V-Y Myotendinous advancement augmented with peroneus brevis transfer for management of chronic massive Achilles tendon rupture
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Chronic tears of the Achilles tendon can result in substantial loss of function, and are often challenging to repair because of muscle and tendon atrophy, retraction and short distal stump. Methods: Over 24 months follow up, 11 patients with chronic Achilles tendon rupture with a gap length more the 6 cm were treated by V-Y advancement Myotendinous flab augmented with peroneus brevis tendon transfer. Results: No patient showed re-rupture in the follow up period, the median time for partial weight bearing was 6.7 weeks (ranging from 6-9 weeks). While the median time for full weight bearing was 11.09 weeks (ranging from 10 to 15 weeks).The American Orthopedic Foot and Ankle society (AOFAS) score increased from 53.18 to 90.27, while the the Achilles Tendon Total Rupture Score (ATRS) improved from 26.27 to 84.9. While the pre-injury Tegner activity level score was 4.9 (ranging from 3-6) decreased to 4.6 (ranging from 3-6) 2 years post-operatively. Conclusions: V-Y Myotendinous advancement augmented with peroneusbrevis transfer is an effective method for management of chronic Achilles tendon rupture with gap length more than 6 cm.
Authors and Affiliations
Mohamed A Abdelsalam, Mohammed M Mansour
Keywords
Related Articles
- EP ID EP498724
- DOI 10.22271/ortho.2017.v3.i3f.65
- Views 103
- Downloads 0
Study of proximal femoral nail in subtrachanteric femur fracture
Background: Subtrochanteric fractures constitute 10 to 30 percent of all hip fractures. Significant force is required to fracture this bone in adult like motor vehicle accident or fall from significant height while trivi...
Result of tranexamic acid in controlling blood loss in total knee and hip replacement surgery
Background: Blood loss is one of the major problems during intra-operative and postoperative periods after doing total knee and hip replacement. It is associated with high perioperative blood loss between 700 to 2,000 ml...
Results of locking compression plate in the management of fracture distal end of femur in adults
Introduction: The use of locking compression plate in fractures of distal femur in our study seems to be associated with a good functional outcome and early recovery. The DF-LCP is a good implant to use for fractures of...
Evaluation of serum bone specific alkaline phosphatase levels in isolated closed diaphyseal fractures of long bones in relation to fracture healing
Introduction: In day-to-day practice, progression of bone healing is assessed mainly by clinico-radiological parameters. Furthermore, clinicians are unable to identify the delayed and non-unions early, and even advanced...
To study the outcome of micro decompression by unilateral laminotomy in lumbar canal stenosis
Introduction: Lumbar Canal Stenosis is developmental or congenital narrowing of the spinal canal that produces compression of the neural elements before their exit from the neural foramen. The narrowing may be limited to...