Abstract
Objective: To assess the effectiveness of repair of chronic ruptured Achilles tendon by V-Y Plasty and #plantaristendonaugmentation.
Background: Treatment of chronic Achilles tendon #rupture is
still a challenge for most orthopedic surgeons. It is different from the
acute
Achilles tendon rupture as there are large gaps that will be bridged by
scar tissue and muscle becomes infiltrated with fat, so ankle will be
weak
affecting the gait. Several techniques for reconstruction of Achilles
tendon have been described, including tendon graft, turndown flap, and
flexor hallucis longus augmentation and augmentation with synthetic
materials. The superiority of one technique over another has not been
demonstrated.
Patient and Method: This retrospective study included nine
patients with chronic Achilles tendon rupture who underwent surgery in
our
institution, between February 2013 and April 2016. The study group
consisted of 7 male and 2 female, ranging in age from 28 to 52 years old
with mean age of 40 years. 6 cases were right side and 3 were left. All
patients were diagnosed by clinical examination, sonographic examination
and MRI. Treatment was by doing V-Y plasty of #tendo-Achilles to cross
large gaps with augmentation of repair by plantaris tendon in all cases.
Results: At the end of follow-up (range, 7-12 months), no
major complications related to surgery occurred. No patient had
re-rupture at
any follow-up. All patients returned to their previous occupation. The
Postoperative range of ankle movement equaled to that of the opposite
side in 8 patients, but in one patient the ankle dorsi-flexion was 10°
less than the contralateral side. All patients were able to stand on tip
toes
for 30 seconds at last follow up.
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V-Y Plasty and Plantaris #Tendon Augmentation Repair in Treatment of #ChronicRupturedAchilles Tendon by Ahmed Ibrahim Zayda in BJSTR
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