Study of Tendo-achilles reconstruction using Flexor hallucislongus auto-graft
Keywords:
Tendoachilles, Tendoachilles reconstruction,, Flexor hallucislongus, Chronic Tendochilles rupture.Abstract
Introduction : In the lower limb, Tendo - Achilles is the most common ruptured tendon and accounts for 20% of major tendon injuries. Tendon repair
can be considered after debridement for defects in the tendon which measure less than 3 cm or time since trauma less than 3 months. In cases where
defect is larger than 3 cm reconstructive procedures such as local tissue transfer, tissue augmentation, V-Y Gastro-soleus recession and
local tendon transfers are preferable. Aims and objectives : To evaluate the functional outcome of Tendo-Achilles Reconstruction using Flexor
HallucisLongus tendon auto-graft over a period of 6 months. Materials & Methodology : 10 patients with chronic tear of Tendo-Achilles were
treated with Tendoachilles reconstruction using flexor hallucislongusautograft. There were 7 males and 3 females with a mean age of 43.2
years. Result : Satisfactory outcome was obtained in 8 out of 10 cases with average return to normal activity at 3 months post op. Conclusion :
Reconstruction of Tendo - Achilles using FHL auto-graft has an initial learning curve. The power Satisfactory patient outcome guides us for
selecting this procedure as the procedure of choice in chronic tears.
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References
D. Chauhan, V Kumar, U Saini. Reconstruction of bilateral spontaneous chronic idiopathic Achilles tendon rupture using LARS ligament: Case report: The International Journal of clinical foot science :2010 :09;008.
N Olsson. Acut Achilles tension rupture : outcome, prediction and optimized treatment. Department of Orthopaedic, Institute of clinical science. 2013: ISBN 978-91-628-8633-2.
P Pandey, I Pawar, J Gupta, R Verma. Neglected tendo- Achillis rupture repair by Fhl Augmentation using Bio-screw and pull out suture using suture plastic wastes: An innovative technique . IOSR journal of dental and medical science : 2015:14;11:5-9.
M Takeuchi, N Suzue. Reconstruction of chronic Achilles tension rupture usinv the semitendinosus tendon: a case report . The journal of medical investigation. 2014:61;417-420.
Elias I, Besser M, Nazario LN, Raikin SM. Reconstruction for missed or neglected achilles tendon rupture with V-Y lengthening and flexor hallucislongus tendon transfer through one Insion. Foot ankle Int. 2007;28:1238-1248.
Kann JN, Myerstown MS. Surgical management of chronic rupture of the achilles tendon. Foot ankle clin.1997;2:535-545.
Warner KL, Padlock GS, Hecht PJ, Naselli F, Walther R. Repair of chronic achilles tendon ruoture with transfer hallucislonvus tendon transfer . Foot ankle. 1993;14:443-449.
Hartog BD. Surgical stratiges: delayed diagnosis or neglected achilies tendon ruptures. Foot ankle in.2008;29:446-463.
Hahn F, Meyer P, Mayfair C, Zanetti M, Vienna P. Treatment of chronic achillic tendinopqthy and ruptures with flexor hallucis tendon transfed: clinical outcome and MRI findings. Foot ankel int. 2008;29:794-802.
Sharrad WJ. Tenders of flexor hallucislongus for paralytic clawing in the hallux in childhood. J Bone Joint Surg Br 1976;58:224.
Linden VD, Zhang HMJ, Nellisen RGHH, Sintenie JB. Results of surgical versus onion- surgical treatment of achilles tendon rupture. IntOrthop.2004;28:370-373.
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