Chronic achilles tendon rupture repair with plantaris tendon augmentation and anchor sutures: A case report and review of literature

BACKGROUND: Missed traumatic Achilles tendon ruptures in children are rarely reported in the literature. Various techniques have been described to reconstruct delayed Achilles tendon ruptures for adults, but the long-term consequences in the growing child are unknown. CLINICAL CASE: The article presents a clinical observation of a 8-year-old girl with missed rupture of the Achilles tendon operated 7 weeks after the trauma by end-to-end Kessler-type sutures augmented with the plantaris tendon. At 2-year follow-up, the patient was completely asymptomatic. DISCUSSION: A review of the literature shows that this is the third neglected pediatric case of post-traumatic Achilles tendon rupture. The first case concerns a 10-year-old boy treated successfully six weeks after the traumat by open surgical repair using the Bunnell sutures technique. The second patient was a 7-year-old girl, she was operated 8 weeks after the trauma with a termino-terminal tenorrhaphy using the Bunnell technique augmented with the plantaris tendon. CONCLUSIONS: Using the plantaris tendon to reinforce the Achilles tendon repair offers satisfactory results with minimal morbidity. Prognosis depends on the extent of tendon defect which determines the long-term functional outcome. Any skin wound that sits on the back of the leg requires a systematic and careful physical examination to check the integrity of the Achilles tendon.

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Surgical versus non-surgical treatment for acute Achilles’ tendon rupture. A systematic review of literature and meta-analysis

Foot and Ankle Surgery ◽

10.1016/j.fas.2019.03.010 ◽

2020 ◽

Vol 26 (3) ◽

pp. 280-288 ◽

Cited By ~ 10

Author(s):

Yasser Reda ◽

Amr Farouk ◽

Ibrahim Abdelmonem ◽

Ossama A. El Shazly

Keyword(s):

Systematic Review ◽

Surgical Treatment ◽

Achilles Tendon ◽

Tendon Rupture ◽

Meta Analysis ◽

Achilles Tendon Rupture ◽

Review Of Literature ◽

Non Surgical Treatment

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Bilateral Levofloxacin-Induced Achilles Tendon Rupture: An Uncommon Case Report and Review of the Literature

Clinical Medicine Insights Arthritis and Musculoskeletal Disorders ◽

10.1177/1179544119835222 ◽

2019 ◽

Vol 12 ◽

pp. 117954411983522 ◽

Cited By ~ 3

Author(s):

Marcos Edgar Fernández-Cuadros ◽

Luz Otilia Casique-Bocanegra ◽

María Jesús Albaladejo-Florín ◽

Sheila Gómez-Dueñas ◽

Carmen Ramos-Gonzalez ◽

...

Keyword(s):

Case Report ◽

Urinary Tract ◽

Adverse Effects ◽

Achilles Tendon ◽

Tendon Rupture ◽

Achilles Tendon Rupture ◽

Life Time ◽

Review Of The Literature ◽

Uncommon Case ◽

Tract Infections

Since the introduction of Fluoroquinolones (FQ) in 1960s, these antibiotics have been used in airway and urinary tract infections, due to absorption, biodisponibility, posology and long half-life time properties. However, several reports state that FQ can cause tendinopathy and rupture. These adverse effects can occur within hours after initial treatment to up to 6 months after withdrawal. FQ-induced tendinopathy was first reported in 1983; since then more than 100 cases have been published. FQ usage can lead to complete tendon rupture and no more than 8 to 15 cases are reported worldwide. Most of rupture cases have been associated to corticoid use and rheumatic, vascular or renal disease. The purpose of this case report is to present the challenging diagnosis of a bilateral rupture of Achilles tendon in an old patient, because of the uncommon of the presentation and to review the current literature on such a debilitating condition.

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