Reconstruction of a chronically ruptured Achilles tendon using an internal brace: a case report

Journal of Medical Case Reports
Shuichi ChidaYoichi Shimada

Abstract

We reconstructed a chronically ruptured Achilles tendon and the associated scar tissue using braided polyblend polyethylene sutures (FiberWire; Arthrex Inc.; Naples, FL, USA) and anchors. A 68-year-old Japanese man, who was being treated for right Achilles tendinosis, felt pain in his Achilles tendon when walking and started to find plantar flexion of his ankle joint difficult. As his symptoms persisted, he visited us after 4 weeks. Surgery and orthotic therapy were recommended, but he did not want to undergo these treatments. However, he began to find walking difficult and so underwent surgery 6 months after suffering the injury. The interior of the tendon was curetted, and the ruptured region was subjected to plication using the surrounding scar tissue. Using the percutaneous Achilles repair system (Arthrex Inc.), FiberWire sutures were inserted, and two skin incisions were made on the medial and lateral sides of his calcaneus in the region surrounding the Achilles tendon attachment. SutureLasso (Arthrex Inc.) was passed through, and the proximal FiberWire suture was relayed and fixed with 4.75-mm SwiveLock (Arthrex Inc.). After surgery, his foot was fixed in plaster at 20° plantar flexion of his ankle joint. The plaster was ...Continue Reading

References

Apr 1, 2000·Acta Orthopaedica Scandinavica·T YasudaY Shibayama
Sep 30, 2005·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hisateru NikiShinobu Tatsunami
Feb 13, 2007·The American Journal of Sports Medicine·Toshito YasudaRyuzo Okuda
Jul 22, 2016·Foot & Ankle International·James R McWilliam, Gordon Mackay
Jul 22, 2016·The Journal of Bone and Joint Surgery. American Volume·Toshito YasudaMasashi Neo

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