Method of Surgical Treatment of Patients With Recurrent Achilles Tendon Ruptures

Rodomanova, L. A.; Кочиш, А. Ю.; Романов, Д. В.; Валетова, С. В.

doi:10.21823/2311-2905-2010-0-3-126-130

Traumatology and Orthopedics of Russia

2010

DOI: 10.21823/2311-2905-2010-0-3-126-130

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Method of Surgical Treatment of Patients With Recurrent Achilles Tendon Ruptures

L. A. Rodomanova¹,

А. Ю. Кочиш²,

Д. В. Романов³

et al.

Abstract: In order to justify a new method of surgical treatment of patients with recurrent and chronic Achilles tendon ruptures conducted applied topographic-anatomic study of 12 fixed and 8 fixed preparations of the lower extremities was performed. In the developed technique were carried out operations in 18 patients aged from 30 to 72 years with repeated ruptures Achilles tendon. The results of treatment were followed-up in all 18 patients in the period from 6 months to 3 years. Repeated tears of Achilles tendon were… Show more

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Cited by 5 publications

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Estimation of the Effectiveness of Surgical Treatment of Patients With Old Rupture of Heel Tendon With Short Plaster Splint Immobilization

Монастырев¹,

Monastyrev²,

Куклин³

et al. 2016

Бюллетень Восточно-Сибирского Научного Центра Сибирского Отделения Российской Академии Медицинских Наук

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26 Клиническая медицина УДК 616.748.54-018.38-089 Н.С. Пономаренко, И.А. Куклин, В.В. Монастырев, И.Н. Михайлов ОЦЕНКА ЭФФЕКТИВНОСТИ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ПАЦИЕНТОВ С ЗАСТАРЕЛЫМ РАЗРЫВОМ ПЯТОЧНОГО СУХОЖИЛИЯ С ИММОБИЛИЗАЦИЕЙ КОРОТКОЙ ГИПСОВОЙ ШИНОЙ ФГБНУ «Иркутский научный центр хирургии и травматологии», Иркутск, Россия Повреждения пяточного сухожилия занимают ведущее место среди травм сухожильно-мышечного аппарата. В клинической практике до 58 % составляют застарелые разрывы пяточного сухожилия. В статье приводится клиническое наблюдение оперативного лечения пациента с застарелым разрывом пяточного сухожилия с применением пластики ахиллова сухожилия по Чернавскому при дефектах III степени по Myerson в сочетании с короткой гипсовой иммобилизацией и ранней активизации пациентов, что позволяет сократить период реабилитации пациентов после оперативного лечения. Ключевые слова: пяточное сухожилие, ахиллово сухожилие, пластика по Чернавскому Heel tendon injuries is the most common trauma of tendomuscular apparatus. Old ruptures of heel tendon occur in 58 % of cases in humans. The aim of the research was to estimate the effectiveness of treatment of the patients with old ruptures of heel tendon with Myerson type III defects who had tendon reconstruction on Chernavsky and short plaster splint immobilization of lower extremity for 4 weeks. We operated 10 patients using reconstruction on Chernavsky in our clinic from 2012 to 2014 (average age -47,6 ± 12,0 years, 8 males and 2 females). All patients had old ruptures of heel tendon. Average time from the moment of trauma till the operation was 112,6 ± 80,4 days. Diastasis between the ends of tendon was 5,8 ± 0,7 cm that corresponds to Myerson type III.Average term of staying at hospital was 10 ± 2 days. We didn't register any complications in postoperative period. Term of plaster immobilization of the operated extremity was 4 weeks. AOFAS score was 34,2 ± 6,8 points at the control examination in 1,5 months that corresponds to bad functional result. We registered good functional results (88,6 ± 3,5 points) in 3 months. In 6 months, functional results were 95,9 ± 1,6 points. In 12 months after the operation average score was 97,9 ± 2,1 points that corresponds to excellent functional result. Using heel tendon reconstruction on Chernavsky at the Myerson type III defects in combination with short plaster immobilization and early activization of patients allows to decrease term of rehabilitation of patients after the operation.

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Estimation of the Effectiveness of Surgical Treatment of Patients With Old Rupture of Heel Tendon With Short Plaster Splint Immobilization

Монастырев¹,

Monastyrev²,

Куклин³

et al. 2016

Бюллетень Восточно-Сибирского Научного Центра Сибирского Отделения Российской Академии Медицинских Наук

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Treatment Options for Neglected Achilles Tendon Ruptured: Wether Spontaneous Healing Is Possible?

Середа

2018

Traumatology and Orthopedics of Russia

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The paper considers cases of spontaneous healing of achilles tendon with elongation. In such condition the tendon defect is not palpable, active plantar flexion is preserved and patients are complaining for strength diminution.Purpose— to study features of spontaneous achilles tendon healing with elongation and to analyze the shortening tenoplasty option as a procedure primarily aimed at restoration of strength for gastrocnemius-soleus complex.Material and Methods.The paper presents features and outcomes of surgical treatment of 25 patients who underwent a shortening tenoplasty of various types: crimping (3 patients), Z-type (2 patients), oblique (1 patient) and transverse (19 patients).Results.No re-ruptures or other serious complications were observed in the patients of the present study. Treatment outcomes were evaluated by j. leppilahti scale in 304,7±8,9 days after the procedure. postoperative leppilahti scores were statistically significantly better than prior to surgery — 82,4±5,6 and 62,2±7,7, respectively, (p<0,0001). Conclusion. Shortening tenoplasty can be indicated in cases of spontaneous achilles tendon healing with elongation. at relatively early stages of the injury with rather elastic scars the crimping tenoplasty can be applied. At later stages a resection shortening tenoplasty is recommended through a minimal incision with transverse resection of tendon and removal of scar block.

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Achilles Tendon Injury Treatment: the History and Current State of the Art

Fain¹,

Vlasov²,

Akimov³

et al. 2023

Neotložnaâ med. pomoŝʹ

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RELEVANCE The overall incidence of Achilles tendon rupture has been increasing in recent decades due to population aging, the growing prevalence of obesity and increased participation in sports. Achilles tendon ruptures are common injuries of the musculoskeletal system, and according to various authors, they account for 47% of all ruptures of human tendons and muscles, about 18 cases per 100 thousand people per year. Despite the abundance of various options of tendon suture in surgery, a wide choice of suture material and the use of precision techniques in tendon reconstruction, the proposed methods of macroscopic reconstruction of the tendon apparatus do not solve the problem of tendon suture failure.CONCLUSION Despite the abundance of proposed accesses to the Achilles tendon, the optimal one for all types of injuries has not yet been developed. Currently, there are no clear recommendations for choosing a specific method of treating an Achilles tendon rupture.

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Method of Surgical Treatment of Patients With Recurrent Achilles Tendon Ruptures

Cited by 5 publications

References 2 publications

Estimation of the Effectiveness of Surgical Treatment of Patients With Old Rupture of Heel Tendon With Short Plaster Splint Immobilization

Estimation of the Effectiveness of Surgical Treatment of Patients With Old Rupture of Heel Tendon With Short Plaster Splint Immobilization

Treatment Options for Neglected Achilles Tendon Ruptured: Wether Spontaneous Healing Is Possible?

Achilles Tendon Injury Treatment: the History and Current State of the Art

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