Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 6 Issue 2

Closed Navicular Dislocation - Management and Outcome - A Case Report

Pia Franz1*, Macarena Ulloa2 and Javier Gonzalez2,3

1Hospital Clínico Mutual de Seguridad C.Ch.C, Santiago, Chile
2Universidad Austral de Chile, Valdivia, Chile
3Hospital Base de Valdivia, Valdivia, Chile

*Corresponding Author: Pia Franz, Hospital Clínico Mutual de Seguridad C.Ch.C, Santiago, Chile.

Received: December 12, 2022; Published: January 10, 2023

Abstract

A prospective study was carried out in a general hospital, comparing the results in the management of inveterate Achilles tendon ruptures over a period of five years using a new minimally invasive technique.
A total of 74 tendons were repaired, of which 29 underwent minimally invasive surgery, with resection of the fibrous scar previously marked with ultrasound and suture of the tendon gap using the Amlang and Zwip technique. The results obtained were better than those obtained with open techniques in inveterate tears and similar to minimally invasive techniques in acute injuries in terms of postoperative complications, clinical measures, functionality and return to work.
The objective of this technique is to lead to an intrinsic repair of the tendon, resecting the fibrous scar of the defect and performing an end-to-end anastomosis under the concept of exacerbation of the inveterate injury. As advantages, this technique does not sacrifice other tendons, it is simple and inexpensive, and therefore, it can be used in any center.

Keywords: Tendon; Achilles; Chronic Rupture; Late Rupture; Minimally Invasive Repair

References

  1. Gabel S and Manoli A. “Neglected rupture of the Achilles tendon”. Foot and Ankle International 15 (1994): 512-517.
  2. D Kann Myerson. “Surgical management of chronic ruptures of the Achilles tendon”. Foot and Ankle International 3 (1997): 535-545.
  3. Abraham E and Pankovich AM. “Neglected rupture of the Achilles tendon treatment by a V-Y tendinous flap”. Journal of Bone and Joint Surgery 57 (1975): 253-255.
  4. K Cetti R., et al. “Operative versus non operative treatment of Achilles tendon rupture”. American Journal of Sports Medicine 21 (1993): 791-799.
  5. Chiodo CP and Wilson MG. “Current Concepts review: acute ruptures of the Achilles tendon”. Foot and Ankle International 27 (2006): 305-313.
  6. Helgeland J., et al. “Achilles tendon rupture. Surgical or not surgical treatment”. Tidsskr Nor Laegeforen 117 (1997): 1763-1766.
  7. Amlang MH1., et al. “The percutaneous suture of the Achilles tendon with the Dresden instrument”. Operative Orthopädie und Traumatologie 4 (2006): 287-299.
  8. Katarina Nilsson-Helander and Roland Thomeé. “The Achilles Tendon Total Rupture Score (ATRS)”. The American Journal of Sports Medicine3 (2007).
  9. Besse JL., et al. “Achilles tendon repair using a bone-tendon graft harvested from the knee extensor system: three cases”. The Journal of Foot and Ankle Surgery 38 (1999): 70-74.
  10. Mann RA., et al. “Chronic rupture of the Achilles tendon: a new technique of repair”. Journal of Bone and Joint Surgery America2 (1991): 214-219.
  11. Aleksander Lesic and Marko Bumbasirevic. “FOOT AND ANKLE. Disorders of the Achilles tendon”. Current Concepts (2006).
  12. Helgeland J., et al. “Achilles tendon rupture. Surgical or not surgical treatment”. Tidsskr Nor Laegeforen 117 (1997): 1763-1766.
  13. Besse JL., et al. “Achilles tendon repair using a bone-tendon graft harvested from the knee extensor system: three cases”. The Journal of Foot and Ankle Surgery 38 (1999): 70-74.
  14. Ibrahim SA., et al. “Chronic rupture of tendo Achillis operative management using two in one operation”. European Foot and Ankle Surgery 45 (2007): 242-244.
  15. F Mayerson MS and Mandelbaum B. “Disorders of the Achilles tendon and the retrocalcaneal region”. In: Mayerson MS, editor. Foot and ankle disorders. Philadelphia, London, Toronto, Sydney: WB Sounders Co (2000): 1367-1398.

Citation

Citation: Pia Franz., et al. “Comparative Results of a New Minimally Invasive Repair Technique in Chronic Achilles Tendon Rupture”.Acta Scientific Orthopaedics 6.2 (2023): 19-23.

Copyright

Copyright: © 2023 Pia Franz., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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