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Surgical Management of Chronic Tendoachilles Tear in Elderly Patients – A Case Series

INTRODUCTION: Chronic tendoachilles (TA) tears are commonly missed injuries in elderly population with associated comorbidities and they usually occur as low-energy injuries. Appropriate surgical management helps in getting a better functional outcome in elderly patients. CASE SERIES: We present a s...

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Autores principales: Mahajan, Neetin P, Kondewar, Pranay, Kumar GS, Prasanna, Marfatia, Ankit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8180331/
https://www.ncbi.nlm.nih.gov/pubmed/34141672
http://dx.doi.org/10.13107/jocr.2021.v11.i02.2026
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author Mahajan, Neetin P
Kondewar, Pranay
Kumar GS, Prasanna
Marfatia, Ankit
author_facet Mahajan, Neetin P
Kondewar, Pranay
Kumar GS, Prasanna
Marfatia, Ankit
author_sort Mahajan, Neetin P
collection PubMed
description INTRODUCTION: Chronic tendoachilles (TA) tears are commonly missed injuries in elderly population with associated comorbidities and they usually occur as low-energy injuries. Appropriate surgical management helps in getting a better functional outcome in elderly patients. CASE SERIES: We present a series of three cases of chronic TA tear in elderly patients managed surgically. Two patients had an insertional tear and they were managed with flexor hallucis longus (FHL) transfer and fixed with interference screw in the calcaneum. Another patient was managed with end-to-end suturing using fiber wire. All the patients are having good functional outcome without any wound complication or re rupture. CONCLUSION: Early diagnosis, meticulous repair, and handling of soft tissues and TA tear help in getting a better outcome in elderly patients. The final functional outcome depends on intraoperative stability of the repair, ankle physiotherapy, and wisely selection of the treatment method, which mainly depends on the location of the tear. Reconstruction with FHL tendon using interference screw in calcaneum helps to repair the insertional tears in elderly patients.
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spelling pubmed-81803312021-06-16 Surgical Management of Chronic Tendoachilles Tear in Elderly Patients – A Case Series Mahajan, Neetin P Kondewar, Pranay Kumar GS, Prasanna Marfatia, Ankit J Orthop Case Rep Case Report INTRODUCTION: Chronic tendoachilles (TA) tears are commonly missed injuries in elderly population with associated comorbidities and they usually occur as low-energy injuries. Appropriate surgical management helps in getting a better functional outcome in elderly patients. CASE SERIES: We present a series of three cases of chronic TA tear in elderly patients managed surgically. Two patients had an insertional tear and they were managed with flexor hallucis longus (FHL) transfer and fixed with interference screw in the calcaneum. Another patient was managed with end-to-end suturing using fiber wire. All the patients are having good functional outcome without any wound complication or re rupture. CONCLUSION: Early diagnosis, meticulous repair, and handling of soft tissues and TA tear help in getting a better outcome in elderly patients. The final functional outcome depends on intraoperative stability of the repair, ankle physiotherapy, and wisely selection of the treatment method, which mainly depends on the location of the tear. Reconstruction with FHL tendon using interference screw in calcaneum helps to repair the insertional tears in elderly patients. Indian Orthopaedic Research Group 2021-02 /pmc/articles/PMC8180331/ /pubmed/34141672 http://dx.doi.org/10.13107/jocr.2021.v11.i02.2026 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Mahajan, Neetin P
Kondewar, Pranay
Kumar GS, Prasanna
Marfatia, Ankit
Surgical Management of Chronic Tendoachilles Tear in Elderly Patients – A Case Series
title Surgical Management of Chronic Tendoachilles Tear in Elderly Patients – A Case Series
title_full Surgical Management of Chronic Tendoachilles Tear in Elderly Patients – A Case Series
title_fullStr Surgical Management of Chronic Tendoachilles Tear in Elderly Patients – A Case Series
title_full_unstemmed Surgical Management of Chronic Tendoachilles Tear in Elderly Patients – A Case Series
title_short Surgical Management of Chronic Tendoachilles Tear in Elderly Patients – A Case Series
title_sort surgical management of chronic tendoachilles tear in elderly patients – a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8180331/
https://www.ncbi.nlm.nih.gov/pubmed/34141672
http://dx.doi.org/10.13107/jocr.2021.v11.i02.2026
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