title: Achilles Tendon Open Repair Augmented With Distal Turndown Tendon Flap and Posterior Crural Fasciotomy.
abstract: The aim of the present study was to investigate the outcomes after open repair of Achilles tendon rupture augmented with a distal turndown gastrocnemius flap and deep posterior crural fasciotomy based on the modified Lindholm technique. Twenty-three patients with acute Achilles tendon injury underwent open end-to-end tendon repair augmented with a distal turndown gastrocnemius flap and deep posterior compartment fasciotomy. The concentric and eccentric muscle strength was measured using a functional squat system, and dynamic balance was assessed using the Y-balance test with anterior, posteromedial, and posterolateral reach distances. Jump performance was assessed using the vertical jump and 1-leg hop tests. All patients returned to their preinjury activity level, and their mean American Orthopaedic Foot and Ankle Society hindfoot scale score was 98.2 ± 2.3 after surgery. No significant difference was found between the involved and uninvolved extremities in terms of concentric and eccentric muscle strength (p = .82 and p = .53, respectively). In addition, no significant differences were seen between legs in the vertical jump (p = .16), one-leg hop (p = .15), and balance (p > .05) tests. Open end-to-end repair of the Achilles tendon rupture with augmentation and fasciotomy of the deep posterior compartment healed without any major complications. Functional performance of the involved leg after recovery was similar to that of the uninvolved leg. The modified Lindholm surgical technique described in our report appears to be a useful intervention for acute Achilles tendon rupture.
authors: Professor, Department of Orthopaedics and Trauma, University of Gazi, Ankara, Turkey. Electronic address: hamzabuz@yahoo.com.
authors: Hamza
authors: H
authors: Ozer
authors: Professor, Department of Orthopaedics and Trauma, University of Gazi, Ankara, Turkey.
authors: Hakan Y
authors: HY
authors: Selek
authors: Professor, Academy of Health Sciences, Physiotherapy and Rehabilitation, University of Hacettepe, Ankara, Turkey.
authors: Gulcan
authors: G
authors: Harput
authors: Associate Professor, Department of Orthopaedics and Traumatology, Private Guven Hospital, Ankara, Turkey.
authors: Ali
authors: A
authors: Oznur
authors: Professor, Department of Physical Therapy and Rehabilitation, Private Guven Hospital, Ankara, Turkey.
authors: Gul
authors: G
authors: Baltaci
mesh_terms: D000125:Achilles Tendon / Q000293:injuries*; D000328:Adult; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012189:Retrospective Studies; D012421:Rupture; D013524:Surgical Flaps; D013708:Tendon Injuries / Q000601:surgery*; D016896:Treatment Outcome
keywords: ankle; fasciotomy; injury; leg; open repair; peak torque; trauma