Primary plasty of an Achilles tendon by plantar muscle tendon (clinical case)

Patient T., 43 years old arrived in clinic with complaints to the pains in lower thir of the right shin, limitation of movements in right ankle joint, inability of using right lower extremity. An. operative treatment was realized in clinic: suture of rupture of Achilles tendon by Cuneo with plastics...

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Main Authors: N. S. Ponomarenko, I. A. Kuklin, N. V. Tishkov, L. A. Zimina, A. V. Semenov, A. P. Zaytsev, A. S. Bubnov
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2013-02-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/1408
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author N. S. Ponomarenko
I. A. Kuklin
N. V. Tishkov
L. A. Zimina
A. V. Semenov
A. P. Zaytsev
A. S. Bubnov
author_facet N. S. Ponomarenko
I. A. Kuklin
N. V. Tishkov
L. A. Zimina
A. V. Semenov
A. P. Zaytsev
A. S. Bubnov
author_sort N. S. Ponomarenko
collection DOAJ
description Patient T., 43 years old arrived in clinic with complaints to the pains in lower thir of the right shin, limitation of movements in right ankle joint, inability of using right lower extremity. An. operative treatment was realized in clinic: suture of rupture of Achilles tendon by Cuneo with plastics by the tendon of long plantar muscle. In 4 weeks plaster immobilization was removed, the patient started measured loading of operated extremity with additional cane support. In 6 weeks full load on operated extremity was allowed and the patient returned to work. In 2 months patient received repeated trauma. During the examination local painfulness in the area of operative intervention was revealed. At the palpation it was revealed that integrity of plantar muscle tendon isn't broken. Control MRR of right shin was made: as the result of control examination the injury of plantar muscle tendon wasn't revealed. Immobilization of operated extremity in neutral position of a foot by functional brace was recommended to the patient. Measured, loading with additional additional cane support was approved. In 2 weeks the immobilization was removed, function of operated extremity is fully restored. Conclusion: if proposed method allows to start earlier loadings and. to decrease possibility of repeated rupture of reconstructed plantar muscle tendon in the most active period of rehabilitation.
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spelling doaj.art-c03ae6ef69ac4af4baf17b7876fa865b2024-03-28T07:49:09ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962013-02-010174791354Primary plasty of an Achilles tendon by plantar muscle tendon (clinical case)N. S. Ponomarenko0I. A. Kuklin1N. V. Tishkov2L. A. Zimina3A. V. Semenov4A. P. Zaytsev5A. S. Bubnov6ФГБУ «Научный центр реконструктивной и восстановительной хирургии» СО РАМНФГБУ «Научный центр реконструктивной и восстановительной хирургии» СО РАМНФГБУ «Научный центр реконструктивной и восстановительной хирургии» СО РАМНГБУЗ Иркутское областное бюро судебно-медицинской экспертизы; ГБОУ ВПО «Иркутский государственный медицинский университет» Минздрава РФГБУЗ Иркутское областное бюро судебно-медицинской экспертизыГБУЗ Иркутское областное бюро судебно-медицинской экспертизы; ГБОУ ВПО «Иркутский государственный медицинский университет» Минздрава РФФГБУ ВПО «Национальный исследовательский Иркутский государственный технический университет»Patient T., 43 years old arrived in clinic with complaints to the pains in lower thir of the right shin, limitation of movements in right ankle joint, inability of using right lower extremity. An. operative treatment was realized in clinic: suture of rupture of Achilles tendon by Cuneo with plastics by the tendon of long plantar muscle. In 4 weeks plaster immobilization was removed, the patient started measured loading of operated extremity with additional cane support. In 6 weeks full load on operated extremity was allowed and the patient returned to work. In 2 months patient received repeated trauma. During the examination local painfulness in the area of operative intervention was revealed. At the palpation it was revealed that integrity of plantar muscle tendon isn't broken. Control MRR of right shin was made: as the result of control examination the injury of plantar muscle tendon wasn't revealed. Immobilization of operated extremity in neutral position of a foot by functional brace was recommended to the patient. Measured, loading with additional additional cane support was approved. In 2 weeks the immobilization was removed, function of operated extremity is fully restored. Conclusion: if proposed method allows to start earlier loadings and. to decrease possibility of repeated rupture of reconstructed plantar muscle tendon in the most active period of rehabilitation.https://www.actabiomedica.ru/jour/article/view/1408achilles tendonlong plantar muscle tendonplasty
spellingShingle N. S. Ponomarenko
I. A. Kuklin
N. V. Tishkov
L. A. Zimina
A. V. Semenov
A. P. Zaytsev
A. S. Bubnov
Primary plasty of an Achilles tendon by plantar muscle tendon (clinical case)
Acta Biomedica Scientifica
achilles tendon
long plantar muscle tendon
plasty
title Primary plasty of an Achilles tendon by plantar muscle tendon (clinical case)
title_full Primary plasty of an Achilles tendon by plantar muscle tendon (clinical case)
title_fullStr Primary plasty of an Achilles tendon by plantar muscle tendon (clinical case)
title_full_unstemmed Primary plasty of an Achilles tendon by plantar muscle tendon (clinical case)
title_short Primary plasty of an Achilles tendon by plantar muscle tendon (clinical case)
title_sort primary plasty of an achilles tendon by plantar muscle tendon clinical case
topic achilles tendon
long plantar muscle tendon
plasty
url https://www.actabiomedica.ru/jour/article/view/1408
work_keys_str_mv AT nsponomarenko primaryplastyofanachillestendonbyplantarmuscletendonclinicalcase
AT iakuklin primaryplastyofanachillestendonbyplantarmuscletendonclinicalcase
AT nvtishkov primaryplastyofanachillestendonbyplantarmuscletendonclinicalcase
AT lazimina primaryplastyofanachillestendonbyplantarmuscletendonclinicalcase
AT avsemenov primaryplastyofanachillestendonbyplantarmuscletendonclinicalcase
AT apzaytsev primaryplastyofanachillestendonbyplantarmuscletendonclinicalcase
AT asbubnov primaryplastyofanachillestendonbyplantarmuscletendonclinicalcase