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Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap
BACKGROUND: We present the results of primary repair of acute tendo Achilles (TA) rupture augmented with gastrosoleus turn down flap technique. PATIENTS AND METHODS: 78 consecutive patients with a complete acute rupture of the Achilles tendon operated between 1993 and 2004 were included in study. We...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3004079/ https://www.ncbi.nlm.nih.gov/pubmed/21221223 http://dx.doi.org/10.4103/0019-5413.73654 |
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author | Demirel, Murat Turhan, Egemen Dereboy, Ferit Yazar, Tarik |
author_facet | Demirel, Murat Turhan, Egemen Dereboy, Ferit Yazar, Tarik |
author_sort | Demirel, Murat |
collection | PubMed |
description | BACKGROUND: We present the results of primary repair of acute tendo Achilles (TA) rupture augmented with gastrosoleus turn down flap technique. PATIENTS AND METHODS: 78 consecutive patients with a complete acute rupture of the Achilles tendon operated between 1993 and 2004 were included in study. We performed a modification of the Lindholm technique in which the primary Kessler suture repair of the tendon was augmented by a turn-down ~3 cm × 10 cm gastrosoleus aponeurosis flap. In all cases, a short-leg circular walking cast was applied at 90° of the ankle dorsiflexion for 3 weeks and all the patients were encouraged to full weightbearing ambulation immediately. After removal of the cast, isometric and isokinetic ankle exercises were performed for 3 weeks. Modified Rupp Score was used to evaluate the subjective satisfaction. RESULTS: All of patients returned to daily activity and 54 (69%) of them returned to previous sport activity. The tendon repair failed in two patients and they were reoperated with an allograft. Three patients developed infection and one of them required débridement. One developed deep venous thrombosis and two permanent sural nerve injuries were encountered. One of the patients had a severe skin necrosis, which was treated with rotation flap. The mean Rupp score was 29 (3–33). CONCLUSION: Primary repair of acute tendo Achilles rupture augment with gastrosoleus turn down flip technique in combination of immediate weightbearing ambulation provides a good outcome, but is associated with similar complication rates to the previous literature. |
format | Text |
id | pubmed-3004079 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-30040792011-01-10 Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap Demirel, Murat Turhan, Egemen Dereboy, Ferit Yazar, Tarik Indian J Orthop Original Article BACKGROUND: We present the results of primary repair of acute tendo Achilles (TA) rupture augmented with gastrosoleus turn down flap technique. PATIENTS AND METHODS: 78 consecutive patients with a complete acute rupture of the Achilles tendon operated between 1993 and 2004 were included in study. We performed a modification of the Lindholm technique in which the primary Kessler suture repair of the tendon was augmented by a turn-down ~3 cm × 10 cm gastrosoleus aponeurosis flap. In all cases, a short-leg circular walking cast was applied at 90° of the ankle dorsiflexion for 3 weeks and all the patients were encouraged to full weightbearing ambulation immediately. After removal of the cast, isometric and isokinetic ankle exercises were performed for 3 weeks. Modified Rupp Score was used to evaluate the subjective satisfaction. RESULTS: All of patients returned to daily activity and 54 (69%) of them returned to previous sport activity. The tendon repair failed in two patients and they were reoperated with an allograft. Three patients developed infection and one of them required débridement. One developed deep venous thrombosis and two permanent sural nerve injuries were encountered. One of the patients had a severe skin necrosis, which was treated with rotation flap. The mean Rupp score was 29 (3–33). CONCLUSION: Primary repair of acute tendo Achilles rupture augment with gastrosoleus turn down flip technique in combination of immediate weightbearing ambulation provides a good outcome, but is associated with similar complication rates to the previous literature. Medknow Publications 2011 /pmc/articles/PMC3004079/ /pubmed/21221223 http://dx.doi.org/10.4103/0019-5413.73654 Text en © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Demirel, Murat Turhan, Egemen Dereboy, Ferit Yazar, Tarik Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap |
title | Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap |
title_full | Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap |
title_fullStr | Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap |
title_full_unstemmed | Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap |
title_short | Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap |
title_sort | augmented repair of acute tendo achilles ruptures with gastrosoleus turn down flap |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3004079/ https://www.ncbi.nlm.nih.gov/pubmed/21221223 http://dx.doi.org/10.4103/0019-5413.73654 |
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