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Mark A. Wolgin, MD, Orthopaedic Surgeon

Specialist (Fellowship Trained) in Spinal and Foot/Ankle Surgery, Albany, GA, Office Phone 229-883-4707

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V-Y Lengthening
 
This technique is used at times for Achilles tendon lengthening where severe tightness is noted.
 
The incision into the tendon is made in an upside down V shape, and as the lower portion is stretched out and then sutured together, the resulting shape more looks like an upside down letter Y.
 
 
 
 
 
The initial cut is outlined in a V shape (oriented sideways here).
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The surface of the tendon is cut.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The tendon is lengthened a controlled amount.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The cut that previously had the shape of a V, when sutured together, has the shape of a Y.