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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

Read: 5228 times

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Table of contents

A NEW METHOD OF SURGICAL TREATMENT OF PATIENTS WITH CHRONIC DISTAL ACHILLES TENDON RUPTURE
A NEW METHOD OF SURGICAL TREATMENT OF PATIENTS WITH CHRONIC DISTAL ACHILLES TENDON RUPTURE

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 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

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

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References:

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  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
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