2014, Number 1
<< Back Next >>
Acta Ortop Mex 2014; 28 (1)
Achilles tendon plasty in inveterate lesions. Pérez Teuffer modified technique
Martínez-Estrada JG, Martínez EF
Language: Spanish
References: 14
Page: 19-22
PDF size: 168.25 Kb.
ABSTRACT
The purpose of this paper is to convey our experience with the technique used to treat chronic Achilles tendon lesions at ISSSTE «1o de Octubre» Regional Hospital. A prospective study with descriptive longitudinal follow-up was conducted in 30 patients with Achilles tendon rupture that occurred more than 10 days earlier. They were treated with the modified Pérez-Teuffer technique at the Orthopedics and Trauma Service from March 2004 to March 2008. Plasty with transposition of the lateral peroneus brevis to the tendon stump was performed. The right side was affected in 70% of patients, mean age was 31.1 years, and males were predominant and accounted for 90%. Time elapsed since the lesion was 10-62 days with a mean of 26 days. We obtained excellent results in 90%, and good results in 10% of patients. One case had skin necrosis and limited mobility and two had pain. They were not considered as poor results as this did not interfere with the final functional results.
REFERENCES
Platt H: Observations some tendon ruptures. Br Med J. 1931; 1: 611-5.
Chigot P, Herlemont, Fourrir: Traitement des ruptures du tendón d’Achille. Par autoplastie avec le plantar grêle. Académie de Chirurgie. 1957. pp. 194, 198.
Boswor D, Martyr GGC, Weber BG: Repair of the defects in the tendon Achilles. J Bone Join Surg. 1956; 38A: 111-14.
Lindholm A: A new method of operation in subcutaneous rupture of the Achilles tendon. Acta Chirr Scand. 1959; 117: 261.
Benyi P, Lea RB, Lynn TA: Repair of inveterate rupture of Achilles tendon by means of freely transplanted whole. Thicker ness skin graft. Acta Chir Acad Sic Hung. 1961; 2: 83-97.
DiStefano VJ, Nixon JE: Achilles tendon rupture: pathogenesis, diagnosis, and treatment by modified pullout wire technique. J Trauma. 1972; 12: 671-77.
Lynn TA: Repair of the torn Achilles tendon, using the plantar is tendon as a reinforcing membrane. J Bonne Joint Surg. 1966; 48: 268.
Abraham E, Salem G, Arndt K: Neglected rupture of the Achilles tendon treat by V-Y tendinous flap. J Bonne Joint Surg. 1975; 57: 253-55.
Barred T: Achilles tendon rupture: an etiology and pathogenesis of subcutaneous rupture assessed on the basic of the literature and rupture experiments on rats. Acta Orthop Scand. 1973; (suppl. 152): 1.
Aurelio PT: Traumatic rupture of the Achilles tendon. Orthopedic Clinics of North A. 1974; 5: 89-93.
Coho on W: Campbell cirugía ortopédica. Interamericana. 1967; 2: 1548-52.
Bouillit MR, Klatnek N: Rupture du tendón d’Achilles suture par un lacet de peau. Orthopedic Surgery and Traumatology Excerpt Medica. 1973; 44: 849.
Lagergren C, Lindholm A: Vascular distribution in the Achilles tendon; an angiographic and microangiographic study. Act Chirr Scand. 1959; 116: 491-5.
Boyden EM, Kitaoka HB, Cahalan TD, An KN: Late versus early repair of Achilles tendon rupture. Clinical and biomechanical evaluation. Clin Orthop Relat Res. 1995; 317: 150-158.