Abstract
ObjectivesAchilles tendon rupture (ATR) in adults often results from sporting activities, especially in young adults. There is no consensus in the literature on the best treatment approach in the treatment of these ruptures. The objective of this study was to evaluate the clinical long-term results of the augmented ATR repair using the modified Lindholm procedure (MLP).MethodsPatients who underwent MLP due to ATR in the orthopedics and traumatology clinic of our hospital between 2007 and 2014 were retrospectively evaluated. Medical history of the patients was noted, and preoperative physical examination was routinely performed using the Thompson compression test. Patients’ demographic data such as age and gender, tendon rupture side, postoperative follow-up duration, and gap range values were recorded and evaluated.ResultsThe mean age of the patients was 29.43 ± 7.10 years. The mean postoperative follow-up duration was 50.1 ± 8.20 months. Of the patients, 16 were injured during football, 10 during basketball, 2 during volleyball, and the remaining 8 during other sporting activities. When Arner-Lindholm scores were evaluated during follow-up, excellent outcome was achieved in 30 patients and good outcome was achieved in 6 patients, whereas there was no patient with poor outcome. None of the patients developed tendon re-rupture. At the end of the fourth postoperative month, the range of ankle motion was 100% in all patients.ConclusionsIn patients with spontaneous AT tendon rupture, MLP seems to prevent the re-rupture in the long-term period and should be considered as a safe procedure to repair ATR.
Highlights
Achilles tendon (AT) is one of the most commonly ruptured tendons in the body and typically affects patients between 35 and 60 years of age [1]
When Arner-Lindholm scores were evaluated during followup, excellent outcome was achieved in 30 patients and good outcome was achieved in 6 patients, whereas there was no patient with poor outcome
In patients with spontaneous AT tendon rupture, modified Lindholm procedure (MLP) seems to prevent the re-rupture in the long-term period and should be considered as a safe procedure to repair AT rupture (ATR)
Summary
Achilles tendon (AT) is one of the most commonly ruptured tendons in the body and typically affects patients between 35 and 60 years of age [1]. AT rupture (ATR) in adults often result from spontaneous jumping activities, without specific traumatic event [2,3]. Surgical treatment became the mainstay for treating adults with ATR to avoid the risk of rerupture, AT incompetence, and gait disturbances [3,6,7]. Möller et al compared outcomes of non-operative and operative treatment of ATR in 112 patients and reported a higher rate of re-rupture in the non-operative group (11/53) compared with the operative group (1/59) [7]. Non-operative treatment has been preferred for the elderly patients [2]. Operative techniques can be classified into open and percutaneous ones [8,9,10,11]
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