Top

Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-03-2009 | Ankle

Reconstruction of neglected Achilles tendon rupture using the flexor hallucis tendon

Authors: Keun-Bae Lee, Young-Hoon Park, Taek-Rim Yoon, Jae-Yoon Chung

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2009

Abstract

Neglected ruptures of the Achilles tendon (AT) are not common and have a greater tendency to cause complications and to produce poorer functional results than fresh ruptures. Numerous surgical procedures have been described for the reconstruction of neglected AT ruptures. However, no report has been issued about an AT rupture neglected for more than 2 years. The authors reported about three patients (four tendons) with a neglected AT rupture of mean duration of 5 years, who were treated by interposed scar tissue repair combined with flexor hallucis longus tendon transfer. All patients experienced good clinical results and were satisfied with surgery.

Abraham E, Pankovich AM (1975) Neglected rupture of the Achilles tendon: treatment by V-Y tendinous flap. J Bone Joint Surg Am 57:253–255PubMed

Besse J, Leart J, Moyen B, Brunet-Guedj E (1999) Achilles tendon repair using a bone-tendon graft harvested from the knee extensor system: three cases. J Foot Ankle Surg 1:70–74CrossRef

Carr AJ, Norris SH (1989) The blood supply of the calcaneal tendon. J Bone Joint Surg Br 71:100–101PubMed

Choksey A, Soonawalla D, Murray J (1996) Repair of neglected Achilles tendon ruptures with Marlex mesh. Injury 27:215–217PubMedCrossRef

Elias I, Besser M, Nazarian LN, Raikin SM (2007) Reconstruction for missed or neglected Achilles tendon rupture with V-Y lengthening and flexor hallucis longus tendon transfer through one incision. Foot Ankle Int 28:1238–1248PubMedCrossRef

Gabel S, Manoli A (1994) Neglected rupture of the Achilles tendon. Foot Ankle Int 15:512–517PubMed

Lui TH (2007) Endoscopic assisted flexor hallucis tendon transfer in the management of chronic rupture of Achilles tendon. Knee Surg Sports Traumatol Arthrosc 15:1163–1166PubMedCrossRef

Maffulli N, Leadbetter WB (2005) Free gracilis tendon graft in neglected tears of the Achilles tendon. Clin J Sport Med 15:56–61PubMedCrossRef

Maffulli N, Ajis A (2008) Management of chronic ruptures of the Achilles tendon. J Bone Joint Surg Am 90:1348–1360PubMedCrossRef

10.

Martin RL, Manning CM, Carcia CR, Conti SF (2005) An outcome study of chronic Achilles tendinosis after excision of the Achilles tendon and flexor hallucis longus tendon transfer. Foot Ankle Int 26:691–697PubMed

11.

Mendicino SS, Reed TS (1996) Repair of neglected Achilles tendon ruptures with a triceps surae muscle tendon advancement. J Foot Ankle Surg 35:13–18PubMedCrossRef

12.

Nilsson-Helander K, Thomeé R, Grävare-Silbernagel K, Thomeé P, Faxén E, Eriksson BI, Karlsson J (2007) The Achilles tendon Total Rupture Score (ATRS): development and validation. Am J Sports Med 35:421–426PubMedCrossRef

13.

Pintore E, Barra V, Pintore R, Maffulli N (2001) Peroneus brevis tendon transfer in neglected tears of the Achilles tendon. J Trauma 50:71–78PubMedCrossRef

14.

Porter DA, Mannarino FP, Snead D, Gabel SJ, Ostrowski M (1997) Primary repair without augmentation for early neglected Achilles tendon ruptures in the recreational athlete. Foot Ankle Int 18:557–564PubMed

15.

Schubert TE, Weidler C, Lerch K, Hofstädter F, Straub RH (2005) Achilles tendinosis is associated with sprouting of substance P positive nerve fibres. Ann Rheum Dis 64:1083–1086PubMedCrossRef

16.

Takao M, Ochi M, Naito K, Uchio Y, Matsusaki M, Oae K (2003) Repair of neglected Achilles tendon rupture using gastrocnemius fascial flaps. Arch Orthop Trauma Surg 123:471–474PubMedCrossRef

17.

Wapner KL, Pavlock GS, Hecht PJ, Naselli F, Walther R (1993) Repair of chronic Achilles tendon rupture with flexor hallucis longus tendon transfer. Foot Ankle Int 14:443–449

18.

Wilcox DK, Bohay DR, Anderson JG (2000) Treatment of chronic Achilles tendon disorders with flexor hallucis longus tendon transfer/augmentation. Foot Ankle Int 21:1004–1010PubMed

19.

Yasuda T, Kinoshita M, Okuda R (2007) Reconstruction of chronic Achilles tendon rupture with the use of interposed tissue between the stumps. Am J Sports Med 35:582–588PubMedCrossRef

Title: Reconstruction of neglected Achilles tendon rupture using the flexor hallucis tendon
Authors: Keun-Bae Lee
Young-Hoon Park
Taek-Rim Yoon
Jae-Yoon Chung
Publication date: 01-03-2009
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2009
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-008-0693-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Reconstruction of neglected Achilles tendon rupture using the flexor hallucis tendon

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2009

A safe postero-medial approach to posterior cruciate ligament avulsion fracture

A soluble factor (EMMPRIN) in exudate influences knee motion after total arthroplasty

Arthroscopic anterior cruciate ligament double-bundle reconstruction using hamstring tendon grafts-fixation with two interference screws: technical note

Anatomic double-bundle ACL reconstruction: a call for indications

A systematic review of the femoral origin and tibial insertion morphology of the ACL

The unpredictable material properties of bioabsorbable PLC interference screws and their adverse effects in ACL reconstruction surgery