Reapir of the Torn Achilles Tendon, Using the Plantaris Tendon
10.4055/jkoa.1985.20.5.961
- Author:
Jae Do KANG
;
Man Ku YOU
;
Hong Jae YOO
;
Pil Seong HA
- Publication Type:Original Article
- Keywords:
Torn achilles tendon;
Plantaris tendon
- MeSH:
Achilles Tendon;
Ankle;
Humans;
Methods;
Postoperative Complications;
Surgeons;
Sutures;
Tendons
- From:The Journal of the Korean Orthopaedic Association
1985;20(5):961-966
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A major problem in the repair of the torn Achilles tendon has been providing the restoration of the anatomic continuity such that virtually normal plantar flexion power and ankle mobility result. Continuity should be restored without subsequent pain, disconfiguration, occupational limitations. If possible, postoperative complications, or tendon-rerupture should be avoided. Surgeons have long advocated the use of strips of facia and other tissues, including the plantaris tendon, to reinforce the repair of the torn Achilles tendon, The repair effected by these methods not infrequently is bulky and not too secure. Non-absorbable suture materials utilizing in the end to end anastomosis of the torn Achilles tendon cause sinus formation and discharge of suture materials. A secure method of repair for the tom Achilles tendon, which decreases sinus formation and is not bulky, should be required. The plantaris tendon, which has been used as a reinforcing material, can be utilized in the end-to-end anastomosis of the torn Achilles tendon by detaching from the muculotendinous junction. The 11 patients with the torn Achilles tendon were treated by end-to-end anastomosis using the plantaris tendon as suture material. The postoperative results were staisfactory without significant functional deficit and complication.
