Achilles Tendon Reconstruction With Bone Block Allograft:Long-Term Follow-Up of Two Cases

Autor: Eric So, Devon Consul, Timothy Holmes
Rok vydání: 2019
Předmět:
Zdroj: The Journal of Foot and Ankle Surgery. 58:779-784
ISSN: 1067-2516
DOI: 10.1053/j.jfas.2018.11.023
Popis: The treatment of neglected or chronically ruptured Achilles tendon is challenging. Various treatments for large defects associated with chronic Achilles ruptures have been described. Many surgeons recommend the use of a tendon transfer, turndown rotational flap, advancement flap, or reconstruction with Achilles tendon allograft with calcaneal bone block. Long-term outcomes of these procedures are unknown. We present 2 cases with the use of an Achilles tendon with calcaneus bone block allograft. At >8-year follow-up duration, both patients are afforded satisfactory levels of activity and are without pain or gait disturbance. This procedure is a viable option for Achilles ruptures with large defects, ruptures with small intact distal tendon portions, or re-ruptures of previously repaired Achilles tendons. The long-term outcomes of these case reports suggest that Achilles tendon reconstruction with bone block allograft is a viable option.
Databáze: OpenAIRE