Chronic Achilles tendon rupture reconstruction using a modified flexor hallucis longus transfer.

Détails

ID Serval
serval:BIB_66487DFEF05D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Chronic Achilles tendon rupture reconstruction using a modified flexor hallucis longus transfer.
Périodique
International orthopaedics
Auteur⸱e⸱s
Wegrzyn J., Luciani J.F., Philippot R., Brunet-Guedj E., Moyen B., Besse J.L.
ISSN
1432-5195 (Electronic)
ISSN-L
0341-2695
Statut éditorial
Publié
Date de publication
12/2010
Peer-reviewed
Oui
Volume
34
Numéro
8
Pages
1187-1192
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The purpose of this study was to report the management and outcome of 11 patients presenting with chronic Achilles tendon (AT) rupture treated by a modified flexor hallucis longus (FHL) transfer. Seven patients presented with a neglected AT rupture, one with a chronic AT rupture associated with Achilles tendinosis and three with an AT re-rupture. AT defect after fibrosis debridement averaged 7.4 cm. In addition to FHL transfer, we performed an augmentation using the two remaining fibrous scar stumps of the ruptured AT. Functional assessment was performed using the AOFAS score and isokinetic evaluation was performed to assess ankle plantarflexion torque deficit. Follow-up averaged 79 months. Functional outcome was excellent with a significant improvement of the AOFAS score at latest follow-up. No re-rupture nor major complication, particularly of wound healing, was observed. All patients presented with a loss of active range of motion of the hallux interphalangeal joint without functional weakness during athletic or daily life activities. Isokinetic testing at 30 degrees/second and 120 degrees/second revealed a significant average decrease of 28 ± 11% and 36 ± 4.1%, respectively, in plantarflexion peak torque. Although strength deficit persisted at latest follow-up, functional improvement was significant without morbidity due to FHL harvesting. For patients with chronic AT rupture with a rupture gap of at least 5 cm, surgical repair using FHL transfer with fibrous AT stump reinforcement achieved excellent outcomes.
Mots-clé
Achilles Tendon/injuries, Achilles Tendon/physiopathology, Achilles Tendon/surgery, Adult, Aged, Ankle Joint/physiopathology, Ankle Joint/surgery, Biomechanical Phenomena, Chronic Disease, Female, Humans, Male, Middle Aged, Postoperative Complications, Range of Motion, Articular, Reconstructive Surgical Procedures/methods, Recovery of Function, Rupture, Tendon Transfer/methods, Torque, Treatment Outcome
Pubmed
Web of science
Création de la notice
17/01/2020 7:47
Dernière modification de la notice
18/01/2020 6:26
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