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Analysis Study Research Paper | Orthopaedic Surgery | India | Volume 12 Issue 3, March 2023 | Rating: 5.2 / 10
Reconstruction of Chronic Insertional Achilles Tendon Rupture Treated by Surgical Repair using Interference Screw and Augmentation with Flexor Hallucis Longus Tendon Transfer
Dr. Ujwal HS | Dr. Gaurav Siwach | Dr. Abhinav Singh | Dr. Kishore Raichandani [2]
Abstract: Background: Achilles tendon ruptures are frequent to occur. Even then one-fourth of the ruptures present as chronic injuries. As a result, a large gap is created, which makes chronic insertional rupture difficult to treat. There are a number of treatment modalities for tendon repair, our study aims at surgical repair using interference screw and augmentation using FHL. Methods: A total of 14 patients were included in the study who underwent debridement and surgical repair of tendon with FHL transfer fixed using interference screws. Pre and post-operative functional outcomes were assessed using AOFAS-AH Score at intervals of 6 and 12 months. The strength of plantar flexion was assessed using the standing heel-rise test. Results: The mean age group was 52.28?12.18 yrs. The average time interval from trauma to the surgery was of 7.2?2 weeks depicting the chronicity of the ruptures. In the pre-operative period, the mean AOFAS-AH score was 42.9?11.7 out of 100 points showing substantial disability due to tear. The mean AOFAS-AH at 6 months was 74.7?12.7 and at 12 months it was 92.07?5.2 showing significant improvement in the functional outcome. At the last follow-up, the strength of the plantar flexion was more than 50% compared to the normal limb was achieved. Conclusion: For chronic insertional Achilles tendon rupture with a gap of 5-10 cm, surgical repair using interference screw and augmentation with FHL transfer achieved excellent outcomes at our latest follow-up.
Keywords: AOFAS-AH, Interference Screw, Achilles Tendon, FHL, Tendon Transfer
Edition: Volume 12 Issue 3, March 2023,
Pages: 226 - 231