Anatomic reconstruction of neglected achilles tendon rupture with autogenous peroneal longus tendon by endoButton fixation

Chih Chien Wang, Leou Chyr Lin, Chao Kuei Hsu, Pei Hung Shen, Shiu Bii Lien, Su Yang Hwa, Ru Yu Pan, Chian Her Lee

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Neglected or chronic rupture of the Achilles tendon usually needs a reconstruction procedure. Many graft sources have been reported for this procedure, such as a proximal V-Y gastrocnemius tendon flap, flexor hallucis longus tendon, fascia lata, plantaris tendon, synthetic materials, and peroneus brevis. However, how to fix the graft at the calcaneal site remains controversial. Methods: An alternative technique to anatomically reconstruct the Achilles tendon using an autogenous peroneal longus tendon with EndoButton-CL fixation at the calcaneal site for treatment of a patient who had a chronic neglected rupture of the Achilles tendon is described. Results: The patient was allowed to begin gentle exercise, such as swimming and cycling 12 weeks after surgery, and encouraged to augment rehabilitation of hindfoot eversion and ankle plantar flexion. The ankle plantar flexion and hindfoot eversion strength was not reduced after active rehabilitation in 2.5 years of follow-up. ConclusionS: Our technique reuses two small central incisions, thus, preserving skin integrity as much as possible to reduce wound breakdown or infection. The management of chronic or neglected Achilles tendon rupture by autogenous peroneal longus tendon with EndoButton-CL fixation at the calcaneal site is an anatomic and safe, but technically demanding technique.

Original languageEnglish
Pages (from-to)1109-1112
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume67
Issue number5
DOIs
Publication statusPublished - 2009

Fingerprint

Achilles Tendon
Tendons
Rupture
Ankle
Rehabilitation
Fascia Lata
Transplants
Exercise
Skin
Wounds and Injuries
Infection

Keywords

  • Achilles tendon
  • Anatomic reconstruction
  • Chronic rupture
  • EndoButton CL
  • Peroneal longus

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Anatomic reconstruction of neglected achilles tendon rupture with autogenous peroneal longus tendon by endoButton fixation. / Wang, Chih Chien; Lin, Leou Chyr; Hsu, Chao Kuei; Shen, Pei Hung; Lien, Shiu Bii; Hwa, Su Yang; Pan, Ru Yu; Lee, Chian Her.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 67, No. 5, 2009, p. 1109-1112.

Research output: Contribution to journalArticle

Wang, Chih Chien ; Lin, Leou Chyr ; Hsu, Chao Kuei ; Shen, Pei Hung ; Lien, Shiu Bii ; Hwa, Su Yang ; Pan, Ru Yu ; Lee, Chian Her. / Anatomic reconstruction of neglected achilles tendon rupture with autogenous peroneal longus tendon by endoButton fixation. In: Journal of Trauma - Injury, Infection and Critical Care. 2009 ; Vol. 67, No. 5. pp. 1109-1112.
@article{11a9a4638e114309b801e18d9ef429eb,
title = "Anatomic reconstruction of neglected achilles tendon rupture with autogenous peroneal longus tendon by endoButton fixation",
abstract = "Background: Neglected or chronic rupture of the Achilles tendon usually needs a reconstruction procedure. Many graft sources have been reported for this procedure, such as a proximal V-Y gastrocnemius tendon flap, flexor hallucis longus tendon, fascia lata, plantaris tendon, synthetic materials, and peroneus brevis. However, how to fix the graft at the calcaneal site remains controversial. Methods: An alternative technique to anatomically reconstruct the Achilles tendon using an autogenous peroneal longus tendon with EndoButton-CL fixation at the calcaneal site for treatment of a patient who had a chronic neglected rupture of the Achilles tendon is described. Results: The patient was allowed to begin gentle exercise, such as swimming and cycling 12 weeks after surgery, and encouraged to augment rehabilitation of hindfoot eversion and ankle plantar flexion. The ankle plantar flexion and hindfoot eversion strength was not reduced after active rehabilitation in 2.5 years of follow-up. ConclusionS: Our technique reuses two small central incisions, thus, preserving skin integrity as much as possible to reduce wound breakdown or infection. The management of chronic or neglected Achilles tendon rupture by autogenous peroneal longus tendon with EndoButton-CL fixation at the calcaneal site is an anatomic and safe, but technically demanding technique.",
keywords = "Achilles tendon, Anatomic reconstruction, Chronic rupture, EndoButton CL, Peroneal longus",
author = "Wang, {Chih Chien} and Lin, {Leou Chyr} and Hsu, {Chao Kuei} and Shen, {Pei Hung} and Lien, {Shiu Bii} and Hwa, {Su Yang} and Pan, {Ru Yu} and Lee, {Chian Her}",
year = "2009",
doi = "10.1097/TA.0b013e3181a73f02",
language = "English",
volume = "67",
pages = "1109--1112",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Anatomic reconstruction of neglected achilles tendon rupture with autogenous peroneal longus tendon by endoButton fixation

AU - Wang, Chih Chien

AU - Lin, Leou Chyr

AU - Hsu, Chao Kuei

AU - Shen, Pei Hung

AU - Lien, Shiu Bii

AU - Hwa, Su Yang

AU - Pan, Ru Yu

AU - Lee, Chian Her

PY - 2009

Y1 - 2009

N2 - Background: Neglected or chronic rupture of the Achilles tendon usually needs a reconstruction procedure. Many graft sources have been reported for this procedure, such as a proximal V-Y gastrocnemius tendon flap, flexor hallucis longus tendon, fascia lata, plantaris tendon, synthetic materials, and peroneus brevis. However, how to fix the graft at the calcaneal site remains controversial. Methods: An alternative technique to anatomically reconstruct the Achilles tendon using an autogenous peroneal longus tendon with EndoButton-CL fixation at the calcaneal site for treatment of a patient who had a chronic neglected rupture of the Achilles tendon is described. Results: The patient was allowed to begin gentle exercise, such as swimming and cycling 12 weeks after surgery, and encouraged to augment rehabilitation of hindfoot eversion and ankle plantar flexion. The ankle plantar flexion and hindfoot eversion strength was not reduced after active rehabilitation in 2.5 years of follow-up. ConclusionS: Our technique reuses two small central incisions, thus, preserving skin integrity as much as possible to reduce wound breakdown or infection. The management of chronic or neglected Achilles tendon rupture by autogenous peroneal longus tendon with EndoButton-CL fixation at the calcaneal site is an anatomic and safe, but technically demanding technique.

AB - Background: Neglected or chronic rupture of the Achilles tendon usually needs a reconstruction procedure. Many graft sources have been reported for this procedure, such as a proximal V-Y gastrocnemius tendon flap, flexor hallucis longus tendon, fascia lata, plantaris tendon, synthetic materials, and peroneus brevis. However, how to fix the graft at the calcaneal site remains controversial. Methods: An alternative technique to anatomically reconstruct the Achilles tendon using an autogenous peroneal longus tendon with EndoButton-CL fixation at the calcaneal site for treatment of a patient who had a chronic neglected rupture of the Achilles tendon is described. Results: The patient was allowed to begin gentle exercise, such as swimming and cycling 12 weeks after surgery, and encouraged to augment rehabilitation of hindfoot eversion and ankle plantar flexion. The ankle plantar flexion and hindfoot eversion strength was not reduced after active rehabilitation in 2.5 years of follow-up. ConclusionS: Our technique reuses two small central incisions, thus, preserving skin integrity as much as possible to reduce wound breakdown or infection. The management of chronic or neglected Achilles tendon rupture by autogenous peroneal longus tendon with EndoButton-CL fixation at the calcaneal site is an anatomic and safe, but technically demanding technique.

KW - Achilles tendon

KW - Anatomic reconstruction

KW - Chronic rupture

KW - EndoButton CL

KW - Peroneal longus

UR - http://www.scopus.com/inward/record.url?scp=73649122817&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=73649122817&partnerID=8YFLogxK

U2 - 10.1097/TA.0b013e3181a73f02

DO - 10.1097/TA.0b013e3181a73f02

M3 - Article

AN - SCOPUS:73649122817

VL - 67

SP - 1109

EP - 1112

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 5

ER -