Repair of Achilles Tendon Ruptures with Peroneus Brevis Tendon Augmentation

Abstract

Purpose.To report 22 patients who underwent repair of compound Achilles tendon ruptures with peroneus brevis tendon augmentation. Methods. Records of 6 women and 19 men aged 21 to 42 (mean, 28) years who underwent repair of compound Achilles tendon ruptures with peroneus brevis tendon augmentation were reviewed. All the wounds were transverse/oblique, minimally contaminated, and could be closed primarily. Patients were evaluated at months 3, 9, and 12, using the Foot and Ankle Outcome Score (FAOS) questionnaire. Results. Of the 22 patients, 3 developed superficial skin complications that healed gradually, and 2 developed a superficial discharging sinus and underwent minor debridement. No patient had a re-rupture of the Achilles tendon. At the one-year follow-up, all patients achieved good functional outcome in terms of the FAOS. Conclusion. Repair of Achilles tendon ruptures withRepair of Achilles tendon ruptures with peroneus brevis tendon augmentation Amarjeet Singh, Kushal Nag, Shuvendu P Roy, Ramesh Chandra Gupta, Vaibhav Gulati, Nikunj Agrawal

Peroneus brevis tendon transfer with the use of an interference screw in Achilles tendon injuries

“…A opção da técnica cirúrgica com uso do tendão fibular curto para reparo e reforço do tendão lesado já é uma técnica estabelecida como descrita nos estudos de Teuffer, em 1974, confirmado por estudos mais recentes (3,(7)(8)(9)(10) , que evidenciam resultados satisfatórios em relação ao índice de rerrupturas e ao índice de satisfação dos pacientes (3,10,12,13) . Em nosso trabalho, encontramos índices de satisfação semelhante aos trabalhos citados anteriormente.…”

“…Singh et al, em 2014, demonstraram em que a transferência do fibular curto acarreta boa resposta funcional pós-operatória comparada à tenorrafia boca a boca primária. Isso pode ser justificado pelo fato dos locais de ruptura poderem apresentar alterações de expressão bioquímica e gênica, resultando na degeneração e redução na força do tendão, mesmo depois do reparo (8)(9) . O presente estudo foi realizado com objetivo de avaliar a eficácia da técnica de reconstrução do tendão de Aquiles com transposição do tendão fibular curto usando fixação com parafuso de interferência no osso calcâneo, nas lesões crônicas do tendão de Aquiles.…”

Novel Technique of Achilles Tendon Reconstruction Using Semitendinosus and Gracilis Tendon. Preliminary Report

“…The transfer of the flexor hallu cis longus tendon is commonly used by orthopedic surgeons, although it is not a simple technique, and permanent loss of flexion of the great toe signi ficantly reduces the quality of life of patients [7,8]. The use of the peroneus brevis tendon in reconstruction can significantly impair eversion motion at the ankle in the operated limb [9,10]. Reconstruction using synthetic materials gives good results, but some of the materials may not integrate with the damaged tendon or provide only temporary improvement in limb function.…”

“…trwa ły uby tek zgię cia pa lu cha znacz nie ob ni ża kom fort ży cia pa cjen tów [7,8]. Użycie do re kon struk cji ścię gna mię śnia strzał ko we go krót kie go mo że znacz nie osła bić ruch ewer sji w stawie sko ko wo -go le nio wym ope ro wa nej koń czy ny dolnej [9,10]. Re kon struk cja za po mo cą ma te ria łów synte tycz nych da je do bre re zul ta ty, ale nie któ re z ma teria łów mo gą nie in kor po ro wać z uszko dzo nym ścięgnem lub da wać tyl ko cza so we po lep sze nie funk cji ope ro wa nej koń czy ny.…”

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

“…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]. Although a mild objective eversion weakness was reported no objective plantarflexion weakness was found after the use of the peroneus brevis tendon transfer and subjective assessment reveals no functional compromise [23].…”