Projects

Objective of the study is to find out functional outcome and complications
associated with surgical reconstruction of chronic degenerative
tendoachilles rupture using peroneus brevis tendon and role of local steroid
injection in chronic rupture of tendon. We studied 10 cases with chronic
degenerative Achilles tendon rupture who were treated with peroneus
brevis tendon augmentation procedure. In 8 cases rupture of tendon was
secondary to local corticosteroid injection given for retro calcaneal bursitis.
Patients came to hospital with pain over the Achilles tendon and difficulty
in walking, climbing stairs, diagnosed of Achilles tendon rupture through
physical examination and subjected to USG for confirmation. Patients have
undergone operative treatment in the form end to end suturing of ruptured
tendon using Krakow technique and augmentation of tendon using peroneus
brevis tendon as explained by Teuffer. Post operatively patient immobilized
in above knee cast with foot in 15-20 plantar flexion and 45 degree of knee
flexion. Suture removal done after 14 days of surgery. After 4 weeks cast
converted to short leg cast. Mobilization started after 6 weeks on the cast.
Cast discontinued after 8 weeks and full weight bearing started at 8-12
weeks. Follow up done for 18 months. Of 10 patients 7 patients were male
and 3 were female. Age range was 30-60 years with mean age of 45 years.
7 patients had right tendon rupture, 3 had left tendon rupture. 8 patients
Keywords: