By this combination therapy, the surface of the exposed Achilles tendon was completely epithelialized and the tendon was spared without disuse syndrome.

Conclusions: The authors conclude that this combination therapy is useful for covering the widely exposed tendon in aged patients.

Keywords: Achilles tendon; burn; foot; longitudinal slit; negative pressure wound therapy.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Appearances on day 40 after injury. After 10 days of continuous negative pressure wound therapy.
Figure 2
Figure 2
Longitudinal slit procedure.
Figure 3
Figure 3
Five months after leaving the hospital.
Figure 4
Figure 4
Blood flow feeding the paratenon: (a) from the osteotendinous junction; (b) from the mesotenon; and (c) from the musculotendinous junction.
See this image and copyright information in PMC

References

    1. Heugel JR, Sias Parks K, Christie SS, Pulito JF, Zegzula DH, Kemalyan NA. Treatment of the exposed Achilles tendon using negative pressure wound therapy: a case report. J Burn Care Rehabil. 2002;23:167–71. - PubMed
    1. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997;38:563–76. - PubMed
    1. Inoue T, Tanaka I, Imai K, Hatoko M. Reconstruction of Achilles tendon using vascularized fascia lata with free lateral thigh flap. Br J Plast Surg. 1990;43:728–31. - PubMed
    1. Lee HB, Lew DH, Oh SH, Tark KC, Kim SW, Chung YK. et al. Simultaneous reconstruction of the Achilles tendon and soft-tissue defect using only a latissimus dorsi muscle free flap. Plast Reconstr Surg. 1999;104:111–9. - PubMed
    1. Deiler S, Pfadenhauer A, Widmann J, Stutzle H, Kanz KG, Stock W. Tensor fasciae latae perforator flap for reconstruction of composite Achilles tendon defects with skin and vascularized fascia. Plast Reconstr Surg. 2000;106:342–9. - PubMed

Publication types

LinkOut - more resources