New surgical method for chronic rupture of the Achilles tendon

Author(s):  
G. P. Kotelnikov ◽  
A. P. Chernov ◽  
S. V. Ardatov ◽  
Yu. D. Kim ◽  
D. S. Shitikov
2008 ◽  
Vol 16 (6) ◽  
pp. 614-620 ◽  
Author(s):  
Katarina Nilsson-Helander ◽  
Leif Swärd ◽  
Karin Grävare Silbernagel ◽  
Roland Thomeé ◽  
Bengt I. Eriksson ◽  
...  

1991 ◽  
Vol 73 (2) ◽  
pp. 214-219 ◽  
Author(s):  
R A Mann ◽  
G B Holmes ◽  
K S Seale ◽  
D N Collins

2015 ◽  
Vol 97-B (3) ◽  
pp. 353-357 ◽  
Author(s):  
N. Maffulli ◽  
F. Oliva ◽  
V. Costa ◽  
A. Del Buono

2020 ◽  
pp. 193864002095138
Author(s):  
Kemal Gökkuş ◽  
Mehmet Sukru Sahin ◽  
Mehmet Baris Sargin

Chronic cases of peroneal subluxation typically call for surgical treatment; however, research on current surgical procedures suggests nonuniformity. The purpose of this study is to remind surgeons of the efficacy of an older surgical method by using the case of a selected patient. In this study, the Ellis Jones procedure was performed on a patient who had been suffering from a chronic peroneal subluxation for 22 years, since, in this particular case, other approaches were deemed likely to be unsuccessful. The patient had hypertrophied, frayed, and swollen tendons, which were unsuitable to be rerouted, whereas the superior peroneal retinaculum was diminished and deepening procedures would not be able to establish sufficient volume for retaining the hypertrophied tendons. After the debridement and repair of the peroneal tendons, ¼ of the lateral Achilles tendon was split, passed through a hole in the fibula, and sutured onto itself, and the subluxation path of the peroneal tendons was closed with an effective tendon barrier. The patient returned to work after 8 weeks of the surgery and was followed up for 4 years postoperatively. On selected patients, the Ellis Jones surgical method might therefore still be applied. Levels of Evidence: Level V


2017 ◽  
Vol 4 (1) ◽  
pp. 30-34
Author(s):  
Manjit Singh ◽  
Hari O Aggarwal ◽  
Sanjeev Sareen ◽  
Deepak Vashisht

ABSTRACT Aim To report 20 patients who underwent repair of chronic rupture of tendo Achilles tendon with peroneus brevis tendon. Materials and methods Records of 6 women and 14 men aged 26 to 58 (mean, 36) years who underwent repair of chronic rupture of tendo Achilles tendon with peroneus brevis tendon transfer were reviewed. Patients were evaluated at 3, 9, and 12 months using the foot and ankle outcome score (FAOS) questionnaire. Results Out of 20 patients, 4 developed superficial skin complications which healed gradually in 3 patients, and 1 patient underwent skin grafting surgery. No patient had a re-rupture of the tendo Achilles tendon. At the 1-year follow-up, all patients achieved good functional outcome in terms of the FAOS. Conclusion Repair of chronic rupture of tendo Achilles tendon with peroneus brevis tendon transfer achieved good functional outcome. How to cite this article Aggarwal HO, Singh M, Sareen S, Vashisht D. Repair of the Chronic Rupture of tendo Achilles Tendon using Peroneus Brevis Tendon. J Foot Ankle Surg (Asia-Pacific) 2017;4(1):30-34.


2009 ◽  
Vol 37 (8) ◽  
pp. 1570-1577 ◽  
Author(s):  
Mohamed Taha El Shewy ◽  
Hassan Magdy El Barbary ◽  
Hisham Abdel-Ghani

Background Chronic rupture of the Achilles tendon is a surgical challenge, owing to the presence of a gap between the retracted ends, which renders direct repair almost impossible. Purpose In this study, 2 intratendinous distally based flaps fashioned from the proximal gastrocnemius-soleus complex are used to bridge the gap between the retracted edges of the ruptured Achilles tendon. The flaps are placed in the same line of pull of the ruptured tendon, in an effort to make the graft mimic the original biomechanics as much as possible. Study Design Case series; Level of evidence, 4. Methods Eleven patients (9 male and 2 female) with neglected ruptures of the Achilles tendon with retracted ends were included in this study. Two flaps fashioned from the proximal gastrocnemius-soleus complex were rotated over themselves, passed through the proximal stump, and then securely inserted into a previously prepared bed in the distal stump. Results The patients were followed up for a period of 6 to 9 years. At the final follow-up, all patients were able to return to their preinjury level of activity within a period of 6 to 9 months. The mean preoperative American Orthopedic Foot and Ankle Society score was 42.27, whereas it was 98.91 at the final follow-up, with a range of 88 (in 1 patient) to 100 points (in 10 patients). All 11 patients showed statistically significant improvement according to the Holz rating system. Conclusion This technique allows for a bridging of the defect present in chronic ruptures of Achilles tendons, with a minimum of complications and a good final outcome.


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