LATE REPAIR OF THE TENDON ACHILLES

Authors

  • A Rehman
  • Ali Mohammad Ansari
  • Aslant Ghaloo

Abstract

Background: The results of untreated ruptures of the tendon Achilles are widely accepted as poor. Surgical orconservative treatment is fruitful in ruptures presenting early, but in ruptures presenting late only surgical treatmentis possible because the proximal end of the tendon retracts. Methods: A prospective and retrospective study of 5patients of Late Repair of the Tendon Achilles was carried out at Liaqat Medical College Hospital,Jamshoro/Hyderabad from July 1996 to June 1998. Results: The average age for the series was 43 years. Sex incidencemale to female ratio was 4:1 patient. Delay between injury and time of operation had been from one month to a year.All cases were operated upon. Direct suturing method was used. Follow up of the patient varied from 4 months to 12months. Conclusion: The results shown by direct Suturing in the Achilles tendon is comparable to any other form oftreatment.

References

Bosworth D.M Repair of defects in the tendo

Achilles. J Bone Joint Surg AmJ 1995-56;38-A:

-4.

Abraham F. Neglected rupture of Achilles tendon

treatment by V.Y tendinous Flap. J Bone Joint Surg

[Am] 1975; 57-A: 253- 5.

Inglis AE, Scott WN, Sculco TP, Patterson AH.

Ruptures of the tendo Achilles: an objective

assessment of surgical and non- surgical treatment.

J Bone Joint Surgery [Am] 1976;58-A:990- 3

Scheller AD, Kasser JR, Quigley TB. Tendon

injuries about the ankle. Orthop Clin North Am

X0; 11:801-11.

Amer O, Lindenholm A. Subcutaneous rupture of

the Achilles Tendon: a study of 92 cases. Acta Chir

Scand Suppl 239; 1959:1-51

Bugg El Jr, Boyd BM 1968. Repair of neglected

rupture or laceration of the Achilles tendon. Clin

Orthop. 56: 73-75.

Lea RB, Smith L, Non-surgical treatment of tendo

Achilles rupture. J Bone Joint Surgery [Am]

;54-A: 1398-407

Carden DG, Nobel J, Chalmers J, Lunn P, Ellis J.,

Rupture of calcaneal tendon: the early and late

management. J Bone Joint Surgery [Br] 1987; 69-

B:416-20