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Published on: May 20, 2019
Open and subcutaneous recent tibialis anterior tendon ruptures: does postoperative immobilization method influence
B Lefebvre1, J Beldame, S Bertiaux
1Department of Orthopaedics and Traumatology, Rouen University, Rouen University Hospital Center, 1, rue de Germont, 76031 Rouen cedex, France.
Unlabelled:
We report on seven traumatic lesions of the tibialis anterior tendon (one subcutaneous rupture and six open tears) in seven injured patients of mean age 45 years [17-79] all managed by direct suture and immobilization either using a cast boot (four cases) or a lower leg external fixator (three cases). After a mean follow-up of 31 months (6-50), external fixation achieved favourable clinical results with no specific complication. External fixation improves the conditions for suture efficiency, provides full immobilization and facilitates wound care in patients at a high risk of developing cutaneous complications. In accordance with data published in the literature, immobilization by means of a windowed cast boot achieved satisfactory results in patients with no risk factors. This method compatible with early mobilization avoids placement of a posterior splint which could induce slackening and weakening of tendon repair.
Level Of Evidence:
Retrospective study (Level IV).
