Toilet seat injury of the Achilles tendon a series of twelve cases

Dar, Tanveer Ali; Sultan, Asif; Dhar, Shabir Ahmed; Ali, Murtaza Fazal; Wani, Mohammed Iqbal; Wani, Sharief Ahmed

doi:10.1016/j.fas.2010.11.002

Cited by 16 publications

(21 citation statements)

References 9 publications

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“…Nine patients, did not require any additional exposure. Although some studies report delayed wound healing in patients with additional exposure, 6 there was no difference in wound healing rates in our study.…”

Section: Discussioncontrasting

confidence: 81%

“…It is the upward pressure exerted by the limb in trying to pull the limb out of the hole, that leads to the tendon injury. 7 Dar et al, 6 reported 12 cases with similar mode of injury.…”

Section: Discussionmentioning

confidence: 97%

“…4,5 The incidence of open injuries of the tendoachilles is far more common in the third world countries than in the west. 6 Though there is adequate literature regarding closed Achilles tendon tears, there is a paucity of available literature regarding open tears of the same.…”

Section: Introductionmentioning

confidence: 99%

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Full thickness open tear of the tendoachilles - Functional outcomes following a stable, single stage repair

Baindoor

Gumaste

Jeevannavar

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Objective: Open injuries of the Tendoachilles present a challenge to the treating surgeon. Although, common in our setting, there is a paucity of literature regarding management of the same. The purpose of this retrospective study was to analyse the functional outcomes following debridement and primary repair of open tears of the Tendoachilles. Materials and methods: Patients with open tears of the tendoachilles, between January 2012 to January 2017. After obtaining demographic data, including mechanism of injury, all patients were managed by adequate debridement and primary repair, by Pennington's modification of Kessler's technique in a single sitting, paratenon closed circumferentially, plantaris reinforcement used when end to end repair couldn't be achieved. Below knee cast for 2 months. Weight bearing started at three months. Statistical analysis using paired t-test for calf circumference, ankle range of motion comparing with uninjured limb. Functional outcome assessment by AOFAS hindfoot score and Achilles tendon rupture score. Results: 23 male patients, mean age 35, were analysed. Field injury was the most common mechanism, with slip in Indian lavatory pans accounting for four patients. Average time to surgery from injury was 22 hours. Plantaris reinforcement in one case. No case of wound dehiscence, scar adherence, tendon rerupture or infection. One patient had serous discharge at three weeks which settled with oral antibiotics. 21 patients performed single heel raise. There was no significant difference in calf circumference and ankle range of motion compared to uninjured limb. Mean AOFAS score was 92, mean Achilles tendon rupture score 77. Conclusion:Though open injuries of the tendoachilles is fraught with complications, early debridement, adequate repair of the tendon edges with circumferential closure of the paratenon, yields adequate functional outcomes with minimal complications.

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Section: Discussioncontrasting

confidence: 81%

“…It is the upward pressure exerted by the limb in trying to pull the limb out of the hole, that leads to the tendon injury. 7 Dar et al, 6 reported 12 cases with similar mode of injury.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Full thickness open tear of the tendoachilles - Functional outcomes following a stable, single stage repair

Baindoor

Gumaste

Jeevannavar

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…All the wounds were transverse/oblique, minimally contaminated, and could be closed primarily. They were secondary to toilet seat injuries, 7 industrial accidents, or sharp cuts. Patients who were diabetics, aged >60 years, or had a history of multiple steroid injections at the Achilles tendon were excluded.…”

Section: Methodsmentioning

confidence: 99%

Repair of Achilles Tendon Ruptures with Peroneus Brevis Tendon Augmentation

Singh

Nag

Gupta

et al. 2014

J Orthop Surg (Hong Kong)

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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

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“…While using a toilet may seem like a benign common process, injuries do occur. 1 – 3 Alternatively, hand injuries are one of the most common complaints of prisoners requiring medical attention. 4 – 6 Regardless of patient population, this case demonstrates an unusual marriage of hand and toilet injuries requiring medical intervention.…”

Section: Discussionmentioning

confidence: 99%