Abstract
Ruptures of the calcaneal tendon, when neglected, cause marked disturbance to gait and support at the tip of the foot. Most causes of pain in this region are related to overload injuries. Previous studies have shown that surgical treatment is the best option for chronic injuries. The purpose of this report is to describe a new endoscopic surgical technique used for treatment of chronic injury of the calcaneal tendon by reconstruction with flexor hallucis longus tendon transfer and fixation with an interference screw at the calcaneus in an elderly diabetic patient with signs of Achilles insertional tendinopathy. Level of Evidence V; Therapeutic studies; Expert opinion.
Highlights
Ruptures of the calcaneal tendon, when neglected, cause marked disturbance to gait and support at the tip of the foot
The purpose of this report is to describe a new endoscopic surgical technique used for treatment of chronic injury of the calcaneal tendon by reconstruction with flexor hallucis longus tendon transfer and fixation with an interference screw at the calcaneus in an elderly diabetic patient with signs of Achilles insertional tendinopathy
As vantagens de utilização do flexor longo do hálux (FLH) incluem a de ser o segundo flexor plantar mais forte após o complexo gastrocnêmiosolear, proximidade anatômica com ventre muscular vascularizado e força contrátil no mesmo eixo do tendão calcâneo, além de facilidade técnica de transferência[1]
Summary
Abstract Ruptures of the calcaneal tendon, when neglected, cause marked disturbance to gait and support at the tip of the foot. O objetivo deste relato é descrever uma nova opção de técnica cirúrgica endoscópica para tratamento de lesão crônica do tendão calcâneo reconstruído com transferência do tendão flexor longo do hálux e fixado com parafuso de interferência no calcâneo em paciente idosa diabética que apresentava sinais de tendinopatia insercional do Aquiles. Tratamento da lesão crônica associada à tendinopatia insercional do aquiles com auxílio da artroscopia posterior do tornozelo.
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