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Archives of Orthopaedic and Trauma Surgery

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01-10-2016 | Arthroscopy and Sports Medicine

Reconstruction of neglected achilles tendon ruptures with gastrocnemius flaps: excellent results in long-term follow-up

Authors: Ali Seker, Adnan Kara, Raffi Armagan, Yunus Oc, Ali Varol, Hasan Basri Sezer

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2016

Abstract

Objective

Repair of the neglected achilles tendon ruptures can be challenging due to retraction of tendon stumps. Different repair and augmentation techniques were described. This study aims to investigate long-term results of neglected achilles tendon rupture repair with gastrocnemius flaps.

Patients and methods

Between 1995 and 2005, 21 neglected achilles tendon rupture reconstructions were performed with using gastrocnemius fascial flaps. Mean age was 32.1 years. Mean period between rupture and operation was 8.4 weeks. Ankle range of motion, calf circumference, heel raise test, Visual Analog Scale (VAS), American Orthopedic Foot and Ankle Society (AOFAS) hindfoot and Foot and Ankle Disability Index (FADI) scores were checked.

Results

The average gap length was 6.4 cm. Mean follow-up was 145.3 months. Median dorsiflexion/plantar flexion values for operated and uneffected sides were 18°/30° and 19°/30°, respectively. The mean values for AOFAS and FADI scores were 98.5 points and 98.9 %, respectively. VAS score was 0 point for all patients. With the numbers available, no significant difference could be detected in terms of ankle range of motion, calf circumference measures and dynamometric analysis. Mean time for return to daily activities was 11.1 (8–16) weeks after surgery. Prerupture activity level was achieved 14.1 months postoperatively. All patients were able to perform heel raise test.

Conclusion

Repair of neglected achilles tendon ruptures with gastrocnemius flaps has satisfactory long-term results.

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Title: Reconstruction of neglected achilles tendon ruptures with gastrocnemius flaps: excellent results in long-term follow-up
Authors: Ali Seker
Adnan Kara
Raffi Armagan
Yunus Oc
Ali Varol
Hasan Basri Sezer
Publication date: 01-10-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 10/2016
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-016-2506-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Reconstruction of neglected achilles tendon ruptures with gastrocnemius flaps: excellent results in long-term follow-up

Abstract

Objective

Patients and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Patients and methods

Results

Conclusion

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