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TREATMENT OF OLD ACHILLES TENDON RUPTURES
- Authors: Koryshkov N.A.1, Platonov S.M.2, Larionov S.V.3, Matveeva N.Y.1, Koryshkova L.V.4
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Affiliations:
- Central Institute of Traumatology and Orthopaedics, Moscow
- Clinical Hospital of Emergency Care, Yaroslavl
- Yaroslavl State Medical Academy, Yaroslavl
- Road Hospital OAO “RZD”, St. - Petersburg
- Issue: Vol 18, No 2 (2012)
- Pages: 34-40
- Section: Clinical studies
- URL: https://journal.rniito.org/jour/article/view/241
- DOI: https://doi.org/10.21823/2311-2905-2012--2-34-40
- ID: 241
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Abstract
From 1998 to 2010 32 patients (14 men, 18 women), aged 15-65 years, underwent surgical treatment for old Achilles tendon rupture. In all cases correct diagnosis was made not earlier than 1 month after injury. The importance of clinical Thompson test and sonographic examination for diagnosis of Achilles tendon rupture is underlined. For the restoration of Achilles tendon V-Y plasty was used. Surgery was performed in a period of 1 to 13 months in patients with subcutaneous Achilles tendon ruptures. Follow-up results of patients in the postoperative period ranged from 6 months to 10 years (mean follow-up 1 year 7 months). Date of observation in the postoperative period ranged from 6 months to 19 years. Marginal necrosis wound occurred in 3 (10%) patients, re-rupture of the Achilles tendon to tendon suture zone - in one patient, even in one patient on day 14 became infected. Violations of the foot innervation were no detected.
About the authors
N. A. Koryshkov
Central Institute of Traumatology and Orthopaedics, Moscow
Author for correspondence.
Email: nik-koryshkov@yandex.ru
Russian Federation
S. M. Platonov
Clinical Hospital of Emergency Care, Yaroslavl
Email: noemail@neicon.ru
Russian Federation
S. V. Larionov
Yaroslavl State Medical Academy, Yaroslavl
Email: rector@yma.ac.ru
Russian Federation
N. Y. Matveeva
Central Institute of Traumatology and Orthopaedics, Moscow
Email: cito@cito-priorov.ru
Russian Federation
L. V. Koryshkova
Road Hospital OAO “RZD”, St. - Petersburg
Email: nik-koryshkov@yandex.ru
Russian Federation
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