Novel surgical technique an effective treatment for chronic Achilles tendon ruptures
SAN FRANCISCO Surgically treating chronic ruptures and re-ruptures of the Achilles tendon using a novel surgical technique involving a free gastrocnemius aponeurosis flap can yield good subjective and objective outcomes in most patients, according to a poster presentation here at the American Academy of Orthopaedic Surgeons 75th Annual Meeting.
There was, however, a significant decrease in strength in terms of concentric and eccentric-concentric toe-raises and the toe-raise test for endurance compared with the [patients] healthy side, the study authors noted.
Katarina Nilsson-Helander, MD, and colleagues in Sweden evaluated outcomes for their technique, which involves creating a single incision and, after end-to-end suturing, covering the tendon using a free gastrocnemius aponeurosis flap, according to the study.
The researchers found that of 25 patients who played recreational sports before their injury, 13 (52%) returned to their same pre-injury activity level. Also, all patients except for one returned to work within 6 months of surgery, and 16 patients (57%) reported being satisfied with their treatment outcomes.
In terms of jump performance, no significant differences were found between [patients] healthy and injured sides, the study authors reported.
For more information:
- Nilsson-Helander K, Sward L, Silbernagel KG, et al. A new surgical method to treat chronic ruptures and re-ruptures of the Achilles tendon. #P222. Presented at the American Academy of Orthopaedic Surgeons 75th Annual Meeting. March 5-9, 2008. San Francisco.