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Delayed reconstruction of the calcaneal tendon
The Journal of Bone and Joint Surgery. British Volume
|January 1, 1986
Summary
Late reconstruction of calcaneal tendon ruptures is effective. Surgical repair with tendon shortening yielded favorable strength and patient satisfaction, indicating it is a worthwhile procedure for delayed diagnoses.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Calcaneal tendon ruptures are common injuries.
- Delayed diagnosis (over four weeks post-injury) can complicate treatment and outcomes.
- Optimal management for late-diagnosed ruptures requires further investigation.
Purpose of the Study:
- To evaluate the efficacy of late operative reconstruction for calcaneal tendon ruptures.
- To assess functional outcomes and patient satisfaction following delayed surgical repair.
Main Methods:
- Retrospective review of thirteen patients with calcaneal tendon ruptures diagnosed >4 weeks after injury.
- Eleven patients underwent operative reconstruction involving tendon shortening.
- Postoperative assessment included isometric and isokinetic measurements of triceps surae strength and patient satisfaction surveys.
Main Results:
- Operative reconstruction in eleven patients showed favorable comparisons in strength measurements against the contralateral leg.
- Eight out of eleven surgically treated patients reported satisfaction with the results.
- Only one case of tendon re-rupture occurred.
- Two patients who declined surgery exhibited poorer functional outcomes.
Conclusions:
- Late surgical reconstruction of calcaneal tendon ruptures is a viable and beneficial treatment option.
- Tendon shortening during late repair contributes to positive functional recovery and patient satisfaction.
- Delayed operative intervention for calcaneal tendon ruptures can lead to improved outcomes compared to non-operative management.