Chronic Achilles tendon rupture treated with two turndown flaps and flexor hallucis longus augmentation - two-year clinical outcome.
BACKGROUND
Both conservative and operative management have been described in the literature for the management of chronic Achilles tendon ruptures with surgical management generally having more favourable results. In our institution, the favoured reconstructive technique was the use of 2 turndown tendon fl aps fashioned from the proximal Achilles tendon augmented by a tenomyodesis of the flexor hallucis longus. The purpose of this study was to assess the clinical outcome of all patients who underwent this procedure.


METHODS
From the records, a total of 9 patients underwent the above-mentioned procedure of whom 6 patients had complete data collection sets [including SF-36, Visual Analogue Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot scores, ankle range of motion (ROM), presence of residual symptoms and complications] at 2 years of follow-up.


RESULTS
Our results showed an average AOFAS Ankle-Hindfoot score of 94.2, VAS of 0 in all but 1 patient, and generally high scores (75-96) in all 8 domains of the SF-36 questionnaire. Patient satisfaction was also rated to be high from the surgical procedure.


CONCLUSIONS
We submit that the procedure adopted at our institution is able to reproduce satisfactory results with low morbidity in patients with this challenging condition.
Tay
Darren
D
1Department of Orthopaedic Surgery, Singapore General Hospital, Singapore. darren1414@gmail.com
Lin
Heng An
HA
Tan
Benjamin Sa
BS
Chong
Keen Wai
KW
Rikhraj
Inderjeet Singh
IS
D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery*; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods* / Q000534:rehabilitation; D017060:Patient Satisfaction; D020127:Recovery of Function; D012421:Rupture / Q000601:surgery; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery; D013710:Tendons / Q000637:transplantation*; D014182:Transplantation, Autologous