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Lindholm 방법을 이용한 진구성 아킬레스 건 파열의 치료

Treatment of the Chronic Achilles Tendon Rupture by Lindholm Method

최성필|주인탁|이호진
대한족부족관절학회 (korean foot and ankle society)|2009.06|대한족부족관절학회지 (journal of korean foot and ankle society)|제13권 제1호|pp. 28-33

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참고문헌

키워드

Achilles tendonChronic ruptureLindholm method

초록

Purpose: This retrospective study was designed to evaluate the treatment results of chronic Achilles tendon rupture by Lindholm method. Materials and Methods: Between 2002 and 2006, we performed the reconstruction of the Achilles tendon by using of the gatrocnemius-sloeus fascia known as Lindholm method. Ten cases of ten patients were enrolled in this study (8 men and 2 women). The mean age of the patients at the time of operation was 49 years (range, 32~66 years). The mean follow-up duration was 15.2 months (range, 12~19 months). The retrospective review of the clinical history, physical examination, the American Orthopedic Foot and Ankle Society (AOFAS) score were conducted. Results: The mean AOFAS score before surgery was 74.10±2.56 and that of the latest follow-up was 90.60±5.72. The excellent results were six and good results were four patients. Eight patients were normal triceps power and the others were good. The average of heel to floor distance was 4.5 mm less in the operated legs than the contralateral ones in each patient, but there was no significant difference (p>0.05). The average of calf muscle circumference in the mid-leg was 7.5 mm less in the operated legs than the contralateral ones and there was significant difference (p<0.05). The active range of motion of the ankles, mean plantarflexion was 40 degrees and dorsiflexion was 16.8 degrees in operated side. The contralateral side was 43 degrees in plantarflexion and 19 degrees in dorsiflexion. No case showed rerupture of the reconstructed Achilles tendon. One patient had the superficial wound infection which was treated successfully by antibiotic therapy. Conclusion: It was suggested that the overall results of Lindholm method for the chronic Achilles tendon rupture indicated satisfactory outcomes.

Abstract

Purpose: This retrospective study was designed to evaluate the treatment results of chronic Achilles tendon rupture by Lindholm method. Materials and Methods: Between 2002 and 2006, we performed the reconstruction of the Achilles tendon by using of the gatrocnemius-sloeus fascia known as Lindholm method. Ten cases of ten patients were enrolled in this study (8 men and 2 women). The mean age of the patients at the time of operation was 49 years (range, 32~66 years). The mean follow-up duration was 15.2 months (range, 12~19 months). The retrospective review of the clinical history, physical examination, the American Orthopedic Foot and Ankle Society (AOFAS) score were conducted. Results: The mean AOFAS score before surgery was 74.10±2.56 and that of the latest follow-up was 90.60±5.72. The excellent results were six and good results were four patients. Eight patients were normal triceps power and the others were good. The average of heel to floor distance was 4.5 mm less in the operated legs than the contralateral ones in each patient, but there was no significant difference (p>0.05). The average of calf muscle circumference in the mid-leg was 7.5 mm less in the operated legs than the contralateral ones and there was significant difference (p<0.05). The active range of motion of the ankles, mean plantarflexion was 40 degrees and dorsiflexion was 16.8 degrees in operated side. The contralateral side was 43 degrees in plantarflexion and 19 degrees in dorsiflexion. No case showed rerupture of the reconstructed Achilles tendon. One patient had the superficial wound infection which was treated successfully by antibiotic therapy. Conclusion: It was suggested that the overall results of Lindholm method for the chronic Achilles tendon rupture indicated satisfactory outcomes.

참고문헌 (38)

  1. Abraham E, "Neglected rupture of the Achilles tendon: Treatment by V-Y tendinous flap", J Bone Joint Surg, 57-A, pp.253~255 (1975)
  2. Azar FM, "Traumatic disorder. in: Campell’s operative othopaedics. 10th ed", pp.2463~2467 (2003), Mosby Inc
  3. Besse JL, "Achilles tendon repair using a bone-tendon graft harvested from the knee extensor system: three cases", J Foot Ankle Surg, 38, pp.70~74 (1999)
  4. Bosworth DM, "Repair of defects in the tendo achilles", J Bone Joint Surg, 38-A, pp.111~114 (1956)
  5. Bugg EI, "Repair of neglected rupture or laceration of the Achilles tendon", Clin Orthop, 56, pp.73~75 (1968)
  6. Choksey A, "Repair of neglected Achilles tendon rupture with Marlex mesh", Injury, 27, pp.215~217 (1996)
  7. Elftman H, "Biomechanics of muscle with particular application to the studies of gait", J Bone Joint Surg, 48-A, pp.363~377 (1966)
  8. Garabito A, "Augmented repair of acute Achilles tendon ruptures using gastrocnemius-soleus fascia", Int Orthop, 29, pp.42~46 (2005)
  9. Gabel S, "Neglected rupture of the Achilles tendon", Foot Ankle Int, 15, pp.512~517 (1994)
  10. Gerdes MH, "A Flap augmentation technique for Achilles tendon repair", Clin Orthop, 280, pp.241~246 (1992)
  11. Howard CB, "Late repair of the calcaneal tendon with carbon fibre", J Bone Joint Surg, 66-B, pp.206~208 (1984)
  12. Inglis AE, "Ruptures of the tendo Achilles: An objective assessment of surgical and nonsurgical treatment", J Bone Joint Surg, 58-A, pp.990~993 (1976)
  13. Kato YP, "Regeneration of Achilles tendon with a collagen tendon prosthesis. Results of a one-year implantation study", J Bone Joint Surg, 73-A, pp.561~573 (1991)
  14. Leitner A, "Treatment of extensive aseptic defect in old Achilles tendon ruptures", Foot Ankle, 13, pp.176~180 (1992)
  15. Kissel CG, "Repair of neglected Achilles tendon ruptures: procedure and functional results", J Foot Ankle Surg, 33, pp.46~52 (1994)
  16. Lee YS, "Reconstruction of neglected Achilles tendon rupture: the modified Bosworth technique", Orthopedics, 28, pp.647~650 (2005)
  17. Leppilahti J, "Total Achilles tendon rupture. A review", Sports Med, 25, pp.79~100 (1998)
  18. Leppilahti J, "Relationship between calf muscle size and strength after achilles rupture repair", Foot Ankle Int, 21, pp.330~335 (2000)
  19. Leslie HD, "Neglected rupture of the Achilles tendon", Foot Ankle Clin, 10, pp.357~370 (2005)
  20. Levy M, "A method of repair for Achilles tendon ruptures without cast immobilization. Preliminary report", Clin Orthop, 187, pp.199~204 (1984)
  21. Lieberman JR, "Repair of Achilles tendon ruptures with Dacron vascular graft", Clin Orthop, 234, pp.204~208 (1988)
  22. Lindholm A, "A new method of operation in subcutaneous rupture of the Achilles tendon", Acta Chir Scand, 117, pp.261~270 (1959)
  23. Lynn TA, "Repair of the torn Achilles tendon, using the plantaris tendon as a reinforcing membrane", J Bone Joint Surg, 48-A, pp.268~272 (1966)
  24. Maffulli N, "Rupture of the Achilles tendon", J Bone Joint Surg, 81-A, pp.1019~1036 (1999)
  25. Magee DJ, "Orthopedic physical assessment. 3rd ed", pp.629~630 (1997), Saunders Co
  26. Mann RA, "Chronic rupture of the Achilles tendon: a new techniqueof repair", J Bone Joint Surg, 73-A, pp.214~219 (1991)
  27. Mendicino SS, "Repair of neglected Achilles tendon ruptures with a triceps surae muscle tendon advancement", J Foot Ankle Surg, 35, pp.13~18 (1996)
  28. Miskulin M, "Neglected rupture of the Achilles tendon treated peroneus brevis transfer: a functional assessment of 5 cases", J Foot Ankle Surg, 44, pp.49~56 (2005)
  29. Ozaki J, "Reconstruction of neglected Achilles tendon rupture with Marlex mesh", Clin Othop, 238, pp.204~208 (1989)
  30. Parsons JR, "Long-term follow-up of achilles tendon repair with an absorbable polymer carbon fiber composite", Foot Ankle, 9, pp.179~184 (1989)
  31. Porter DA, "Primary repair without augmentation for early neglected Achilles tendon ruptures in recreational athlete", Foot Ankle Int, 18, pp.557~564 (1997)
  32. Ralston E, "Repair of ruptured Achilles tendon", J Trauma, 11, pp.15~21 (1971)
  33. Rutherford OM, "Long-lasting unilateral muscle wasting and weakness following injury and immobilisation", Scand J Rehabil Med, 22, pp.33~37 (1990)
  34. Takao M, "Repair of neglected Achilles tendon rupture using gastrocnemius fascial flaps", Arch Orthop Trauma Surg, 123, pp.471~474 (2003)
  35. Teuffer AP, "Traumatic rupture of the Achilles tendon. Recon struction by transplant and graft using the lateral peroneus brevis", Orthop Clin North Am, 5, pp.89~93 (1974)
  36. Turco VJ, "Achilles tendon ruptures- peroneus bervis transfer", Foot Ankle, 7, pp.253~259 (1987)
  37. Wapner KL, "Repair of chronic Achilles tendon rupture with flexor hallucis longus tendon transfer", Foot Ankle, 14, pp.443~449 (1993)
  38. Wilcox DK, "Treatment of chronic Achilles tendon disorder with flexor hallucis longus tendon transfer", augmentation, 2000, pp.21, 1004~1010

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