Vet Comp Orthop Traumatol 2018; 31(01): 067-070
DOI: 10.3415/VCOT-17-04-0060
Case Report
Schattauer GmbH Stuttgart

Common Calcaneal Tenorrhaphy Revision Using a Central Gastrocnemius Turnover Aponeurotic Flap Technique in a Cat

Fabio Sangion
,
Filippo Cinti
,
Guido Pisani
Further Information

Publication History

28 April 2017

12 September 2017

Publication Date:
11 January 2018 (online)

Abstract

A 5-year-old, male castrated, domestic short hair cat was referred to the authors' clinic because of wound dehiscence and exposure of tendon stumps after tenorrhaphy of the Achilles tendon. Surgical revision was done using an aponeurotic flap taken from the proximal stump of the Achilles tendon and sutured over the two tendon portions. This technique has been described in humans, but, to the authors' knowledge, this has not been reported in cats. Modified type II external fixation was used to maintain the tarsocrural joint in extension until tendon healing was confirmed ultrasonographically 35 days postoperatively. Clinical and ultrasonographic evaluation 60 and 120 days postoperatively showed normal limb function and good tendon healing. Long-term follow-up examination 8 years postoperatively revealed that the cat was in good health with normal gait and activity level.

Author Contributions

All authors contributed to the the conception of the study, study design, acquisition of data, data analysis and interpretation, as well as drafting and revising and approval of the submitted of the manuscript.


 
  • References

  • 1 Hermanson JW. The muscular system. In: Christensen GC, Evans HE. , eds. Miller's Anatomy of the Dog. 4th ed. Philadelphia, PA: W.B. Saunders; 2013: 185-280
  • 2 Vaughan LC. The use of carbon fibre implants for the repair of Achilles tendon rupture in dogs. J Small Anim Pract 1981; 22 (10) 629-634
  • 3 Corr SA, Draffan D, Kulendra E, Carmichael S, Brodbelt D. Retrospective study of Achilles mechanism disruption in 45 dogs. Vet Rec 2010; 167 (11) 407-411
  • 4 King M, Jerram R. Achilles tendon rupture in dogs. Compend Contin Educ Pract Vet 2003; 25: 613-620
  • 5 Guerin S, Burbridge S, Fox E. Achilles tenorrhaphy in five dogs: A modified surgical technique and evaluation of a cranial half cast. Vet Comp Orthop Traumatol 1998; 11: 205-210
  • 6 Reinke J. Treatment of avulsion of the gastrocnemius tendon. In: Bojrab MJ, Ellison G, Slocum B. , eds. Current Techniques in Small Animal Surgery. 4th ed. Baltimore, MD: Williams and Wilkins; 1998: 1257-1260
  • 7 Cervi M, Brebner N, Liptak J. Short- and long-term outcomes of primary Achilles tendon repair in cats: 21 cases. Vet Comp Orthop Traumatol 2010; 23 (05) 348-353
  • 8 Nielsen C, Pluhar GE. Outcome following surgical repair of Achilles tendon rupture and comparison between postoperative tibiotarsal immobilization methods in dogs: 28 cases (1997-2004). Vet Comp Orthop Traumatol 2006; 19 (04) 246-249
  • 9 Mughannam A, Reinke JR. Avulsion of the gastrocnemius tendon in three cats. J Am Anim Hosp Assoc 1994; 30: 550-556
  • 10 Wong HK, Bush AM, Hoffmann DE. Flexor digitorum lateralis tendon transposition for the repair of bilateral calcaneal tendon rupture in a cat with severe thermal injury. Vet Comp Orthop Traumatol 2016; 29 (01) 89-93
  • 11 Shani J, Shahar R. Repair of chronic complete traumatic rupture of the common calcaneal tendon in a dog, using a fascia lata graft. Vet Comp Orthop Traumatol 2000; 13: 104-108
  • 12 Gandin J, Baud G. [21 operated cases of rupture of the Achilles tendon]. Mem Acad Chir (Paris) 1961; 87: 706-710
  • 13 Gerdes MH, Brown TD, Bell AL, Baker JA, Levson M, Layer S. A flap augmentation technique for Achilles tendon repair. Postoperative strength and functional outcome. Clin Orthop Relat Res 1992; (280) 241-246
  • 14 Maffulli N, Ajis A. Management of chronic ruptures of the Achilles tendon. J Bone Joint Surg Am 2008; 90 (06) 1348-1360
  • 15 Morshead D, Leeds EB. Kirschner-Ehmer apparatus immobilization following Achilles tendon repair in six dogs. Vet Surg 1984; 13 (01) 11-14
  • 16 Meutstege J. The classification of canine Achilles tendon lesions. Vet Comp Orthop Traumatol 1993; 6: 53-55
  • 17 Baltzer WI, Rist P. Achilles tendon repair in dogs using the semitendinosus muscle: surgical technique and short-term outcome in five dogs. Vet Surg 2009; 38 (06) 770-779
  • 18 Fahie MA. Healing, diagnosis, repair, and rehabilitation of tendon conditions. Vet Clin North Am Small Anim Pract 2005; 35 (05) 1195-1211 , vii
  • 19 Manlanti GA. Deep digital flexor tendon trans- position for rupture of the calcanean tendon in a dog. J Am Anim Hosp Assoc 1981; 17: 451-454
  • 20 Sivacolundhu RK, Marchevsky AM, Read RA. , et al. Achilles mechanism reconstruction in 4 dogs. Vet Comp Orthop Traumatol 2001; 14: 25-31
  • 21 Silver RL, de la Garza J, Rang M. The myth of muscle balance. A study of relative strengths and excursions of normal muscles about the foot and ankle. J Bone Joint Surg Br 1985; 67 (03) 432-437
  • 22 Ahmed IM, Lagopoulos M, McConnell P, Soames RW, Sefton GK. Blood supply of the Achilles tendon. J Orthop Res 1998; 16 (05) 591-596
  • 23 Popovic N, Lemaire R. Diagnosis and treatment of acute ruptures of the Achilles tendon. Current concepts review. Acta Orthop Belg 1999; 65 (04) 458-471