Turning over rough surface of aponeurosis of gastrocnemius with fascia lata graft for Achilles tendon rerupture.
10.3969/j.issn.1003-0034.2019.08.008
- Author:
Hai-Jun MAO
1
;
Guang-Yue XU
2
,
3
Author Information
1. Department of Orthopaedics, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China.
2. Department of Orthopaedics, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China
3. 15366066188@163.com.
- Publication Type:Journal Article
- Keywords:
Achilles tendon;
Fascia lata;
Muscle, skeletal
- MeSH:
Achilles Tendon;
Adult;
Aponeurosis;
Fascia Lata;
Female;
Humans;
Male;
Middle Aged;
Rupture;
Tendon Injuries;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2019;32(8):717-720
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore clinical effects of turning over rough surface of aponeurosis of gastrocnemius with fascia graft for Achilles tendon rerupture.
METHODS:From July 2013 to April 2017, 11 patients with Achilles tendon reruptures were repaired by turning over rough surface of aponeurosis of gastrocnemius with fascia graft, including 10 males and 1 female aged from 25 to 48 years old. The patients were all manifested weakness of plantar flexion strength injured foot, and positive of single heel rise test before operation. Postoperative complications was observed, and AOFAS score at 6 months after operation was applied to evaluate clinical efficacy.
RESULTS:All patients were followed up for 6 to 11 months. All wound were healed at stage I without skin necrosis, wound infection, deep vein thrombosis and rerupture. The length of tendon defect ranged from 4 to 7 cm, the full weight-bearing time ranged from 8 to 11 weeks. Postoperative AOFAS score at 6 months was for 79 to 100, and 9 patients got excellent results, and 2 good.
CONCLUSIONS:For patients with recurrent ruptures of Achilles tendon, turning over rough surface of aponeurosis of gastrocnemius with fascia graft has advantages of stable repair, less complications and good recovery of function.
