Sport and physical activities in patients with Chronic Achilles tendon rupture reconstruction using flexor hallucis longus transfer
Category: Sports Introduction/Purpose: Neglected or chronic Achilles tendon ruptures can be significantly disabling to patients if the muscle-tendon unit is stretched beyond its normal passive limit. Chronic rupture of the Achilles tendon (delayed diagnosis of more than 4 weeks) can result in retrac...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-09-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011418S00332 |
| _version_ | 1819153767855030272 |
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| author | Luigi Manzi MD Camilla Maccario MD Ariel Palanca MD Claudia Di Silvestri MD Federico Giuseppe Usuelli MD |
| author_facet | Luigi Manzi MD Camilla Maccario MD Ariel Palanca MD Claudia Di Silvestri MD Federico Giuseppe Usuelli MD |
| author_sort | Luigi Manzi MD |
| collection | DOAJ |
| description | Category: Sports Introduction/Purpose: Neglected or chronic Achilles tendon ruptures can be significantly disabling to patients if the muscle-tendon unit is stretched beyond its normal passive limit. Chronic rupture of the Achilles tendon (delayed diagnosis of more than 4 weeks) can result in retraction of the tendon and inadequate healing. Direct repair may not be possible and clinical results may not be satisfactory especially if the distal stump is grossly tendinopathic and when the defect exceeds 5-6 cm. Methods: We evaluated 9 patients (mean age 63) who underwent flexor hallucis longus transfer for treatment of chronic Achilles tendinopathy between May 2014 and January 2017 at a 12 months follow-up. Our results were measured with the SF-12 survey, AOFAS Ankle-Hindfoot Scale and VAS. Activity levels were determined using the Halasi ankle activity scale and the UCLA score obtained preoperatively and 12 months after surgery. Wound complications and tip-toe stance were also assessed. Results: All patients had a significant improvement of AOFAS, VAS and SF-12 scores. The Halasi activity scale and UCLA score were 5.8 and 8.2 respectively 12 months after surgery. Patient reported outcome measures consistently demonstrated improvement in clinical putcomes at 12 months follow-up. The patients went back to full daily function, could single leg heel raise and were gradually returning to sport. No major complications were recorded. Conclusion: Reconstruction of chronic tears of the Achilles tendon with flexor hallucis longus transfer can achieve satisfactory improvements in clinical outcomes at 1 year follow-up. |
| first_indexed | 2024-12-22T15:10:25Z |
| format | Article |
| id | doaj.art-3424a4059bde4d85a952a2efbc0714e9 |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-22T15:10:25Z |
| publishDate | 2018-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-3424a4059bde4d85a952a2efbc0714e92022-12-21T18:21:53ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142018-09-01310.1177/2473011418S00332Sport and physical activities in patients with Chronic Achilles tendon rupture reconstruction using flexor hallucis longus transferLuigi Manzi MDCamilla Maccario MDAriel Palanca MDClaudia Di Silvestri MDFederico Giuseppe Usuelli MDCategory: Sports Introduction/Purpose: Neglected or chronic Achilles tendon ruptures can be significantly disabling to patients if the muscle-tendon unit is stretched beyond its normal passive limit. Chronic rupture of the Achilles tendon (delayed diagnosis of more than 4 weeks) can result in retraction of the tendon and inadequate healing. Direct repair may not be possible and clinical results may not be satisfactory especially if the distal stump is grossly tendinopathic and when the defect exceeds 5-6 cm. Methods: We evaluated 9 patients (mean age 63) who underwent flexor hallucis longus transfer for treatment of chronic Achilles tendinopathy between May 2014 and January 2017 at a 12 months follow-up. Our results were measured with the SF-12 survey, AOFAS Ankle-Hindfoot Scale and VAS. Activity levels were determined using the Halasi ankle activity scale and the UCLA score obtained preoperatively and 12 months after surgery. Wound complications and tip-toe stance were also assessed. Results: All patients had a significant improvement of AOFAS, VAS and SF-12 scores. The Halasi activity scale and UCLA score were 5.8 and 8.2 respectively 12 months after surgery. Patient reported outcome measures consistently demonstrated improvement in clinical putcomes at 12 months follow-up. The patients went back to full daily function, could single leg heel raise and were gradually returning to sport. No major complications were recorded. Conclusion: Reconstruction of chronic tears of the Achilles tendon with flexor hallucis longus transfer can achieve satisfactory improvements in clinical outcomes at 1 year follow-up.https://doi.org/10.1177/2473011418S00332 |
| spellingShingle | Luigi Manzi MD Camilla Maccario MD Ariel Palanca MD Claudia Di Silvestri MD Federico Giuseppe Usuelli MD Sport and physical activities in patients with Chronic Achilles tendon rupture reconstruction using flexor hallucis longus transfer Foot & Ankle Orthopaedics |
| title | Sport and physical activities in patients with Chronic Achilles tendon rupture reconstruction using flexor hallucis longus transfer |
| title_full | Sport and physical activities in patients with Chronic Achilles tendon rupture reconstruction using flexor hallucis longus transfer |
| title_fullStr | Sport and physical activities in patients with Chronic Achilles tendon rupture reconstruction using flexor hallucis longus transfer |
| title_full_unstemmed | Sport and physical activities in patients with Chronic Achilles tendon rupture reconstruction using flexor hallucis longus transfer |
| title_short | Sport and physical activities in patients with Chronic Achilles tendon rupture reconstruction using flexor hallucis longus transfer |
| title_sort | sport and physical activities in patients with chronic achilles tendon rupture reconstruction using flexor hallucis longus transfer |
| url | https://doi.org/10.1177/2473011418S00332 |
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