Reconstruction of neglected achilles tendon ruptures with gastrocnemius flaps: excellent results in long-term follow-up

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dc.authorid0000-0003-1259-6668
dc.contributor.authorŞeker, Ali
dc.contributor.authorKara, Adnan
dc.contributor.authorArma?an, Raffi
dc.contributor.authorÖç, Yunus
dc.contributor.authorVarol, Ali
dc.contributor.authorSezer, Hasan Basri
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:39Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:39Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjective: Repair of the neglected achilles tendon ruptures can be challenging due to retraction of tendon stumps. Different repair and augmentation techniques were described. This study aims to investigate long-term results of neglected achilles tendon rupture repair with gastrocnemius flaps. Patients and methods: Between 1995 and 2005, 21 neglected achilles tendon rupture reconstructions were performed with using gastrocnemius fascial flaps. Mean age was 32.1 years. Mean period between rupture and operation was 8.4 weeks. Ankle range of motion, calf circumference, heel raise test, Visual Analog Scale (VAS), American Orthopedic Foot and Ankle Society (AOFAS) hindfoot and Foot and Ankle Disability Index (FADI) scores were checked. Results: The average gap length was 6.4 cm. Mean follow-up was 145.3 months. Median dorsiflexion/plantar flexion values for operated and uneffected sides were 18°/30° and 19°/30°, respectively. The mean values for AOFAS and FADI scores were 98.5 points and 98.9 %, respectively. VAS score was 0 point for all patients. With the numbers available, no significant difference could be detected in terms of ankle range of motion, calf circumference measures and dynamometric analysis. Mean time for return to daily activities was 11.1 (8–16) weeks after surgery. Prerupture activity level was achieved 14.1 months postoperatively. All patients were able to perform heel raise test. Conclusion: Repair of neglected achilles tendon ruptures with gastrocnemius flaps has satisfactory long-term results.
dc.identifier.citationŞeker, A., Kara, A., Arma?an, R., Öç, Y., Varol, A. ve Sezer, H. B. (2016). Reconstruction of neglected achilles tendon ruptures with gastrocnemius flaps: excellent results in long-term follow-up. Archives of Orthopaedic and Trauma Surgery, 136(10), 1417-1423. https://dx.doi.org/10.1007/s00402-016-2506-9.
dc.identifier.doi10.1007/s00402-016-2506-9
dc.identifier.endpage1423
dc.identifier.issn0936-8051
dc.identifier.issue10
dc.identifier.scopusqualityQ1
dc.identifier.startpage1417
dc.identifier.urihttps://hdl.handle.net/20.500.12511/888
dc.identifier.urihttps://dx.doi.org/10.1007/s00402-016-2506-9
dc.identifier.volume136
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofArchives of Orthopaedic and Trauma Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAchilles Tendon
dc.subjectGastrocnemius Flap
dc.subjectNeglected
dc.subjectReconstruction
dc.subjectRupture
dc.titleReconstruction of neglected achilles tendon ruptures with gastrocnemius flaps: excellent results in long-term follow-up
dc.typeArticle

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