Neglected Achilles Tendon Rupture Treated with Flexor Hallucis Longus transfer with two turndown gastrocnemius fascia flap and reinforced with plantaris tendon / Haijiao MAO in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.553-560 Titre : Neglected Achilles Tendon Rupture Treated with Flexor Hallucis Longus transfer with two turndown gastrocnemius fascia flap and reinforced with plantaris tendon Type de document : texte imprimé Auteurs : Haijiao MAO, Auteur ; Zengyuan SHI, Auteur ; Dachuan XU, Auteur Année de publication : 2015 Article en page(s) : p.553-560 Langues : Anglais (eng) Mots-clés : Foot  ankle  achilles tenson  surgery  tendon transfer Résumé : Neglected Achilles Tendon Ruptures are commonly seen by orthopaedic surgeons. In cases resistant to conservative treatment, a variety of surgical procedures have been utilized in the past. The senior surgeon at our institution has utilized a technique ­employing two turndown fascia flaps fashioned from the proximal Achilles tendon augmented by a tenomyodesis of the flexor hallucis longus and plantaris tendon. The purpose of this study was to assess the clinical outcome of all patients who underwent this procedure. The medical records of 10 cases that underwent this procedure were retrospectively reviewed. We completed data collection sets using the American Orthopaedic Foot and Ankle Society ankle-hind foot scores, isokinetic evaluation, and postoperative magnetic resonance imaging (MRI) at 1 year of follow-up. The mean American Orthopaedic Foot and Ankle Society ankle-hind foot scores improved from 64.4 ± 3.54. Isokinetic testing at 30º/sec and 120º/sec revealed an mean deficits of 24.5%, respectively, in the plantar flexion peak torque of the involved ankle than noninvolved ankle. The flexor hallucis longus tendon, gastrocnemius fascia flap and plantaris were well integrated into the Achilles tendon forming a homogenous tendon, which was confirmed in MRI. Our subjective and objective data indicate that the reconstructive technique using flexor hallucis longus transfer with two turndown gastrocnemius fascia flaps and plantaris tendon is a good option for repairing large gap defect of Achilles tendon. Permalink : ./index.php?lvl=notice_display&id=40933 [article] Neglected Achilles Tendon Rupture Treated with Flexor Hallucis Longus transfer with two turndown gastrocnemius fascia flap and reinforced with plantaris tendon [texte imprimé] / Haijiao MAO, Auteur ; Zengyuan SHI, Auteur ; Dachuan XU, Auteur . - 2015 . - p.553-560. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.553-560 Mots-clés : Foot  ankle  achilles tenson  surgery  tendon transfer Résumé : Neglected Achilles Tendon Ruptures are commonly seen by orthopaedic surgeons. In cases resistant to conservative treatment, a variety of surgical procedures have been utilized in the past. The senior surgeon at our institution has utilized a technique ­employing two turndown fascia flaps fashioned from the proximal Achilles tendon augmented by a tenomyodesis of the flexor hallucis longus and plantaris tendon. The purpose of this study was to assess the clinical outcome of all patients who underwent this procedure. The medical records of 10 cases that underwent this procedure were retrospectively reviewed. We completed data collection sets using the American Orthopaedic Foot and Ankle Society ankle-hind foot scores, isokinetic evaluation, and postoperative magnetic resonance imaging (MRI) at 1 year of follow-up. The mean American Orthopaedic Foot and Ankle Society ankle-hind foot scores improved from 64.4 ± 3.54. Isokinetic testing at 30º/sec and 120º/sec revealed an mean deficits of 24.5%, respectively, in the plantar flexion peak torque of the involved ankle than noninvolved ankle. The flexor hallucis longus tendon, gastrocnemius fascia flap and plantaris were well integrated into the Achilles tendon forming a homogenous tendon, which was confirmed in MRI. Our subjective and objective data indicate that the reconstructive technique using flexor hallucis longus transfer with two turndown gastrocnemius fascia flaps and plantaris tendon is a good option for repairing large gap defect of Achilles tendon. Permalink : ./index.php?lvl=notice_display&id=40933

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