Achilles tendon reconstruction combining a modified Dresden technique and endoscopic flexor hallucis longus transfer

  • Felipe Silva Hospital Clínico Universidad de Chile, Independencia, Región Metropolitana, Santiago, Chile and Hospital Clínico San Jose, Independencia, Región Metropolitana, Santiago, Chile https://orcid.org/0000-0003-3969-2916
  • Felipe Chaparro Hospital Clínico San Jose, Independencia, Región Metropolitana, Santiago, Chile and Universidad de los Andes, Las Condes, Region Metropolitana, Santiago, Chile https://orcid.org/0000-0001-6138-4384
  • Mario I Escudero Hospital Clínico Universidad de Chile, Independencia, Región Metropolitana, Santiago, Chile and Hospital Clínico San Jose, Independencia, Región Metropolitana, Santiago, Chile https://orcid.org/0000-0002-8076-3360
  • Cristian Ortiz Universidad de los Andes, Las Condes, Region Metropolitana, Santiago, Chile https://orcid.org/0000-0003-2574-9010
  • Giovanni Carcuro Universidad de los Andes, Las Condes, Region Metropolitana, Santiago, Chile https://orcid.org/0000-0002-1993-6250
  • Manuel J Pellegrini Hospital Clínico Universidad de Chile, Independencia, Región Metropolitana, Santiago, Chile and Universidad de los Andes, Las Condes, Region Metropolitana, Santiago, Chile https://orcid.org/0000-0002-2820-5337
Keywords: Achilles tendon/injuries, Achilles tendon/surgery, Tendon transfer, Reconstructive surgical procedures/methods, Endoscopy/methods

Abstract

Objective: The purpose of this paper is to describe a minimally invasive chronic Achilles tendon rupture reconstruction combining a modified Dresden technique and endoscopic flexor hallucis longus (FHL) tendon transfer. Methods: Our prospectively collected database was queried for patients presenting with chronic Achilles tendon rupture. Patients were included if they presented any of the following criteria: more than 65 years of age, history of previous DVT, active smoking habit and Diabetes. Pre and post-operative SF-36 and AOFAS hindfoot scores, complications, and patient satisfaction grades were recorded. Results: Eight patients met the inclusion criteria; the median age was 49 years old (range 22 - 67 years). Two complications were registered (sural neuritis and minor wound dehiscence). Mean AOFAS score increased from 48 (range 40 - 63) to 91,6 (range 85 - 95). Regarding SF-36 score, the SFF-36 improved from 51,6 to 79,3 points and the SFM-36 enhance from 25 to 61,5 points. All patients evaluated their satisfaction regarding the performed procedure as satisfactory. Conclusion: Chronic Achilles tendon rupture reconstruction combining a modified Dresden technique and endoscopic FHL transfer is an attractive option in high-risk patients, with favorable results at the short-term follow-up. Level of Evidence IV; Therapeutic Study; Case Series.

Published
30-04-2020
How to Cite
Silva, F., Chaparro, F., I Escudero, M., Ortiz, C., Carcuro, G., & J Pellegrini, M. (2020). Achilles tendon reconstruction combining a modified Dresden technique and endoscopic flexor hallucis longus transfer. Journal of the Foot & Ankle, 14(1), 14-18. https://doi.org/10.30795/jfootankle.2020.v14.1157