4. Treatment Of Chronic Injuriescalcaneal (Achilles) Tendon

Authors

  • V.G. Semenov The hospital of a fast emergency aid, Almaty, Kazakhstan
  • D.I. Dzhulfaev The hospital of a fast emergency aid, Almaty, Kazakhstan
  • D.K. Zhamashev The hospital of a fast emergency aid, Almaty, Kazakhstan
  • A.A. Davreshov The hospital of a fast emergency aid, Almaty, Kazakhstan
  • R.G. Chachidze The hospital of a fast emergency aid, Almaty, Kazakhstan

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Abstract

From 2015 to 2019 32 patients (14 men, 18 women), aged 15-65 years, underwent surgical treatment for old Achilles tendon rupture. In all cases correct diagnosis was made not earlier than 1 month after injury and sonographic examination for diagnosis of Achilles tendon rupture is underlined. For the restoration of Achilles tendon V-Y plasty was used. Surgery was performed in a period of 1 to 13 months in patients with subcutaneous Achilles tendon ruptures. Follow-up results of patients in the postoperative period ranged from 6 months to 10 years (mean follow-up 1 year 7 months). Date of observation in the postoperative pe-riod ranged from 6 months to 19 years. Marginal necrosis wound occurred in 3 (10%) patients, re-rupture of the Achilles tendon to tendon suture zone - in one patient, even in one patient on day 14 became infected. Violations of the foot innervation were no detected.

Keywords

rupture of the Achilles tendon, ultrasound examination

References

  1. Abraham E, Pankovich A.M. Neglected rupture of the Achilles tendon: treatment by V-Y tendinous flap. J Bone Joint Surg. Am 57:253-255, 1975
  2. Ademoglu Y., Ozerkan F. Reconstruction of skin and tendon defects from wound complications after Achilles tendon rupture. J. Foot Ankle Surg. 2001;40(3):158-165
  3. Barouk L.S. Forefoot reconstruction. 2nd ed. Springer; 2006. 360 p
  4. Calhoun J.H. Delayed repair of the Achilles tendon. In: Johnson K.A. Master techniques in orthopaedic sur-gery. 1sted. New York: Raven Press, 1994
  5. Carmont M.R., Maffulli N. Less invasive Achilles tendon reconstruction. BMC Musculoskelet. Disord. 2007;8:100
  6. Hattrup S.J., Johnson K.A. A review of ruptures of the Achilles tendon. Foot Ankle. 1985;6:34-38
  7. Inglis A.E., Scott W.N., Sculco T.P., Patterson A.H. Rup-tures of the tendo achillis. An objective assessment of surgical and non-surgical treatment. J Bone Joint Surg. Am. 1976;58(7):990-993
  8. Justis E.J. Jr. Traumatic disorders. In: Crenshaw A.N., ed. Campbell’s operative orthopaedics. 7th ed. St. Louis: CV Mosby; 1987. Vol. 3: 2226-2233. the operation. Classes with an instructor began 5 weeks after the operation, the immobilization was finally removed 2 weeks after the start of exercise therapy. She was discharged for work 2 months af-ter the operation. Control examination 13 months after the intervention: there is no edema, the zone of the tendon regenerate is thickened, painless, the range of motion in the ankle joint is comparable to the intact limb, as well as muscle strength. Able to stand on toes, no limp. TREATMENT OF OLD ACHILLES TENDON RUPTURES

Published

2021-05-21

Issue

No. 1 (2021)

Section

Статьи