Abstract

Objective: To evaluate the clinical and functional outcomes of acute Achilles tendon rupture or rerupture repaired with minimally invasive surgery and reinforcement with flexor hallucis longus transfer via posterior ankle arthroscopy in patients with poor compliance with follow-up. Methods: A retrospective study was conducted that evaluated five patients with more than 24 months of postoperative follow-up using the American Orthopaedic Foot and Ankle Society (AOFAS) scale, Victorian Institute of Sport Assessment-Achilles (VISA-A) scale, Achilles tendon total rupture score (ATRS), and visual analog scale (VAS) for pain, as well as the range of motion and flexion strength. Results: The mean scores on the VAS, AOFAS scale, and VISA-A scale and the ATRS were 0.6, 98, 98.2, and 100, respectively. The mean dorsiflexion range of motion was 4.8° on the operated side and 7.6° on the contralateral side. The mean plantar flexion strength was 24.02 kgf on the operated side and 24.64 kgf on the contralateral side. The flexion strength of the interphalangeal joint of the hallux was 13.94 kgf on the operated side and 17.6 kgf on the contralateral side. The patients had no functional complaints. Conclusion: The proposed surgical treatment had good clinical and functional outcomes in the evaluated patients. The surgical technique described may be a good alternative for treating patients with poor compliance diagnosed with acute tendon rupture or cases of rerupture. Level of Evidence IV; Therapeutic Studies; Case Series.

Highlights

  • Objective: To evaluate the clinical and functional outcomes of acute Achilles tendon rupture or rerupture repaired with minimally invasive surgery and reinforcement with flexor hallucis longus transfer via posterior ankle arthroscopy in patients with poor compliance with follow-up

  • The surgical technique described may be a good alternative for treating patients with poor compliance diagnosed with acute tendon rupture or cases of rerupture

  • A meta-analysis of randomised controlled trials comparing conventional to minimally invasive approaches for repair of an Achilles tendon rupture

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Summary

ARTIGO ORIGINAL

Thiago Coelho Paim Lima, Rodrigo Gonçalves Pagnano, Gustavo Eiji Nodu Sato, Carolina Lins, Mauro Cesar Mattos e Dinato. RESUMO Objetivo: Avaliar os resultados clínicos e funcionais de pacientes de perfil pouco colaborativo com ruptura aguda ou rerruptura do tendão calcâneo tratados com reparo minimamente invasivo e reforço com transferência do tendão flexor longo do hálux por meio de artroscopia posterior do tornozelo. Métodos: Estudo retrospectivo em que foram avaliados cinco pacientes com mais de 24 meses de seguimento pós-operatório, por meio dos questionários AOFAS, VISA-A, ATRS, escala visual analógica de dor, amplitude de movimento e força. A força de flexão da interfalangeana do hálux foi de 13,94 kgf no lado operado e 17,6 kgf no contralateral, porém os pacientes não apresentaram queixas funcionais. A técnica cirúrgica apresentada pode ser uma boa alternativa para tratamento de pacientes pouco colaborativos com diagnóstico de ruptura aguda do tendão calcâneo ou casos de rerruptura.

Conclusion
Descrição da técnica cirúrgica
Interfalangeana do hálux
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