Reconstruction of Chronic Achilles Tendon Rupture with Semitendinosus Tendon Graft
Volume 9, Issue 2, Spring 2011, Pages 77-82
https://doi.org/10.22034/ijos.2020.121033
Mohammad Mahdi Sarzaeem, Mohammad Emami, Mohammad Emami, Gholamhossein Kazemian, Gholamhossein Kazemian, Alireza Manafi Rasi, Mohammad Mahdi Bagherian Lemraski, Farshad Safdari
Abstract Background: Large defects in chronic Achilles tendon ruptures are difficult to rapair. The purpose of this study was to evaluate the clinical and functional outcomes following reconstruction of the chronic large gaps in Achilles tendon ruture using free semitendinosus interposition tendon grafting. Methods: In a case series study, eleven male patients with mean age of 30±4 years and average defect size of 8.31±1.96 cm in their old Achilles tendon underwent reconstruction during 6 years in a teaching hospital in Theran-Iran. Ipsilateral semitendinosus free tendon graft was used for reconstruction. The cases were evaluated by Ankle-Hindfoot Scale of American Orthopaedic Foot and Ankle Society (AOFAS), and the Achilles Tendon Rupture Score (ATRS) to with a mean follow-up of 25.36±3.3 months. Results: The pre-operative AOFAS and ATRS of 70.4±5.3 and 31.7±5.7 preoperatively improved to 91.8±4.8 and 88.7±4.2 values. The ankle dorsiflexion showed a significant decline – postoperative value of 13.5±4.2 degrees compared to preoperative of 17.2±3.9 degrees (p=.04). All the cases except a professional athlete, returned to their previous activities. Conclusion: This technique offers good clinical and functional results in patients with large defects and is associated with no donnersite morbidity. We recommend this technique for the reconstruction of the chronic at ruptures in patients with over 6 cm defects.
Tendon Achilles Allograft for Elbow Extensor Repair
Volume 4, Issue 4, Summer 2006, Pages 27-31
https://doi.org/10.22034/ijos.2020.121241
Mohammad Dehghani, MD, Farshad Maleki, MD
Abstract Background: Defects in elbow extensors usually occur with severe trauma and more in young or middle age people. The acute injuries can be repaired by direct suturing and bone anchorage. Such a repair is not feasible in chronic cases (a few weeks old) and in massive defects often seen in patients with head injuries. Use of Achilles tendo allograft is a good repair alternative, allowing earlier motion and producing more powerful extension. We would like to report our experience with four such cases.Methods: Four cases of chronic post traumatic in triceps brachi rupture, age range of 25-49 years, were treated with Achilles tendon allograft attached to a piece of calcaneous. Progressively increasing elbow motion was started after the second week. The patients were clinically evaluated with 14 months average follow-up, using Mayo Elbow Performance Score (MEPS). Each elbow was compared with the opposite side.Results: Excellent performance scores was seen in 3, and good in one patient. Elbow range of motion was 85 percent (82-96%) of the healthy side, and elbow extension power was 80% of the normal elbow. Transient uluar neuroparaxia in one case was the only complication which recoverd fully in 3 months.Conclusions: Massive chronic post traumatic tricep brachi defects can be effectively managed by bone/tendon allograft from Achilles tendon.