medigraphic.com
ISSN 1561-3100 (Print)

2020, Number 1

<< Back Next >>

Revista Cubana de Ortopedia y Traumatología 2020; 34 (1)

Chronic rupture of the Achilles tendon reconstruction with the peroneus brevis tendon

Sánchez-Concepción R, Rodriguez TOJA, Fú GY

Language: Spanish
References: 14
Page: 1-12
PDF size: 370.67 Kb.


ABSTRACT

Introduction: Spontaneous rupture of the Achilles tendon is a frequent condition in young patients who practice sports. When the initial diagnosis is not made, it becomes a chronic injury, consequently, diagnosis and treatment is even more complex. In most of these cases, tendon grafts are necessary.
Objective: To demonstrate the efficacy and functional clinical results of the surgical repair of the chronic rupture of the Achilles tendon by transferring the short lateral peroneal tendon.
Case report: We report the case of a 38-year-old male patient with a history of a fall while playing sports. A chronic rupture of the Achilles tendon was found. Open surgery was performed, the short lateral peroneal tendon was transferred to the distal end of the Achilles tendon. The plasty was reinforced with the thin plantar tendon. Ankle boot-type immobilization was placed with 30 ° plantar flexion for six weeks. After this time, the patient received a walker boot, ambulation and rehabilitation began. The latter started with partial support during three months. At six months this patient returned to his normal life with adequate foot and ankle function.
Conclusions: Surgical repair of chronic Achilles tendon rupture by transferring the short lateral peroneal tendon is an effective method and offers good clinical and functional results.


REFERENCES

  1. Viidik A. Tensile strength properties of Achilles tendon systems in trained and untrained rabbits. Acta Orthop Scand. 1969;40(2):261-72. DOI: http://dx.doi.org/10.3109/17453676908989506

  2. Ozan F, Dogar F, Gurbuz K, Ekinci Y, Koyuncu S, Sekban H. Chronic Achilles Tendon Rupture Reconstruction Using the Lindholm Method and the Vulpius Method. J Clin Med Res. 2017;9(7):573-8. DOI: https://doi.org/10.14740/jocmr2943w

  3. Maffulli N, Via AG, Oliva F. Chronic Achilles Tendon Rupture. The Open Orthopaedics Journal. 2017;11(Suppl-4, M6):660-9. DOI: https://doi.org/10.2174/1874325001711010660

  4. Chida S, Suzuki H, Kobayashi M. Sakuraba T, Kura H, Miyakoshi N, et al. Reconstruction of a chronically ruptured Achilles tendon using an internal brace: a case report. J Med Case Reports. 2018;12(1):54. DOI: https://doi.org/10.1186/s13256-018-1610-6

  5. Martínez-Estrada JG, Martínez EF. Plastia del tendón de Aquiles en lesiones inveteradas: Técnica modificada de Pérez Teuffer. Acta Ortop Mex. 2014 Feb [citado 16 Abr 2020];28(1):19-22. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022014000100004&lng=es

  6. González-Murillo M, Rodrigo-Alonso A, Figueiredo-González H, Salgado-Rodrigo AM, Mota-Blanco SM. Tratamiento conservador de rotura crónica de tendón de Aquiles: reporte de caso. Acta Ortop Mex. 2016 Dic [citado 16 Abr 2020];30(6):323-5. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2306-41022016000600323&lng=es

  7. Christensen I. Rupture of the Achilles tendon; analysis of 57 cases. Acta Chir Scand. 1953;106:50-60.

  8. Batista J, Maestu R, Logioco L, Marquez M, Patthauer L. Tratamiento de las rupturas crónicas del tendón de Aquiles utilizando injerto autólogo de isquiotibiales. Pie y Tobillo. 2016 Dic [citado 16 Abr 2020];8(1):109-14. Disponible en: https://www.researchgate.net/publication/311810021

  9. Lin YJ, Duan XJ, Yang L. V-Y Tendon Plasty for Reconstruction of Chronic Achilles Tendon Rupture: A Medium – term and Long Follow-up. Orthopaedic Surgery. 2019;11(1):109-16. DOI: https://doi.org/10.1111/os.12429

  10. Xian-Jun J, Jian-Jian Sh, Jie-Feng H, Pei-Jian T. Reconstruction of Myerson type III chronic Achilles tendon ruptures using semitendinosus tendon and gracilis tendon autograft. Journal Orthopaedic Surgery. 2019;27(1):2309499019832717. DOI: https://doi.org/10.1177/2309499019832717

  11. Athar Ahemad MA, Naser Mohd A, Mushir Ali S. Chronic insertional Achilles tendon ruptures treated by suture anchor repair and augmentation with flexor hallucis longus tendon transfer. Int J Res Orthop. 2018;4(2):227-31. DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20180442

  12. Aurelio PT. Traumatic rupture of the Achilles tendon. Orthopedic Clinics of North A. 1974;5:89-93

  13. Ferrer LY, Oquendo Vásquez P, Morejon Trofimova Y, Dias Torres D. Injerto tendinoso y concentrado de plaquetas en rupturas inveteradas del tendón de Aquiles. Presentación de un caso. Medisur. 2015 Dic [citado 19 Abr 2020];13(6):785-94. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X201500060002&Ing=es

  14. Busto Villarreal JM, Fernandez Fairén M, Rodriguez Campoy M, Rivas Jimenez RL. Tratamiento de la ruptura del tendón de Aquiles en deportistas con prótesis de Leeds-Keio. Rev Mex Ortop Traum. 1999;13(3):245-84.




2020     |     www.medigraphic.com