Mid-term results of primary repair and plantaris tendon augmentatin technique in neglected achilles tendon rupture
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Tarih
2019
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info:eu-repo/semantics/openAccess
Özet
Objectie: To assess clinical and functinal outcomes of primary repair and plantaris tendon augmentatintechnique employed in neglected Achilles tendon rupture.Methods: We retrospectiely reviewed 20 patints underwent surgical treatment with primary repair andplantaris tendon augmentatin technique for neglected Achilles tendon rupture between 2011 and 2014. Atthe last follow-up, the patints were clinically assessed by American Orthopedic Foot & Ankle Society (AOFAS)hindfoot score, Visual Analogue Scale (VAS) score, calf circumference, single-limb heel rise test and range ofmotin in ankle.Results: Mean tie from rupture to surgery was 7.8 weeks (range 4-16 weeks). The mean gap was 44 mm(range 30-75 mm). Mean postoperatie follow-up period was 62 months (range 56-84 months). At the lastfollow-up, mean AOFAS score was 93.6 (range 82-100) while VAS score was found as zero in all patints. Nosignifiant diffrence was detected in mean calf circumference and plantar flxion and dorsiflxion rangeof ankle between involved site and contralateral intact site (p=0.40; p=0.59 and p=0.68, respectiely). Onepatint suffred from superfiial skin infectin which was treated successfully with antiicrobial therapy.There were no cases of deep-vein thrombosis, skin necrosis, or re-rupture.Conclusion: In neglected Achilles tendon rupture, primary repair and plantaris augmentatin technique isassociated with successful clinical and functinal outcomes at mid-term.
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9
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3
