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ISSN 1025-0255 (Electronic)

2017, Number 2

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AMC 2017; 21 (2)

Anchor fixation in full section of Achilles tendon: a case report

Álvarez LA, García LYC

Language: Spanish
References: 18
Page: 277-282
PDF size: 423.67 Kb.


ABSTRACT

Background: although Achilles tendons rupture is a frequent entity, its rupture at the level of its insertion is not common.
Objective: to show a patient who suffered an Achilles tendon rupture at its insertion and was repaired by an arthroscopic anchor.
Clinical case: a 55-year-old white woman. The patient was taken to the Orthopedic Emergency Department because of left Achilles tendon sharp pain, and inability to walk and move the ankle. At that time a cast was applied in flexion position of the ankle: After three days, having performed previous regional anesthesia and asepsis and aseptic measures the patient underwent surgery, a medial incision was made. The full section was confirmed at this insertion. Later an arthroscopic anchor was used to fix the tendon to bone and the tendon fascia was stitched.
Conclusions: Achilles tendon re-insertion at the level of its insertion could be performed by using arthroscopic anchors. It is a feasible method for patients with ruptures at this level.


REFERENCES

  1. Myerson MS, Mandelbaum B. Disorders of the Achilles tendon and the retrocalcaneal region. En: Myerson MS, editor. Foot and Ankle Disor-ders. Philadelphia: WB Saunders; 2000. p. 1382-98.

  2. Gulati V, Jaggard M, Al-Nammari SS, Uzoi-gwe C, Gulati P, Ismail N, et al. Management of achilles tendon injury: A current concepts sys-tematic review. World J Orthop. 2015 May;6(4):380-6.

  3. Geremia JM, Bobbert MF, Casa Nova M, Ott RD, Lemos Fde A, Lupion Rde O, et al. The structural and mechanical properties of the Achilles tendon 2 years after surgical repair. Clin Biomech (Bristol, Avon). 2015 Jun;30(5):485-92.

  4. Hutchison AM, Topliss C, Beard D, Evans RM, Williams P. The treatment of a rupture of the Achilles tendon using a dedicated management programme. Bone Joint J. 2015 Apr;97-B(4):510-5.

  5. Huttunen TT, Kannus P, Rolf C, Felländer-Tsai L, Mattila VM. Acute Achilles tendon ruptu-res: incidence of injury and surgery in Sweden between 2001 and 2012. Am J Sports Med. 2014 Oct;42(10):2419-23.

  6. Miller L, Spittler J, Khodaee M, Bravman JT, Lyon C, Hoffecker L. Management of acute achi-lles tendon rupture. Am Fam Physician. 2015 Jun;91(11):794-800.

  7. Marx RC, Mizel MS. What's New in Foot and Ankle Surgery. J Bone Joint Surg Am. 2015 May;97(10):862-8.

  8. Stickles SP, Friedman L, Demarest M, Raio C. Achilles tendon rupture. West J Emerg Med. 2015 Jan;16(1):161-2.

  9. Stein BE, Stroh DA, Schon LC. Outcomes of acute Achilles tendon rupture repair with bone marrow aspirate concentrate augmentation. Int Orthop. 2015 May;39(5):901-5.

  10. Huh J, Easley ME, Nunley JA. Characteriza-tion and surgical management of Achilles ten-don sleeve avulsions. Foot Ankle Int. 2016 Jun;37(6):596-604.

  11. Kiliçoğlu O, Türker M, Yildız F, Akalan E, Te-melli Y. Suture anchor tenodesis in repair of dis-tal Achilles tendon injuries. Eur J Orthop Surg Traumatol. 2014 Jan;24(1):117-22.

  12. Clanton TO, Haytmanek CT, Williams BT, Civitarese DM, Turnbull TL, Massey MB, et al. A Biomechanical Comparison of an Open Repair and 3 Minimally Invasive Percutaneous Achilles Tendon Repair Techniques During a Simulated, Progressive Rehabilitation Protocol. Am J Sports Med. 2015 Aug;43(8):1957-64.

  13. Guelfi M, Pantalone A, Vanni D, Rosati D, Guelfi MG, Salini V. Bilateral traumatic rupture of Achilles tendons in absence of risk factors treated with percutaneous technique and plate-let-rich plasma: a case report. Foot Ankle Surg. 2014 Sep;20(3):e43-6.

  14. Kearney RS, Parsons N, Underwood M, Cos-ta ML. Achilles tendon rupture rehabilitation: a mixed methods investigation of current practice among orthopaedic surgeons in the United Kingdom. Bone Joint Res. 2015 Apr;4(4):65-9.

  15. Keyhani S, Mardani-Kivi M, Abbasian M, Emami-Moghaddam Tehrani M, Lahiji FA.

  16. Achilles tendon repair, a modified technique. Arch Bone Jt Surg. 2013 Dec;1(2):86-9.

  17. Kocaoglu B, Ulku TK, Gereli A, Karahan M, Turkmen M. Evaluation of absorbable and nona-bsorbable sutures for repair of achilles tendon rupture with a suture-guiding device. Foot Ankle Int. 2015 Jun;36(6):691-5.

  18. Corradino B, Di Lorenzo S, Calamia C, Mos-chella F. Surgical repair of acute Achilles tendon rupture with an end-to-end tendon suture and tendon flap. Injury. 2015 Aug;46(8):1637-40.




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