Surgical Outcome of Reconstruction of Neglected Chronic Achilles Tendon Ruptures / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
;
: 109-114, 2010.
Article
in Korean
| WPRIM
| ID: wpr-26024
ABSTRACT
PURPOSE:
The purpose of this study was to report the surgical outcome of reconstruction of neglected chronic Achilles tendon ruptures with various methods including Achilles tendon allograft. MATERIALS ANDMETHODS:
Between October 2003 and November 2008, 8 consecutive neglected chronic Achilles tendon ruptures with the defect gap of more than 4 cm underwent surgical reconstruction including V-Y advancement, gastrocnemius fascial turn-down flap, flexor hallucis longus transfer and Achilles tendon allograft. There were 7 males and 1 female who were evaluated at more than 18 months after surgery. At the time of followup, all patients were assessed with regard to postoperative complications, their self-reported level of satisfaction, the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot scale, 10 repetitive single heel rise, single leg hopping test, and ankle range of motion.RESULTS:
The AOFAS score increased from average 71.4 (50-87) to 96.4 (86-100). All patients were able to perform 10-repetitive single heel raise and single leg hopping at the latest follow up. No patient experienced wound complications and deep infection. Six patients were rated as 'excellent' and the other two as 'good'.CONCLUSION:
Neglected chronic Achilles tendon ruptures could be successfully treated with careful selection of the reconstruction method according to the amount of defect gap. With an extensive defect, Achilles tendon allograft can be a good option when the reconstruction is not feasible otherwise.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Rupture
/
Achilles Tendon
/
Transplantation, Homologous
/
Heel
/
Follow-Up Studies
/
Humulus
/
Foot
/
Leg
/
Ankle
Type of study:
Observational study
/
Prognostic study
Limits:
Animals
/
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of Korean Foot and Ankle Society
Year:
2010
Type:
Article
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