Achilles Tendon Reconstruction With Bone Block Allograft:Long-Term Follow-Up of Two Cases
Autor: | Eric So, Devon Consul, Timothy Holmes |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Long term follow up medicine.medical_treatment Achilles Tendon 03 medical and health sciences 0302 clinical medicine Bone block Tendon Injuries Cadaver Tendon transfer Humans Transplantation Homologous Medicine Orthopedics and Sports Medicine Range of Motion Articular Calcaneus bone Rupture 030222 orthopedics Achilles tendon Bone Transplantation business.industry 030229 sport sciences Middle Aged Plastic Surgery Procedures musculoskeletal system Magnetic Resonance Imaging Ruptured achilles tendon Surgery Calcaneus medicine.anatomical_structure Female business Follow-Up Studies |
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 |
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