Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap

Background: We present the results of primary repair of acute tendo Achilles (TA) rupture augmented with gastrosoleus turn down flap technique. Patients and Methods: 78 consecutive patients with a complete acute rupture of the Achilles tendon operated between 1993 and 2004 were included in study. We performed a modification of the Lindholm technique in which the primary Kessler suture repair of the tendon was augmented by a turn-down ~3 cm x 10 cm gastrosoleus aponeurosis flap. In all cases, a short-leg circular walking cast was applied at 90° of the ankle dorsiflexion for 3 weeks and all the patients were encouraged to full weightbearing ambulation immediately. After removal of the cast, isometric and isokinetic ankle exercises were performed for 3 weeks. Modified Rupp Score was used to evaluate the subjective satisfaction. Results: All of patients returned to daily activity and 54 (69%) of them returned to previous sport activity. The tendon repair failed in two patients and they were reoperated with an allograft. Three patients developed infection and one of them required dbridement. One developed deep venous thrombosis and two permanent sural nerve injuries were encountered. One of the patients had a severe skin necrosis, which was treated with rotation flap. The mean Rupp score was 29 (3-33). Conclusion: Primary repair of acute tendo Achilles rupture augment with gastrosoleus turn down flip technique in combination of immediate weightbearing ambulation provides a good outcome, but is associated with similar complication rates to the previous literature.

Yazar Demirel M.
Turhan E.
Dereboy F.
Yazar T.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/4448
Tek Biçim Adres 10.4103/0019-5413.73654
Konu Başlıkları augmented repair
gastrosoleus turn down flap
rupture
Tendo Achilles
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı Indian Journal of Orthopaedics
Dergi Cilt Bilgisi 45
Dergi Sayısı 1
Sayfalar 45 - 52
Yayın Yılı 2011
Eser Adı
[dc.title]
Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap
Yazar
[dc.contributor.author]
Demirel M.
Yazar
[dc.contributor.author]
Turhan E.
Yazar
[dc.contributor.author]
Dereboy F.
Yazar
[dc.contributor.author]
Yazar T.
Yayın Yılı
[dc.date.issued]
2011
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: We present the results of primary repair of acute tendo Achilles (TA) rupture augmented with gastrosoleus turn down flap technique. Patients and Methods: 78 consecutive patients with a complete acute rupture of the Achilles tendon operated between 1993 and 2004 were included in study. We performed a modification of the Lindholm technique in which the primary Kessler suture repair of the tendon was augmented by a turn-down ~3 cm x 10 cm gastrosoleus aponeurosis flap. In all cases, a short-leg circular walking cast was applied at 90° of the ankle dorsiflexion for 3 weeks and all the patients were encouraged to full weightbearing ambulation immediately. After removal of the cast, isometric and isokinetic ankle exercises were performed for 3 weeks. Modified Rupp Score was used to evaluate the subjective satisfaction. Results: All of patients returned to daily activity and 54 (69%) of them returned to previous sport activity. The tendon repair failed in two patients and they were reoperated with an allograft. Three patients developed infection and one of them required dbridement. One developed deep venous thrombosis and two permanent sural nerve injuries were encountered. One of the patients had a severe skin necrosis, which was treated with rotation flap. The mean Rupp score was 29 (3-33). Conclusion: Primary repair of acute tendo Achilles rupture augment with gastrosoleus turn down flip technique in combination of immediate weightbearing ambulation provides a good outcome, but is associated with similar complication rates to the previous literature.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
augmented repair
Konu Başlıkları
[dc.subject]
gastrosoleus turn down flap
Konu Başlıkları
[dc.subject]
rupture
Konu Başlıkları
[dc.subject]
Tendo Achilles
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
0019-5413
İlk Sayfa Sayısı
[dc.identifier.startpage]
45
Son Sayfa Sayısı
[dc.identifier.endpage]
52
Dergi Adı
[dc.relation.journal]
Indian Journal of Orthopaedics
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
45
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.4103/0019-5413.73654
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/4448
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
19
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
28 Ocak 2024 22:10
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Tıklayınız
patients repair tendon technique gastrosoleus rupture Achilles weightbearing ambulation performed developed previous activity primary returned augmented failed dbridement reoperated required thrombosis infection venous allograft Background permanent augment literature complication similar associated outcome provides immediate combination
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