scholarly journals Peroneus brevis tendon transfer with the use of an interference screw in Achilles tendon injuries

2018 ◽  
Vol 12 (2) ◽  
pp. 79-83
Author(s):  
Raul Carlos Barbosa ◽  
Victor Caponi Borba ◽  
Bruno Ferreira Gondim ◽  
Jefferson Soares Martins ◽  
Edegmar Nunes Costa
Keyword(s):  
Patient Satisfaction ◽  
Achilles Tendon ◽  
Tendon Transfer ◽  
Interference Screw ◽  
Tendon Injuries ◽  
Clinical Aspects ◽  
Distal Stump ◽  
Functional Evaluation ◽  
Convenience Sample ◽  
Peroneus Brevis

Objective: To perform a functional evaluation of peroneus brevis tendon transfer using an interference screw fixation in chronic Achilles tendon injuries. Methods: This was a cross-sectional, retrospective and observational study with medical record reviews and a convenience sample of ten (10) patients who underwent surgery between January 2013 and June 2017. The following clinical aspects were evaluated: sex, age group, race, affected side, injury time, distal stump size, gap between stumps, AOFAS questionnaire (pre- and 3 and 6 months postoperatively), patient satisfaction with treatment and complications. Results: The mean subject age was 38.1 years; subjects were predominantly male (80%), and with respect to laterality, the right side was predominant. The paratendinous posterolateral incision technique was used, with the identification and use of the peroneus brevis associated with bone tunnel fixation onto the Achilles using an interference screw. Surgical planning of the technique followed the same procedure in all cases. Two complications occurred during evolution when considering the early and late postoperative periods. Conclusion: The treatment of Achilles tendon injuries with this technique proved to be a good option for chronic injuries with satisfactory results in terms of maintenance of functionality and patient satisfaction postoperatively. Level of Evidence III; Prognostic Studies; Retrospective Study.

Less-Invasive Reconstruction of Chronic Achilles Tendon Ruptures Using a Peroneus Brevis Tendon Transfer

2010 ◽  
Vol 38 (11) ◽  
pp. 2304-2312 ◽  
Author(s):  
Nicola Maffulli ◽  
Filippo Spiezia ◽  
Umile Giuseppe Longo ◽  
Vincenzo Denaro
Keyword(s):  
Achilles Tendon ◽  
Tendon Transfer ◽  
Less Invasive ◽  
Tendon Ruptures ◽  
Peroneus Brevis

scholarly journals Chronic insertional achilles tendon ruptures treated by suture anchor repair and augmentation with flexor hallucis longus tendon transfer

2018 ◽  
Vol 4 (2) ◽  
pp. 227 ◽  
Author(s):  
Athar Ahemad M. A. ◽  
Naser Mohd Abdul ◽  
Mushir Ali Syed
Keyword(s):  
Achilles Tendon ◽  
Tendon Transfer ◽  
Suture Anchor ◽  
Interference Screw ◽  
Flexor Hallucis Longus ◽  
Reliable Technique ◽  
Good Outcome ◽  
Interference Screw Fixation ◽  
Tendon Ruptures

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Different surgical procedures have been used for treatment of chronic ruptures of the Achilles tendon with varying results. This study assesses the functional outcomes and complications of chronic insertional tears of Achilles tendon.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">10 patients with chronic ruptures of the Achilles tendon were followed for a mean period of 10.3 months. Only ruptures at or near (within 1 cm) insertion were included. They were treated by direct repair of tendon to calcaneum by suture anchor. Flexor hallucis longus (FHL) tendon transfer fixed to calcaneal tunnel with an interference screw was used to augment the repair</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Outcome was assessed by AOFAS Ankle-Hindfoot (AHS) score. The mean preoperative score of 41.2 improved to 85.4 at final follow-up out of a total 100 points. We achieved excellent results in 80% and good outcome in 20% cases. No re-ruptures were noted. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">In insertional chronic ruptures of Achilles tendon, FHL transfer to calcaneum with interference screw fixation and repair of Achilles tendon with suture anchor is a reliable technique with good outcome and is recommended.</span></p>

Peroneus Brevis Tendon Transfer for Reconstruction of Chronic Tears of the Achilles Tendon

2012 ◽  
Vol 94 (10) ◽  
pp. 901-905 ◽  
Author(s):  
Nicola Maffulli ◽  
Filippo Spiezia ◽  
Ernesto Pintore ◽  
Umile Giuseppe Longo ◽  
Vittorino Testa ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Transfer ◽  
Peroneus Brevis

Peroneus Brevis Tendon Transfer in Neglected Tears of the Achilles Tendon

2001 ◽  
Vol 50 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Ernesto Pintore ◽  
Vicente Barra ◽  
Raffaele Pintore ◽  
Nicola Maffulli
Keyword(s):  
Achilles Tendon ◽  
Tendon Transfer ◽  
Peroneus Brevis

Achilles Tendon Ruptures—Peroneus Brevis Transfer

Foot & Ankle ◽  
1987 ◽  
Vol 7 (4) ◽  
pp. 253-259 ◽  
Author(s):  
Vincent J. Turco ◽  
Anthony J. Spinella
Keyword(s):  
Achilles Tendon ◽  
Tendon Transfer ◽  
Triceps Surae ◽  
Proximal Fragment ◽  
Neutral Position ◽  
Peroneal Tendon ◽  
Calcaneal Tendon ◽  
Musculotendinous Junction ◽  
Tendon Ruptures ◽  
Peroneus Brevis

Peroneus brevis tendon transfer has been utilized in 40 individuals during the last 13 years. All cases consisted of complete Achilles tendon ruptures. In 34 cases the rupture was in the distal one-third of the tendon substance, in four cases bony avulsion of the calcaneal tuberosity occurred, and in two cases there was a diffuse tear in the proximal two-thirds of the tendon near the musculotendinous junction. The middle-aged athlete sustained the majority of these injuries during sports. Eleven patients were less than 30 years old, 23 patients were 30 to 40 years old, and six were over 40 years old. Five patients had reruptures that involved prior nonoperative treatment of cast immobilization, and one had undergone simple direct suture. This repair has been used in acute, chronic, and recurrent ruptures of the tendoachillis. Thirty-three patients presented within 1 week of injury, and seven after more than 1 week. A. Perez Teuffer personally described the preferred technique in 1971 and subsequently published in 1978. The transfer of the peroneus brevis is combined with a direct end-to-end suture of the triceps surae tendon that allows a secure reconstruction with the foot at a right angle. The peroneus brevis tendon is detached from the base of the fifth metatarsal and then tunnelled through the distal Achilles tendon stump. The distal portion of the tendon transfer is then drawn proximally along the medial calcaneal tendon border. The proximal triceps surae tendon is pulled distally and secured to the peroneal tendon. The ruptured ends of the Achilles tendon are sandwiched between the U-shaped peroneal tendon transfer, which acts as a biologic scaffold for the reparitive process. Several advantages are apparent when compared to nonoperative care and other operative techniques including simple Achilles tendon repair, plantaris tendon transfers, reconstructive fascial flaps, and synthetic substitutes. A strong repair with the foot at the neutral position is possible even when the Achilles tendon is shredded. The transfer provides an active motor, adds some power to the damaged triceps, and avoids the danger of rerupture. No reruptures have occurred after this surgical procedure. Calf weakness is minimized because the proximal fragment of the damaged Achilles tendon is sutured securely under physiologic tension into the peroneus brevis. Immobilization postoperatively in a short leg cast at a right angle and early weightbearing facilitate the rehabilitation period and avoid the many months necessary to regain dorsiflexion after 6 to 8 weeks of casting in plantarflexion. The bulk and profile of the repaired Achilles tendon is restored. A healthy tendon transfer is an additional benefit. Strength after the peroneus brevis U-shaped tendon transfer is superior to other methods of treatment and is particularly advantageous in the sports-oriented individual.

scholarly journals Management of Chronic Achilles Tendon Injuries—Review of Current Protocols and Surgical Options

2019 ◽  
Vol 52 (01) ◽  
pp. 109-116 ◽  
Author(s):  
Madhu Periasamy ◽  
Hari Venkatramani ◽  
Raja Sabapathy Shanmuganathan
Keyword(s):  
Achilles Tendon ◽  
Scar Tissue ◽  
Tendon Injury ◽  
Tendon Injuries ◽  
Distal Stump ◽  
Challenging Problem ◽  
Reconstruction Methods ◽  
Surgical Options ◽  
Tendon Grafts ◽  
Methods Of Reconstruction

AbstractChronic Achilles tendon injury is a challenging problem. A review of the different options available and their technical considerations is required. Reconstruction of the Achilles tendon depends on numerous factors such as the gap between the debrided tendon ends, the presence of a distal stump, and the and presence of scar tissue. Various protocols have been described for reconstruction. Methods of reconstruction vary from direct repair, bridging of the tendon gap with tendon grafts or tendon transfers. We review and enumerate the different protocols enumerated for the reconstruction of chronic Achilles tendon lesions in the literature and look at the authors preferred methods of reconstruction

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