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Kotelnikov G.P.

Samara State Medical University

Kim Yu.D.

Samara State Medical University

Shitikov D.S.

Samara State Medical University

Pankratov A.S.

Samara State Medical University of the Ministry of Health of Russia Samara State Medical University Clinics

Knyazev N.A.

Samara State Medical University

Method of surgical treatment of patients with a chronic rupture of the Achilles tendon

Authors:

Kotelnikov G.P., Kim Yu.D., Shitikov D.S., Pankratov A.S., Knyazev N.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(2): 38‑44

DOI: 10.17116/hirurgia202202138

Read: 2109 times

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Table of contents

METHOD OF SURGICAL TREATMENT OF PATIENTS WITH A CHRONIC RUPTURE OF THE ACHILLES TENDON
METHOD OF SURGICAL TREATMENT OF PATIENTS WITH A CHRONIC RUPTURE OF THE ACHILLES TENDON

To cite this article:

Kotelnikov GP, Kim YuD, Shitikov DS, Pankratov AS, Knyazev NA. Method of surgical treatment of patients with a chronic rupture of the Achilles tendon. Pirogov Russian Journal of Surgery. 2022;(2):38‑44. (In Russ.)
https://doi.org/10.17116/hirurgia202202138

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 treatment outcomes in patients with long-standing Achilles tendon ruptures with severe diastasis and dysfunction of the calf muscle via the use of a new method of surgical treatment.

MATERIAL AND METHODS

The authors proposed a new method of Achilles tendon repair for diastasis from 5 to 10 cm. This technique consists in elimination of diastasis with a tendon of the long peroneal muscle on the distal base. Surgical stages are described. The authors also report a patient with long-standing Achilles tendon rupture. Surgical treatment and postoperative outcomes are described.

RESULTS

Postoperative outcomes were assessed in 23 patients. The control group consisted of 21 patients who underwent reconstruction according to Chernavsky’s and Krasnov’s methods. Assessment was carried out using clinical and biomechanical methods. The authors analyzed gait asymmetry and functional myography data. Their data indicate the advantage of treatment in the main group.

Keywords:

Achilles tendon
Achilles tendon repair
surgical treatment of Achilles tendon lesion
chronic tendon rupture

Authors:

Kotelnikov G.P.

Samara State Medical University

Kim Yu.D.

Samara State Medical University

Shitikov D.S.

Samara State Medical University

Pankratov A.S.

Samara State Medical University of the Ministry of Health of Russia Samara State Medical University Clinics

Knyazev N.A.

Samara State Medical University

Received:

29.03.2021

Accepted:

15.05.2021

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References:

  1. Gritsyuk AA, Sereda AP. Achilles tendon. M.: Academy of natural Sciences; 2010. (In Russ.).
  2. 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
  3. Mironov SP, Kotelnikov GP. Orthopaedics: the national guide. M.: GEOTAR-Media; 2013. (In Russ.).
  4. RF patent for invention No 2684555 dated 09.04.19. Application No 2018127918. Priority from 30.07.18. (Russia). Publ. 09.04.2019. Bul. No 10. (In Russ.). https://yandex.ru/patents/doc/RU2684555C1_20190409
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. Ahmad J, Jones K, Raikin SM. Treatment of Chronic Achilles Tendon Ruptures With Large Defects. Foot Ankle Spec. 2016;9(5):400-408.  https://doi.org/10.1177/1938640016640895
  12. Freire B, Dias CP, Goulart NB, de Castro CD, Becker J, Gomes I, Vaz MA. Achilles tendon morphology, plantar flexors torque and passive ankle stiffness in spastic hemiparetic stroke survivors. Clin Biomech (Bristol, Avon). 2017;(41):72-76.  https://doi.org/10.1016/j.clinbiomech.2016.12.004
  13. 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
  14. 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
  15. 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
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