Chronic Achilles Tendon Rupture Reconstruction Using the Lindholm Method and the Vulpius Method

Area of Science:

• Orthopedic surgery
• Sports medicine
• Musculoskeletal research

Background:

• Chronic Achilles tendon ruptures present reconstructive challenges.
• The Lindholm technique and gastrocnemius lengthening (Vulpius technique) are surgical options.
• Evaluating outcomes of these techniques for chronic ruptures is crucial.

Purpose of the Study:

• To compare the clinical and functional outcomes of chronic Achilles tendon rupture reconstruction.
• To assess the efficacy of the Lindholm technique versus gastrocnemius lengthening (Vulpius technique).

Main Methods:

• A cohort of 15 patients with chronic Achilles tendon ruptures was evaluated.
• Eight patients underwent the Lindholm technique; seven had primary repair with the Vulpius technique.
• Functional capacity was assessed using the Hooker scale, single-leg heel rise capability, and return to daily activities.

Main Results:

• Mean follow-up was 19.6 months, with a mean return to activity of 3.2 months.
• No patients experienced limitations in daily living activities; ankle range of motion was good.
• Hooker scores were excellent for 11 patients and satisfactory for four, with all patients able to perform single-leg heel rises.

Conclusions:

• Both the Lindholm technique and Vulpius technique are effective for reconstructing chronic Achilles tendon ruptures.
• These surgical interventions are associated with favorable clinical and functional outcomes.
• Patients achieve good ankle function and return to daily activities post-reconstruction.