Augmented Repair of Degenerative Tears of Tendo Achilles Using Peroneus Brevis Tendon: Early Results

Tawari, Akhil; Dhamangaonkar, Anoop A; Goregaonkar, Arvind B; Chhapan, Jigar

doi:10.5704/moj.1303.011

Cited by 9 publications

(2 citation statements)

References 14 publications

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“…The modified RUPP Scores in this study showed statistically significant improvement from 3 months to 6 months and about 13 (59.1%) patients had excellent scores. This was comparable to those obtained in the study done byTawari et al where PB brevis was used, and they had about 50% patients had excellent scores(26).The mean total duration of surgery was 93.41 mins, out of which the mean time required to find, isolate and release MKH was noted to be 20.82 mins. So, the mean percentage of total duration of surgery was found to be 22.13%.…”

supporting

confidence: 88%

Transfer of the Flexor Hallucis Longus Tendon for Neglected and Degenerative Tendo Achillis Rupture: A Prospective Clinical Study

Venkateshaiah¹,

Reddy²,

Srikantaiah³

2023

Muscle Ligaments and Tendons J

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Introduction.The Achilles tendon is one of the most frequently ruptured tendons in the human body. Surgical management commonly includes end to end repairs in acute tears, and chronic ruptures require autologous tendon transfer with Flexor hallucis longus or Flexor digitorum longus. Methods. A longitudinal observational study was done on 22 confirmed cases of chronic Achilles tendon rupture. Two incision technique of FHL tendon transfer with no exposure/debridement of the Tendoachilles was incorporated and functional outcome with American Orthopaedic Foot and Ankle Society Ankle-Hindfoot score, modified RUPP and Achilles Tendon Total Rupture (ATRS) scores both pre-and post-operatively were evaluated. Wound healing time and complications, heel-floor distance, calf circumference, hallux function and morbidity, graft characteristics and anatomic variation of master Knot of Henry were evaluated. Patients were followed up and assessed at 6 weeks, 3 months, and 6 months post-operatively. Results. The mean length of the FHL graft obtained from 2 incision technique was 8.09 cm. There was significant improvement in the Heel Rise Height Index from 7 to 63% (p < 0.0001), mean AOFAS ankle-hindfoot score from 43.9 to 89.6 (p < 0.001), mean ATRS Score from 19.6 to 79 (p < 0.0001) and mean Hallux MTP-IP scores to 96.3 (p < 0.0001) at 6 th month follow up was found. 13 (59%) had "Excellent" modified RUPP scores. 20 (90.9%) had Type I variation while 2 (9.1%) had Type II variation in MKH. Mean length of the graft obtained was 8.09cm. Mean wound healing time was about 13 days and only one had wound complication. Conclusions. FHL tendon transfer has advantages of requiring minimal dissection, being stronger than FDL and PB and it is an in-phase transfer with the same axis of contraction. KEY WORDS Chronic Tendoachilles rupture; FHL tendon transfer; 2 incision technique; functional outcome; anatomical variation of Master Knot of Henry.

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supporting

confidence: 88%

Transfer of the Flexor Hallucis Longus Tendon for Neglected and Degenerative Tendo Achillis Rupture: A Prospective Clinical Study

Venkateshaiah¹,

Reddy²,

Srikantaiah³

2023

Muscle Ligaments and Tendons J

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“…It should be noted that peroneus brevis tendon transfer results in most patients regaining their ability to engage in preinjury sports and daily activities [84]. The operated ankle may have lower peak torque and eversion strength compared to the unaffected limb, although such difference, though statistically significant, are of dubious clinical significance [85]. Maffulli et al [86] employed peroneus brevis tendon transfer to reconstruct the CATR with the defect of 4.0 to 6.5 cm in 16 patients.…”

Section: When Should Tendon Transfer Be Used?mentioning

confidence: 99%

Surgical management of chronic Achilles tendon rupture: evidence-based guidelines

Feng,

Maffulli,

Oliva

et al. 2024

J Orthop Surg Res

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Background Chronic Achilles tendon ruptures (CATR) often require surgical intervention to restore function. Despite numerous treatment modalities available, the optimal management strategy remains controversial given the limited high-quality evidence available. This article aims to provide evidence-based guidelines for the surgical management of CATR through a comprehensive systematic review of the available data. The consensus reached by synthesizing the findings will assist clinicians in making informed decisions and improving patient outcomes. Methods A group of 9 foot surgeons in three continents was consulted to gather their expertise on guidelines regarding the surgical management of CATR. Following the proposal of 9 clinical topics, a thorough and comprehensive search of relevant literature published since 1980 was conducted for each topic using electronic databases, including PubMed, MEDLINE, and Cochrane Library, to identify relevant studies published until 1 October 2023. All authors collaborated in drafting, discussing, and finalizing the recommendations and statements. The recommendations were then categorized into two grades: grade a (strong) and grade b (weak), following the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) concept. Additionally, feedback from 21 external specialists, who were independent from the authors, was taken into account to further refine and finalize the clinical guidelines. Results Nine statements and guidelines were completed regarding surgical indications, surgical strategies, and postoperative rehabilitation protocol. Conclusion Based on the findings of the systematic review, this guideline provides recommendations for the surgical management of CATR. We are confident that this guideline will serve as a valuable resource for physicians when making decisions regarding the surgical treatment of patients with CATR.

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Catastrophic Failure of an Infected Achilles Tendon Rupture Repair Managed with Combined Flexor Hallucis Longus and Peroneus Brevis Tendon Transfer

Simonson

Elliott

Roukis

2016

Clinics in Podiatric Medicine and Surgery

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Augmented Repair of Degenerative Tears of Tendo Achilles Using Peroneus Brevis Tendon: Early Results

Cited by 9 publications

References 14 publications

Transfer of the Flexor Hallucis Longus Tendon for Neglected and Degenerative Tendo Achillis Rupture: A Prospective Clinical Study

Transfer of the Flexor Hallucis Longus Tendon for Neglected and Degenerative Tendo Achillis Rupture: A Prospective Clinical Study

Surgical management of chronic Achilles tendon rupture: evidence-based guidelines

Catastrophic Failure of an Infected Achilles Tendon Rupture Repair Managed with Combined Flexor Hallucis Longus and Peroneus Brevis Tendon Transfer

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