title: Bilateral traumatic rupture of Achilles tendons in absence of risk factors treated with percutaneous technique and platelet-rich plasma: a case report.
abstract: We present a clinical case of a 52-year-old man with bilateral traumatic rupture of the Achilles tendon (AT) in absence of risk factors. In medical history, the patient does not report pre-existing tendon diseases. AT ruptures occurred following a skiing injury in which the forward fall caused a severe stress and elongation of the AT. Associated with tendon injury there was a fracture of the right humeral greater tuberosity. The patient was subjected to percutaneous tenorraphy according to Maffulli's technique and subsequently topical injection of autologous platelet-rich plasma (PRP) 7 days after the injury. After surgery, the patient followed an accelerated rehabilitation protocol, allowing the weight bearing with guards (Rom-Walker) and crutches to four weeks then freely to 8 weeks. We performed a clinical (AOFAS ankle-hindfoot score) and ultrasonography follow-up at month 1, 3, 6 and 12, with excellent results in the end. To the best of our knowledge bilateral cases like this have not been described in the literature.
authors.affiliation: Orthopaedic and Traumatology Division, "G. d'Annunzio" University, Via dei Vestini 35, 66013 Chieti, Italy. Electronic address: guelfi.m@gmail.com.
authors.forename: Matteo
authors.initials: M
authors.lastname: Guelfi
authors.affiliation: Orthopaedic and Traumatology Division, "G. d'Annunzio" University, Via dei Vestini 35, 66013 Chieti, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Pantalone
authors.affiliation: Orthopaedic and Traumatology Division, "G. d'Annunzio" University, Via dei Vestini 35, 66013 Chieti, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Vanni
authors.affiliation: Orthopaedic and Traumatology Division, "G. d'Annunzio" University, Via dei Vestini 35, 66013 Chieti, Italy.
authors.forename: Denise
authors.initials: D
authors.lastname: Rosati
authors.affiliation: Orthopaedic Division, Clinica Montallegro, Via M.Te Zovetto 27, 16145 Genoa, Italy. Electronic address: marco.guelfi@fastwebnet.it.
authors.forename: Marco G B
authors.initials: MG
authors.lastname: Guelfi
authors.affiliation: Orthopaedic and Traumatology Division, "G. d'Annunzio" University, Via dei Vestini 35, 66013 Chieti, Italy. Electronic address: v.salini@unich.it.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Salini
mesh_terms: D000125:Achilles Tendon / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D053657:Platelet-Rich Plasma; D012307:Risk Factors; D012421:Rupture; D012865:Skiing / Q000293:injuries*; D013536:Suture Techniques; D013708:Tendon Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
keywords: Absence of risk factors; Achilles tendon; Bilateral traumatic rupture; Growth factors; PRP; Percutaneous tenorraphy