Surgical Strategy for the Chronic Achilles Tendon Rupture
Background. Chronic Achilles tendon rupture is usually misdiagnosed and treated improperly. This study aims to better understand the treatment of chronic Achilles tendon rupture. Methods. Patients who were not able to perform a single-limb heel rise were chosen. Pre- and postoperative magnetic reso...
| Main Authors: | , , , |
|---|---|
| Format: | Online |
| Language: | English |
| Published: |
Hindawi Publishing Corporation
2016
|
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5099495/ |
| id |
pubmed-5099495 |
|---|---|
| recordtype |
oai_dc |
| spelling |
pubmed-50994952016-11-15 Surgical Strategy for the Chronic Achilles Tendon Rupture Lin, Yangjing Yang, Liu Yin, Li Duan, Xiaojun Clinical Study Background. Chronic Achilles tendon rupture is usually misdiagnosed and treated improperly. This study aims to better understand the treatment of chronic Achilles tendon rupture. Methods. Patients who were not able to perform a single-limb heel rise were chosen. Pre- and postoperative magnetic resonance imaging (MRI) were conducted. By evaluating the presence or absence of Achilles tendon stumps and the gap length of rupture, V-Y advancement, gastrocnemius fascial turndown flap, or flexor halluces longus tendon transfer were selected for tendon repair. The function of ankle and foot was assessed by American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scores and Achilles Tendon Total Rupture Score (ATRS). Results. Twenty-nine patients were followed up. One patient had superficial incision infection, which was healed after debridement and oral antibiotics. Three months postoperatively, MRI showed some signs of inflammation, which disappeared at one or two years postoperatively. All patients were able to perform a single-limb heel rise. Mean AOFAS scores and ATRS scores were increased at the latest follow-up. Conclusion. Surgical options can be determined by evaluating the presence of the Achilles tendon stumps and the gap length, which can avoid using the nearby tendon and yield satisfactory functional results. Hindawi Publishing Corporation 2016 2016-10-25 /pmc/articles/PMC5099495/ /pubmed/27847806 http://dx.doi.org/10.1155/2016/1416971 Text en Copyright © 2016 Yangjing Lin et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Lin, Yangjing Yang, Liu Yin, Li Duan, Xiaojun |
| spellingShingle |
Lin, Yangjing Yang, Liu Yin, Li Duan, Xiaojun Surgical Strategy for the Chronic Achilles Tendon Rupture |
| author_facet |
Lin, Yangjing Yang, Liu Yin, Li Duan, Xiaojun |
| author_sort |
Lin, Yangjing |
| title |
Surgical Strategy for the Chronic Achilles Tendon Rupture |
| title_short |
Surgical Strategy for the Chronic Achilles Tendon Rupture |
| title_full |
Surgical Strategy for the Chronic Achilles Tendon Rupture |
| title_fullStr |
Surgical Strategy for the Chronic Achilles Tendon Rupture |
| title_full_unstemmed |
Surgical Strategy for the Chronic Achilles Tendon Rupture |
| title_sort |
surgical strategy for the chronic achilles tendon rupture |
| description |
Background. Chronic Achilles tendon rupture is usually misdiagnosed and treated improperly. This study aims to better understand the treatment of chronic Achilles tendon rupture. Methods. Patients who were not able to perform a single-limb heel rise were chosen. Pre- and postoperative magnetic resonance imaging (MRI) were conducted. By evaluating the presence or absence of Achilles tendon stumps and the gap length of rupture, V-Y advancement, gastrocnemius fascial turndown flap, or flexor halluces longus tendon transfer were selected for tendon repair. The function of ankle and foot was assessed by American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scores and Achilles Tendon Total Rupture Score (ATRS). Results. Twenty-nine patients were followed up. One patient had superficial incision infection, which was healed after debridement and oral antibiotics. Three months postoperatively, MRI showed some signs of inflammation, which disappeared at one or two years postoperatively. All patients were able to perform a single-limb heel rise. Mean AOFAS scores and ATRS scores were increased at the latest follow-up. Conclusion. Surgical options can be determined by evaluating the presence of the Achilles tendon stumps and the gap length, which can avoid using the nearby tendon and yield satisfactory functional results. |
| publisher |
Hindawi Publishing Corporation |
| publishDate |
2016 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5099495/ |
| _version_ |
1613717098433871872 |