Tendoachilles reconstruction by a gastrosoleus turn-down flap: a case report
Keywords:Tendoachilles, Rupture, Surgical repair, Gastrosoleus turn down flap
Acute and chronic rupture of the Achilles tendon (TA) is a common entity which requires surgery to either bridge the gap or to reinforce the strength of the repair or the tendon. This was done with a turn down flap of the gastrosoleus. Both the above conditions of acute and chronic rupture were usually misdiagnosed and mistreated. Hence, they presented to us late or with complications affecting the gait. Here, we presented a case of acute rupture of the TA presented late in a young female in which the defect was managed with a gastrosoleus aponeurosis turn down flap. Primary repair of acute TA rupture augmented with a gastrosoleus turn down flap provides a good outcome.
Popovic N, Lemaire R. Diagnosis and treatment of acute ruptures of the Achilles tendon. Current concepts review. Acta Orthop Belg. 1999;65(4):458-71.
Arner O, Lindholm A, Orell SR. Histologic changes in subcutaneous rupture of the Achilles tendon; a study of 74 cases. Acta Chir Scand. 1959;116(5-6):484-90.
Scheller AD, Kasser JR, Quigley TB. Tendon injuries about the ankle. Orthop Clin North Am. 1980;11(4):801-11.
Movin T, Ryberg A, McBride DJ, Maffulli N. Acute rupture of the achilles tendon. Foot Ankle Clinic. 2005;10(2):331-56.
Maffulli N, Ajis A. Management of chronic ruptures of the achilles tendon. J Bone Joint Surg. 2008;90(6):1348-60.
Flint JH, Wade AM, Giuliani J, Rue JP. Defining the terms acute and chronic in orthopaedic sports injuries: a systematic review. Am J Sport Med. 2014;42(1):235-41.
Taşatan E, Emre TY, Demircioğlu DT, Demiralp B, Kırdemir V. Long-term results of mini-open repair technique in the treatment of acute achilles tendon rupture: a prospective study. J Foot Ankle Surg. 2016;55(5):971-5.
Peterson KS, Hentges MJ, Catanzariti AR, Mendicino MR, Mendicino RW. Surgical considerations for the neglected or chronic Achilles tendon rupture: a combined technique for reconstruction. J Foot Ankle Surg. 2014;53(5):664-71.
Morrow MMB, Straaten MG, Murthy NS, Braman JP, Zanella E, Zhao KD. Detailed shoulder MRI findings in manual wheelchair users with shoulder pain. Bio Med Res Int. 2014;2014:7.
Edna TH. Non-operative treatment of Achilles tendon ruptures. Acta Orthop Scand. 1980;51(6):991-3.
Inglis AE, Sculco TP. Surgical repair of ruptures of the tendo Achillis. Clin Orthop. 1981;156:160-9.
Wills CA, Washburn S, Caiozzo V, Prietto CA. Achilles tendon rupture. A review of the literature comparing surgical versus nonsurgical treatment. Clin Orthop Relat Res. 1986;207:156-63.
Beskin JL, Sanders RA, Hunter SC, Hughston JC. Surgical repair of Achilles tendon ruptures. Am J Sports Med. 1987;15(1):1-8.
Cetti R, Cristiansen SE, Ejsted R, Jensen NM, Jorgensen U. Operative versus nonoperative treatment of Achilles tendon rupture: a prospective randomized study and review of the literature. Am J Sports Med. 1993;21(6):791-9.
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 Surg Am. 1976;58(7):990-3.
Lecestre P, Germanville T, Delplace J, Société Orthopédique Rochelaise. Achilles tendon ruptures treated by percutaneous tenorraphy: multicentric study of 60 cases. Eur J Orthop Surg Traumatol. 1997;7:37-40.
Kellam JF, Hunter GA, McElwain JP. Review of the operative treatment of Achilles tendon rupture. Clin Orthop Relat Res. 1985;201:80-3.
DenHartog BD. Surgical strategies: delayed diagnosis or neglected achilles' tendon ruptures. Foot Ankle Int. 2008;29(4):456-63.
Lindholm A. A new method of operation in subcutaneeous rupture of the Achilles tendon. Acta Chir Scand. 1959;117:261-70.
Lynn TA. Repair of the torn Achilles tendon, using the plantaris tendon as a reinforcing membrane. J Bone Joint Surg Am. 1966;48(2):268-72.
Jessing P, Hansen E. Surgical treatment of 102 tendo achillis ruptures-suture or tenontoplasty? Acta Chir Scand. 1975;141(5):370-7.
Barfred T. Experimental rupture of the Achilles tendons. Acta Orthop Scand. 1971;42:406.
Kannus P, Jozsa L. Histopathological changes preceding spontaneous rupture of a tendon. J Bone Joint Surg Am. 1991;73(10):1507-25.
Nistor L. Surgical and non-surgical treatment of Achilles tendon ruptures. A prospective randomized study. J Bone Joint Surg Am. 1981;63(3):394-9.
Shields CL, Kerlan RK, Jobe FW, Carter VS, Lombardo SJ. The Cybex II evaluation of surgically repaired Achilles tendon ruptures. Am J Sports Med. 1978;6(6):369-72.
Ma GW, Griffith TG. Percutaneous repair of acute closed ruptured Achilles tendon. A new technique. Clin Orthop Relat Res. 1997;128:247-55.
Vivaldi AS. Percutaneous repair of ruptured tendo Achilles. J Bone Joint Surg Br. 2000;82(4):619.
Bradley JP, Tibone JE. Percutaneous and open surgical repair of the Achilles tendon rupture. Am J Sports Med. 1990;18(2):188-95.
Gerdes MH, Brown TD, Bell AL, Baker JA, Levson M, Layer S. A flap augmentation technique for Achilles tendon repair: Postoperative strength an functional outcome. Clin Orthop. 1992;280:241-6.
Nyyssonen T, Saarikoski H, Kaukonen JP, Luthje P, Hakovirta H. Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: A retrospective comparison in 98 patients. Acta Orthop Scand. 2003;74(2):206-8.
Aoki M, Ogiwara N, Ohta T, Nabeta Y. Early active motion and weightbearing after cross-stitch achilles tendon repair. Am J Sports Med. 1998;26(6):794-800.
Kangas J, Pajala A, Siira P, Hämäläinen M, Leppilahti J. Early functional treatment versus early immobilization in tension of the musculotendinous unit after Achilles rupture repair: a prospective, randomized, clinical study. J Trauma. 2003;54(6):1171-80.
Sölveborn SA, Moberg A. Immediate free ankle motion after surgical repair of acute Achilles tendon ruptures. Am J Sports Med. 1994;22(5):607-10.
Mandelbaum BR, Mayerson MS, Foster R. Achilles tendon ruptures: a new method of repair, early range of motion, and functional rehabilitation. Am J Sports Med. 1995;23(4):392-5.
Kubota H, Manske PR, Aoki M, Pruitt DL, Larson BJ. Effects of motion and tension on injured flexor tendons in chickens. J Hand Surg. 1996;21(3):456-63.
Mortensen NH, Skov O, Jensen PE. Early motion of the ankle after operative treatment of a rupture of the Achilles tendon. A prospective, randomized clinical and radiographic study. J Bone Joint Surg Am. 1999;81(7):983-90.
Garabito A, Miranda JM, Sotelo JS. Augmented repair of acute Achilles tendon ruptures using gastrosoleus-soleus fasia. Int Orthop. 2005;29(1):42-6.
Zell RA, Santoro VM. Augmented repair of acute Achilles tendon ruptures. Foot Ankle Int. 2000;21(6):469-74.
Metz R, Verleisdonk EJ, Heijden GJ, Clevers GJ, Hammacher ER, Verhofstad MH, et al. Acute Achilles tendon rupture: Minimally invasive surgery versus nonoperative treatment with immediate full weight bearing- a randomized controlled trial. Am J Sports Med. 2008;36(9):1688-94.
Liu YB, Jiang SY, Zhao L, Yu Y, Tao XC, Zhao DH. Functional assessment of the foot undergoing percutaneous Achilles tenotomy in term of gait analysis. Bio Med Res Int. 2016;2016:6.
Maffulli N, Via AG, Oliva F. Chronic Achilles tendon disorders: tendinopathy and chronic rupture. Clinic Sport Med. 2015;34(4):607-24.
Abraham E, Pankovich AM. Neglected rupture of the Achilles tendon: treatment by V-Y tendinous flap. J Bone Joint Surg. 1975;57(2):253-5.
McClelland D, Maffulli N. Neglected rupture of the Achilles tendon: reconstruction with peroneus brevis tendon transfer. Surgeon. 2004;2(4):209-13.
Christensen I. Rupture of the Achilles tendon; analysis of 57 cases. Acta Chirurgica Scandinavica. 1953;106(1):50-60.
Tay D, Lin HA, Tan BSA, Chong KW, Rikhraj IS. Chronic Achilles tendon rupture treated with two turndown flaps and flexor hallucis longus augmentation-two-year clinical outcome. Ann Acad Med Singapore. 2010;39(1):58-60.
Park YS, Sung KS. Surgical reconstruction of chronic achilles tendon ruptures using various methods. Orthopedics. 2012;35(2):213-8.