The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Kotelnikov G.P.

Samara State Medical University

Ardatov S.V.

Samara State Medical University

Kim Yu.D.

Samara State Medical University

Shitikov D.S.

Samara State Medical University

A new method of surgical treatment of patients with chronic distal Achilles tendon rupture

Authors:

Kotelnikov G.P., Ardatov S.V., Kim Yu.D., Shitikov D.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(1): 62‑68

DOI: 10.17116/hirurgia202101162

Views: 3942

Downloaded: 82

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Kotelnikov GP, Ardatov SV, Kim YuD, Shitikov DS. A new method of surgical treatment of patients with chronic distal Achilles tendon rupture. Pirogov Russian Journal of Surgery. 2021;(1):62‑68. (In Russ.)
https://doi.org/10.17116/hirurgia202101162

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Close metadata

OBJECTIVE

To improve postoperative outcomes in patients with distal Achilles tendon rupture by using of a new method of surgical treatment.

MATERIAL AND METHODS

The authors proposed a new method to restore the Achilles tendon for its distal rupture (within 2 cm from attachment to the calcaneus). This approach implies forming a canal in the calcaneus and minimally invasive harvesting of the plantar tendon. At the next stage, the plantar tendon is passed through the canal of the calcaneus in U-shaped fashion and proximal part of Achilles tendon with maximum approximation of its fragments and imposing of interrupted sutures on the plantar and Achilles tendons to hold the position. The end of plantar tendon is used to reinforce damaged area. The schemes and surgical stages are shown in the figures. We reported a patient with distal Achilles tendon rupture and postoperative outcome.

RESULTS

An above-mentioned approach was applied in 26 patients. The control group consisted of 21 patients who underwent recovery with anchor fixers. Early and long-term postoperative results, as well as adverse events were analyzed in both groups. Biomechanical parameters of gait were evaluated from the standpoint of evidence-based medicine using podography and functional myography. We confirmed an advantage of treatment in the main group.

Keywords:

achilles tendon
Achilles tendon suture
distal tendon rupture

Authors:

Kotelnikov G.P.

Samara State Medical University

Ardatov S.V.

Samara State Medical University

Kim Yu.D.

Samara State Medical University

Shitikov D.S.

Samara State Medical University

Received:

08.11.2019

Accepted:

28.03.2020

List of references:

  1. Gritsyuk AA, Sereda AP. Achilles tendon. M.: Academy of natural Sciences; 2010. (In Russ.).
  2. Maffulli N, Oliva F, Maffulli GD, Giai Via A, Gougoulias N. Minimally Invasive Achilles Tendon Stripping for the Management of Tendinopathy of the Main Body of the Achilles Tendon. J Foot Ankle Surg. 2017. https://doi.org/10.1053/j.jfas.2017.05.019
  3. Trofa DP, Miller JC, Jang ES, Woode DR, Greisberg JK, Vosseller JT. Professional Athletes’ Return to Play and Performance After Operative Repair of an Achilles Tendon Rupture. Am J Sports Med. 2017(1):363546517713001. https://doi.org/10.1177/0363546517713001
  4. Chan JY, Elliott AJ, Ellis SJ. Reconstruction of achilles rerupture with peroneus longus tendon transfer. Foot Ankle Int. 2013;34(6):898-903.  https://doi.org/10.1177/1071100712473273
  5. Kearney RS, Parsons N, Underwood M, Costa ML. Achilles tendon rupture rehabilitation: a mixed methods investigation of current practice among orthopaedic surgeons in the United Kingdom. Bone Joint Res. 2015;4(4):65-69.  https://doi.org/10.1302/2046-3758.44.2000400
  6. Brauner T, Pourcelot P, Crevier-Denoix N, Horstmann T, Wearing SC. Achilles Tendon Load is Progressively Increased with Reductions in Walking Speed. Med Sci Sports Exerc. 2017. https://doi.org/10.1249/MSS.0000000000001322
  7. Lohrer H, Nauck T. Results of operative treatment for recalcitrant retrocalcaneal bursitis and midportion Achillestendinopathy in athletes. Arch Orthop Trauma Surg. 2014;134(8):1073-1081. https://doi.org/10.1007/s00402-014-2030-8
  8. The patent of the RF for the invention №2537888 from 27.05.15. Application No. 2014115567. Priority of 17.04.14. (Russia). Publ. 27.05.15. Bul. №1. (In Russ.). https://yandex.ru/patents/doc/RU2590870C1_20160710
  9. McCormack R, Bovard J. Early functional rehabilitation or cast immobilisation for the postoperative management of acute Achilles tendon rupture? A systematic review and meta-analysis of randomised controlled trials. Br J Sports Med. 2015;49(20):1329-1335. https://doi.org/10.1136/bjsports-2015-094935
  10. Olewnik Ł, Wysiadecki G, Polguj M, Topol M. Anatomic study suggests that the morphology of the plantaris tendon may be related to Achillestendonitis. Surg Radiol Anat. 2017;39(1):69-75.  https://doi.org/10.1007/s00276-016-1682-1
  11. Egger AC, Berkowitz MJ. Achilles tendon injuries. Curr Rev Musculoskelet Med. 2017;10(1):72-80.  https://doi.org/10.1007/s12178-017-9386-7
  12. Kim YD. Complex treatment of patients with fresh subcutaneous rupture of the Achilles tendon: Dis. ... kand. med. nauk. Samara. 2012. (In Russ.). https://search.rsl.ru/ru/record/01005056759
  13. Stavenuiter XJR, Lubberts B, Prince RM 3rd, Johnson AH, DiGiovanni CW, Guss D. Postoperative Complications Following Repair of Acute Achilles Tendon Rupture. Foot Ankle Int. 2019;40(6):679-686. Epub 2019 Feb 27.  https://doi.org/10.1177/1071100719831371
  14. Shapiro E, Grande D, Drakos M. Curr Rev Musculoskelet Med. 2015;8(1):9-17.  https://doi.org/10.1007/s12178-015-9257-z

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.