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Analysis Study Research Paper | Orthopaedic Surgery | India | Volume 12 Issue 3, March 2023
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