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Biomedical subjects

K T Mahan

Publications and source records attributed to K T Mahan.

30 records · Page 2Linked to original sources

Lateral calcaneal artery skin flap for posterior heel coverage.

The lateral calcaneal artery flap is a neurovascular flap from the lateral side of the calcaneus consisting of the lateral calcaneal artery, sural nerve, and small saphenous vein. It is most useful in coverage of defects over the posterior heel with or without exposure of the tendo Achilles. The donor site is covered with a split-thickness skin graft. Preoperative planning for this flap must include Doppler examination of the course of the artery, as well as documentation of the presence of the other pedal pulses. Disadvantages to use of the flap are the skin depression at the donor site and a loss of two-point discrimination along the dorsolateral foot caused by transfer of the sural nerve.

Adolescent↗

Achilles tendon rupture: a case report and discussion of conservative versus surgical repair.

The authors review the literature on Achilles tendon ruptures and discuss the conservative and surgical approaches to treatment of acute ruptures. A case history of acute Achilles tendon rupture is presented, including clinical signs not previously described. The primary complication of Achilles tendon rupture is the high incidence of rerupture after conservative therapy. The authors note that complications after surgical repair of an Achilles tendon rupture may be avoided by a surgeon skilled in the performance of this procedure and by the use of an appropriate surgical drain. The authors conclude that primary surgical repair is the treatment of choice for acute Achilles tendon ruptures.

Achilles Tendon↗

Multiple ruptures of the tendo Achillis.

An abundance of literature has been published regarding rupture of the tendo Achillis. Certain studies review various options for management, while others focus on the mechanisms and pathogenesis of injury. There are, however, significant differences in the outcomes of these studies. This article reviews the basic anatomy of the tendo Achillis, as well as the various parameters relating to the spontaneous rupture of this tendon. A case study of a recurrent tendo Achillis rupture is also presented, to illustrate principles of management of recurrent ruptures.

Achilles Tendon↗

Brachymetapody: case report of surgical correction.

Brachymetapody is an uncommon condition that can have both cosmetic and functional considerations. The literature is reviewed with respect to techniques for repair of short metatarsals. Surgical indications are discussed as well as techniques for repair. A case report of bilateral first and fourth metatarsal brachymetapody is reviewed with illustration of a successful surgical outcome after more than 5 years of follow-up.

Adolescent↗

Flexor hallucis brevis muscle flap.

The use of muscle flaps for treatment of chronic wounds has become more widespread. The specific use of intrinsic muscle flaps of the foot for treatment of diabetic ulcerations has the potential to provide alternative ways of avoiding amputations. A case report is presented that illustrates the use of the flexor hallucis brevis flap for a chronic ulceration beneath the first metatarsal head. The technique and indications are discussed.

Adult↗