ABSTRACT
The achilles tendon plays a crucial role in the bipedal human beings. Injury to achilles tendon causes great difficulty in walking and running. This study aims to present the various causes , various treatment modalities and the functional outcome of tendo Achilles injuries. This is a retrospective study of 25 patients of with Tendo Achilles injury who presented at our department between July 2015 to December 2018.Patient age , cause of Tendo Achilles injury associated skin and soft tissue defect, tendon defect, various modalities of treatment and functional outcome were reviewed. A total of 23 men and two women with a mean follow up period of 6months to 15months were included. The most common cause of tendo Achilles injury was due to slipping of foot in an Indian closet .
ABSTRACT
Background: The tendoachilles tendon is the strongest and thickest tendon in the body begins near the middle ofthe back of leg which is made up of the tendons of the soleus and two heads of the gastrocnemius muscles andis attached to the midpoint of the posterior surface of the calcaneum. An aberrant (abnormal) tendoachilles isattached to just posterior to the tendo-achilles tendon, calcaneal tuberocity and on medial aspect of calcaneum.An aberrant tendoachilles tendon is responsible for resistant equines deformity of club foot. The existence ofaberrant tendoachilles tendon should be kept in mind by the orthopedic surgeons, podiatrist, sports physiciansand physiotherapists. A lack of awareness such variations might complicate surgical repair.Aim: The current study aimed at finding out the attachment of tendoachilles tendon, presence of any aberrant(abnormal) tendoachilles tendon insertion and related clinical significance i.e. resistant club foot.Materials and Methods: 108 lower limbs, 54 right and 54 left lower limbs of 54 donated embalmed cadavers (31males & 23 females) of age group ranging from 55 to 85 years were procured for dissection. The study wascarried out for a period of 7 years in the department of Anatomy SMIMER Surat.Results: The length of the tendoachilles tendon is 0-2cm in 3.70% of cases, 2-4 cm in 25.92% of cases, 4-6 cm in53.70% of cases, 6-8 cm in 9.25% of cases, 8-10 cm in 5.55% of cases, >10 cm only in 1.85% of cases. In all cases,attachment of tendoachilles tendon was found on posterior aspect of calcaneun that is normal. In addition tothat one of the case of left lower limb (0.92% of cases), tendoachilles tendon was found attached on medialaspect of calcaneun that is called as aberrant tendoachilles tendon.Conclusion: Aberrant tendoachilles tendon is responsible for resistant equines deformity of club foot. Most ofresistant club foot can be treated with use of an extensive posteromedial release of aberrant tendoachillestendon with satisfactory functional results. The presence of such aberrant tendoachilles tendon should be keptin mind by the orthopaedicians. A lack of awareness such variations might complicate surgical repair.
ABSTRACT
Synovial sarcomas of Tendo Achilles are rare tumors. The name “synovial sarcoma” is a misnomer, as it does not arise from synovial membrane. These tumors occur usually in the upper and lower limbs, more often in lower limbs in the distal parts. Distal extremities are more commonly associated with this tumor. It is seen to affect mostly tendon sheath, bursa, and joint capsule; knee being the commonly affected large joint. The common age group is 15-40 years. In our case, the initial pathology report came as hemanioma to us, but the immunohistochemistry report revealed it to be poorly differentiated synovial sarcoma.
ABSTRACT
Background: The spectrum of Achilles tendon ruptures includes both acute and chronic injuries. Treatment options include operative repair with postoperative immobilization, operative repair with accelerated rehabilitation using early weight bearing, as well as non-operative treatment. Many surgeons advocate early operative repair of the ruptured Achilles tendon, citing decreased re-rupture rates and improved functional outcome while some surgeons treat them conservatively. In this article we are going to analyse the midterm outcome of surgically treated Tendo Achilles rupture. Methods: Prospective study of thirty cases of surgically managed Tendo Achilles injury treated in Sri Ramachandra medical college and research institute, Chennai, from June 2011 to June 2014. All the patients were followed up completely. Patients were followed periodically at 6 weeks, 12 weeks, 6 months and then yearly. Minimum follow up period was 12 months and maximum follow up period was 42 months. We have evolved our own scoring system and named it as comprehensive SRMC scoring system and all patients were followed using the scoring system. Results: We had 84% good results, 10% fair and 6% poor results as per comprehensive SRMC scoring system. Conclusion: SRMC scoring system for Tendo Achilles is a comprehensive one. It is specific for Tendo Achilles rupture. It includes all parameter for successful scoring system .Surgical treatment of Tendo Achilles gives good results.
ABSTRACT
PURPOSE: The purpose of this study was to evaluate the post-operative changes and to determine the factors affecting results obtained after surgical correction of spastic equinus deformity. MATERIALS AND METHODS: Among cerebral palsy patients who had received Tendo Achilles Lengthening (TAL) or the Strayer procedure, eighty nine patients (114 cases: TAL, 78 cases and Strayer, 36 cases) were included in this study. We evaluated clinical assessment data, kinematic data, and kinetic data pre- and post-operatively, according to the geographic type of cerebral palsy, age at operation, and sex. RESULTS: Clinically, equinus deformities were corrected with an increased passive range of motion of the ankle in both groups. Accord-ing to the kinematic results, both groups showed a normal ankle motion pattern with an increased dynamic range of motion. Kinetic results revealed that peak plantarflexor moment and power generation (A2) increased in both groups and that this increase was statisti-cal significant in TAL group. CONCLUSION: Both the TAL and Strayer procedures corrected the spasticity and equinus deformity, and resulted in an increased dynam-ic range of motion of the ankle joint without compromising the triceps power. However, care must be taken not to decrease power gen-eration when TAL is performed in diplegic cases older than 13 years of age.