Assistant Professor, Department of Orthopaedic Surgery, Faculty of Medicine, Menoufia University, Shebin El-Kom, Menoufia, Egypt.
Professor, Department of Orthopaedic Surgery, Faculty of Medicine, Menoufia University, Shebin El-Kom, Menoufia, Egypt.
J Foot Ankle Surg. 2021 Sep-Oct;60(5):923-928. doi: 10.1053/j.jfas.2021.03.014. Epub 2021 Mar 24.
Acute Achilles tendon rupture is one of the most common tendon injuries. This prospective study aimed to evaluate the functional outcomes of augmented repair of acute Achilles tendon rupture with peroneus brevis tendon transfer and fixation to an oblique calcaneal transosseous tunnel. Functional evaluation was performed using the American Orthopaedic Foot & Ankle Society (AOFAS) score and Achilles Tendon Total Rupture Score (ATRS). Postoperative complications were recorded. This study included 33 males and 9 females, with a mean age of 26.1 ± 4.2 years. The Achilles tendon ruptures were right in 24 patients and left in 18 patients. The cause of rupture was sports injuries in all patients. The mean distance from the calcaneal insertion to the tear site was 4.4 ± 1.3 cm. The mean time from injury to surgery was 2.4 ± 1.6 days. The mean follow-up time was 40.3 ± 4.9 months. The mean AOFAS and ATRS scores were 99.3 ± 1.2 and 95.9 ± 1.9, respectively, at 12 months of follow-up. The mean time to return to work was 12.1 ± 1.2 weeks. The mean time to return to light sports activities was 16.1 ± 1.8 weeks postoperatively. None of the patients developed re-rupture. Augmented repair of acute Achilles tendon ruptures with peroneus brevis tendon transfer is a robust repair with excellent functional outcomes and early weight-bearing and return to sports activities.
急性跟腱断裂是最常见的肌腱损伤之一。本前瞻性研究旨在评估腓骨短肌腱转移和固定到斜向跟骨骨隧道增强修复急性跟腱断裂的功能结果。使用美国矫形足踝协会（AOFAS）评分和跟腱总断裂评分（ATRS）进行功能评估。记录术后并发症。本研究包括 33 名男性和 9 名女性，平均年龄 26.1 ± 4.2 岁。跟腱断裂在 24 名患者中为右侧，在 18 名患者中为左侧。所有患者的断裂原因均为运动损伤。跟腱止点到撕裂部位的平均距离为 4.4 ± 1.3cm。从损伤到手术的平均时间为 2.4 ± 1.6 天。平均随访时间为 40.3 ± 4.9 个月。随访 12 个月时，平均 AOFAS 和 ATRS 评分为 99.3 ± 1.2 和 95.9 ± 1.9。平均恢复工作时间为 12.1 ± 1.2 周。平均恢复轻体育活动时间为术后 16.1 ± 1.8 周。无患者发生再断裂。腓骨短肌腱转移增强修复急性跟腱断裂是一种强有力的修复方法，具有良好的功能结果和早期负重及恢复运动活动的能力。
