TREATMENT OF OLD ACHILLES TENDON RUPTURES

N. A. Koryshkov; S. M. Platonov; S. V. Larionov; N. Y. Matveeva; L. V. Koryshkova

doi:10.21823/2311-2905-2012--2-34-40

Traumatology and Orthopedics of Russia ›› 2012, Vol. 18 ›› Issue (2) : 34 -40. DOI: 10.21823/2311-2905-2012--2-34-40

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TREATMENT OF OLD ACHILLES TENDON RUPTURES

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Abstract

From 1998 to 2010 32 patients (14 men, 18 women), aged 15-65 years, underwent surgical treatment for old Achilles tendon rupture. In all cases correct diagnosis was made not earlier than 1 month after injury. The importance of clinical Thompson test and sonographic examination for diagnosis of Achilles tendon rupture is underlined. For the restoration of Achilles tendon V-Y plasty was used. Surgery was performed in a period of 1 to 13 months in patients with subcutaneous Achilles tendon ruptures. Follow-up results of patients in the postoperative period ranged from 6 months to 10 years (mean follow-up 1 year 7 months). Date of observation in the postoperative period ranged from 6 months to 19 years. Marginal necrosis wound occurred in 3 (10%) patients, re-rupture of the Achilles tendon to tendon suture zone - in one patient, even in one patient on day 14 became infected. Violations of the foot innervation were no detected.

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N. A. Koryshkov, S. M. Platonov, S. V. Larionov, N. Y. Matveeva, L. V. Koryshkova. TREATMENT OF OLD ACHILLES TENDON RUPTURES. Traumatology and Orthopedics of Russia, 2012, 18(2): 34-40 DOI:10.21823/2311-2905-2012--2-34-40

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