Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지

Reconstruction of Chronic Achilles Tendon Rupture Using Interposed Scar Tissue (A Report of Two Cases)

진구성 아킬레스건 파열에 대한 파열 단 사이의 반흔 조직을 이용한 재건술 (2예 보고)

  • Cho, Hyun-Jong (Department of Orthopaedic Surgery, Chonnam National University Hospital) ;
  • Yeo, Je-Hyoung (Department of Orthopaedic Surgery, Chonnam National University Hospital) ;
  • Lee, Keun-Bae (Department of Orthopaedic Surgery, Chonnam National University Hospital)
  • 조현종 (전남대학교 의과대학 정형외과학교실) ;
  • 여제형 (전남대학교 의과대학 정형외과학교실) ;
  • 이근배 (전남대학교 의과대학 정형외과학교실)
  • Received : 2013.10.30
  • Accepted : 2013.11.12
  • Published : 2013.12.15
Download PDF
⟨ Previous Next ⟩

Abstract

It has been reported that the gap between the tendon stumps in chronic Achilles tendon rupture is filled with interposed scar tissue. If it was available to use the interposed scar tissue for reconstruction or augmentation of Achilles rupture, possible damage of normal tissues could be avoided. Our results show that direct repair method using interposed scar tissue for chronic Achilles tendon rupture can successfully relieve pain and restore function of the ruptured Achilles tendon in carefully selected patients.

Keywords

References

  1. Boyden EM, Kitaoka HB, Cahalan TD, An K. Late versus early repair of Achilles tendon rupture. Clin Orthop Relat Res. 1995;317:150-8.
  2. Gabel S, Manoli A. 2nd. Neglected rupture of the Achilles tendon. Foot Ankle Int. 1994;15:512-7. https://doi.org/10.1177/107110079401500912
  3. Takao M, Ochi M, Naito K, Uchio Y, Matsusaki M, Oae K. Repair of neglected Achilles tendon rupture using gastrocnemius fascial flap. Arch Orthop Trauma Surg. 2003;123:471-4. https://doi.org/10.1007/s00402-002-0443-2
  4. Myerson MS. Achilles tendon ruptures. Instr Course Lec.1999;48:219-23.
  5. Porter DA, Mannarino FP, Snead D, Gabel SJ, Ostrowski M. Primary repair without augmentation for early neglected Achilles tendon ruptures in the recreational athlete. Foot Ankle Int. 1997;18:557-64. https://doi.org/10.1177/107110079701800905
  6. Yasuda T, Kinoshita M, Okuda R. Reconstruction of chronic achilles tendon rupture with the use of interposed tissue between the stumps. Am J Sports Med. 2007;35:582-8. https://doi.org/10.1177/0363546506295939
  7. Abraham E and Pankovich AM. Neglected rupture of the achilles tendon. treatment by V-Y tendinous flap. J Bone Joint Surg. 1975;57-A:253-5.
  8. Kissel CG, Blacklidge DK and Crowley DL. Repair of neglected achilles tendon ruptures--procedure and functional results. J Foot Ankle Surg. 1994;33:46-52.
  9. Maffulli N and Ajis A. Management of chronic ruptures of the achilles tendon. J Bone Joint Surg. 2008;90-A: 1348-60.
  10. Lee KB, Park YH, Yoon TR, Chung JY. Reconstruction of neglected Achilles tendon rupture using the flexor hallucis tendon. Knee Surg Sports Traumatology Arthrosc. 2009;17: 316-20. https://doi.org/10.1007/s00167-008-0693-9