%0 Journal Article
%T Augmented repair of acute tendo Achilles ruptures with gastrosoleus turn down flap
%A Demirel Murat
%A Turhan Egemen
%A Dereboy Ferit
%A Yazar Tarik
%J Indian Journal of Orthopaedics
%D 2011
%I Medknow Publications
%X Background: We present the results of primary repair of acute tendo Achilles (TA) rupture augmented with gastrosoleus turn down flap technique. Patients and Methods: 78 consecutive patients with a complete acute rupture of the Achilles tendon operated between 1993 and 2004 were included in study. We performed a modification of the Lindholm technique in which the primary Kessler suture repair of the tendon was augmented by a turn-down ~3 cm x 10 cm gastrosoleus aponeurosis flap. In all cases, a short-leg circular walking cast was applied at 90o of the ankle dorsiflexion for 3 weeks and all the patients were encouraged to full weightbearing ambulation immediately. After removal of the cast, isometric and isokinetic ankle exercises were performed for 3 weeks. Modified Rupp Score was used to evaluate the subjective satisfaction. Results: All of patients returned to daily activity and 54 (69%) of them returned to previous sport activity. The tendon repair failed in two patients and they were reoperated with an allograft. Three patients developed infection and one of them required d¦Ébridement. One developed deep venous thrombosis and two permanent sural nerve injuries were encountered. One of the patients had a severe skin necrosis, which was treated with rotation flap. The mean Rupp score was 29 (3-33). Conclusion: Primary repair of acute tendo Achilles rupture augment with gastrosoleus turn down flip technique in combination of immediate weightbearing ambulation provides a good outcome, but is associated with similar complication rates to the previous literature.
%K Tendo Achilles
%K rupture
%K augmented repair
%K gastrosoleus turn down flap
%U http://www.ijoonline.com/article.asp?issn=0019-5413;year=2011;volume=45;issue=1;spage=45;epage=52;aulast=Demirel