International Journal of Applied Research
Vol. 3, Issue 6, Part E (2017)
Achilles tendon repair and a modified technique
Arvind K Jangid and Vinod Nagar
Wound complications following open repair after acute Achilles tendon ruptures (AATR) remain the subject of significant debate. The aim of this study is to investigate the effects of covering repaired AATR using well-nourished connective tissues (paratenon and deep fascia) to avoid complications after open repair.
Methods: In this case series study, open repair was performed for 15 active young patients with AATR. After the tendon was repaired, the deep fascia and paratenon was used to cover the Achilles tendon. Patients were followed for two years and any wound complication was recorded. During the last visit, the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hind foot score was completed for all patients. Calf circumference and ankle range of motion were measured and compared with the contralateral side. Patients were asked about returning to previous sports activities and limitations with footwear.
Results: None of the patients had any discomfort around the operation area, limitation with footwear, sural nerve injury, re-rupture, and skin adhesion. Only, one patient developed deep wound infection (6.6%). The AOFAS score averaged 92.5±6. Two patients (13%) were unable to return to previous sports activities because of moderate pain in heavy physical exercises. The calf circumference and ankle ROM were similar between healthy and operated sides.
Conclusion: The present study showed that fascial envelope for full covering of the repaired Achilles tendon may help to prevent the occurrence of wound complications
How to cite this article:
Arvind K Jangid and Vinod Nagar. Achilles tendon repair and a modified technique. International Journal of Applied Research. 2017; 3(6): 299-302.