The management of chronic rupture of the Achilles tendon: minimally invasive peroneus brevis tendon transfer

The Bone & Joint Journal
N MaffulliA Del Buono

Abstract

We hypothesised that a minimally invasive peroneus brevis tendon transfer would be effective for the management of a chronic rupture of the Achilles tendon. In 17 patients (three women, 14 men) who underwent minimally invasive transfer and tenodesis of the peroneus brevis to the calcaneum, at a mean follow-up of 4.6 years (2 to 7) the modified Achilles tendon total rupture score (ATRS) was recorded and the maximum circumference of the calf of the operated and contralateral limbs was measured. The strength of isometric plantar flexion of the gastrocsoleus complex and of eversion of the ankle were measured bilaterally. Functional outcomes were classified according to the four-point Boyden scale. At the latest review, the mean maximum circumference of the calf of the operated limb was not significantly different from the pre-operative mean value, (41.4 cm, 32 to 50 vs 40.6 cm, 33 to 46; p = 0.45), and not significantly less than that of the contralateral limb (43.1 cm, 35 to 52; p = 0.16). The mean peak torque (244.6 N, 125 to 367) and the strength of eversion of the operated ankle (149.1 N, 65 to 240) were significantly lower (p < 0.01) than those of the contralateral limb (mean peak torque 289, 145 to 419; strength of eversion: ...Continue Reading

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Citations

Jul 13, 2016·Archives of Orthopaedic and Trauma Surgery·Ali SekerHasan Basri Sezer
Mar 20, 2012·Clinics in Podiatric Medicine and Surgery·Nicholas J Bevilacqua
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Oct 31, 2017·The Open Orthopaedics Journal·Nicola MaffulliFrancesco Oliva
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Apr 21, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Osama GamalMohamed Kamal Mesregah
Aug 22, 2021·BMJ Case Reports·Shashank LambaAshish Kumar Gupta

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