Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (6): 92-96.doi: 10.6040/j.issn.1671-7554.0.2019.1306

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Small incision gastrocnemius tendon turndown flap to treat 5 cases with chronic Achilles tendon rupture

CHENG Ruilin, HUANG Zheng, LI Zhengxun, ZHANG Ning, HU Yong, XU Wenpeng   

  1. Department of Hand Surgery/Foot &
    Ankle Surgery, The Second Hospital of Shandong University;
    Foot &
    Ankle Surgery Center of Shandong University, Jinan 250033, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To evaluate the efficacy of small incision gastrocnemius tendon turndown flap in the treatment of the chronic Achilles tendon rupture. Methods The clinical data of 5 cases with chronic Achilles tendon rupture treated in our department during Jan. 2017 and Sep. 2019 were retrospectively analyzed, including 4 males and 1 female, average age 46.5(28-67)years old, with 3 ruptures in the left feet and 2 in the right feet. All cases were treated with small incision gastrocnemius tendon turndown flap. After operation, the patients wore a blow-knee cast to hold the ankle at 20° of plantar flexion for 4 weeks, then partial-weightbearing walked with ankle-foot orthosis for 4 weeks, during which the heel height was reduced gradually. All patients were followed up. The efficacy of operation was evaluated with AOFAS ankle-hind foot function score. Results During the follow-up of 6 to 38(average 23)months, the AOFAS score increased from 71.4 pre-operation to 96.4 post-operation. All patients’ incisions was healed in one stage, and no re-rupture occurred. Conclusion Small incision gastrocnemius tendon turndown flap is effective to treat chronic Achilles tendon rupture.

Key words: Chronic Achilles tendon rupture, Small incision gastrocnemius tendon turndown flap, Reconstruction of the Achilles tendon rupture, Complication, Scar tissue interposed between the tendon stumps

CLC Number: 

  • R686.7
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