Chronic rupture of the Achilles tendon

Mann, Roger A.; Holmes, George B.; Seale, K S; Collins, D N

doi:10.2106/00004623-199173020-00009

Cited by 210 publications

(109 citation statements)

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“…The use of tendon transfers, including peroneus brevis [22], flexor digitorum longus [23] and flexor halluces longus [24,25], has been reported in several studies in the treatment of chronic Achilles tendon ruptures as well the use of free tendon grafts, including fascia lata [26], gracilis [7] and more recently using a gastrocnemius aponeurosis flap [3]. Maffulli et al [7] presented good results using a free gracilis tendon graft in 21 patients, who had a chronic rupture of the Achilles tendon.…”

Section: Discussionmentioning

confidence: 99%

Medial Achilles tendon island flap—a novel technique to treat reruptures and neglected ruptures of the Achilles tendon

Lapidus

Ray

Hamberg

2012

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

Medial Achilles tendon island flap—a novel technique to treat reruptures and neglected ruptures of the Achilles tendon

Lapidus

Ray

Hamberg

2012

International Orthopaedics (SICOT)

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“…Other surgical techniques used tendon transfer of peroneus brevis (PB) [22], flexor digitorum longus (FDL) [17] or flexor hallucis longus (FHL) [10] tendon. All these surgical procedures have been shown to yield satisfactory clinical results, although ankle plantar flexion strength and peak torque deficits persisted [1,2,10,17,21,24].…”

Section: Introductionmentioning

confidence: 99%

Chronic Achilles tendon rupture reconstruction using a modified flexor hallucis longus transfer

Wegrzyn

Luciani

Philippot

et al. 2009

International Orthopaedics (SICOT)

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107

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The purpose of this study was to report the management and outcome of 11 patients presenting with chronic Achilles tendon (AT) rupture treated by a modified flexor hallucis longus (FHL) transfer. Seven patients presented with a neglected AT rupture, one with a chronic AT rupture associated with Achilles tendinosis and three with an AT re-rupture. AT defect after fibrosis debridement averaged 7.4 cm. In addition to FHL transfer, we performed an augmentation using the two remaining fibrous scar stumps of the ruptured AT. Functional assessment was performed using the AOFAS score and isokinetic evaluation was performed to assess ankle plantarflexion torque deficit. Follow-up averaged 79 months. Functional outcome was excellent with a significant improvement of the AOFAS score at latest follow-up. No re-rupture nor major complication, particularly of wound healing, was observed. All patients presented with a loss of active range of motion of the hallux interphalangeal joint without functional weakness during athletic or daily life activities. Isokinetic testing at 30 degrees/second and 120 degrees/second revealed a significant average decrease of 28±11% and 36±4.1%, respectively, in plantarflexion peak torque. Although strength deficit persisted at latest follow-up, functional improvement was significant without morbidity due to FHL harvesting. For patients with chronic AT rupture with a rupture gap of at least 5 cm, surgical repair using FHL transfer with fibrous AT stump reinforcement achieved excellent outcomes.

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“…However, these appear to be laboratory findings, as patient function remains high during activities of daily living. A technique using a section of the flexor digitorum longus to repair chronic ruptures was reported by Mann et al [18]. The peroneus brevis tendon has also been commonly used as a tendon graft for the Achilles tendon rupture [19][20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Acute Distal Achilles Tendon Rupture Reconstruction with the Ipsilateral Semitendinosus Tendon and Review of the Literature

Tsailas

2017

MOJOR

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Acute distal Achilles tendon ruptures are uncommon, at the same time these is no standard method of treatment. We propose reconstructing the tendon with the ipsilateral semitendinosus tendon, passed through a transverse tunnel just distal to the region of the Achilles insertion, and weaved through the Achilles tendon, along with 1 or 2 strong sutures. This technique offers a strong fixation, early weightbearing and reduced risk of recurrence by augmenting this degenerated tendon area.

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Chronic rupture of the Achilles tendon

Cited by 210 publications

References 0 publications

Medial Achilles tendon island flap—a novel technique to treat reruptures and neglected ruptures of the Achilles tendon

Medial Achilles tendon island flap—a novel technique to treat reruptures and neglected ruptures of the Achilles tendon

Chronic Achilles tendon rupture reconstruction using a modified flexor hallucis longus transfer

Acute Distal Achilles Tendon Rupture Reconstruction with the Ipsilateral Semitendinosus Tendon and Review of the Literature

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