Evaluation of the effectiveness of V-Y plasty of frozen Achilles tendon rupture, with immediate follow-up weight-bearing and rehabilitation. Case analysis
DOI:
https://doi.org/10.12775/JEHS.2024.60.51779Keywords
Achilles tendon, human body, ankle joint, knee joint, Chronic Achilles tendon ruptureAbstract
The Achilles tendon is a strong tendon in the human body but is prone to rupture, especially during recreational activities. Misdiagnosis of ruptures can lead to chronic issues, affecting the quality of life. Surgical V-Y plasty is a technique used to treat chronic Achilles tendon ruptures by lengthening the tendon and restoring its continuity.
Two cases of Achilles tendon ruptures were presented, where V-Y plasty was performed along with immediate weight-bearing and rehabilitation. The patients showed significant improvement post-surgery, with no symptoms or restrictions on physical activity after about 6 months. The rehabilitation protocol included functional training, regenerative treatments, and follow-up visits to monitor progress.
Studies have shown that surgical treatment is more effective in preventing re-tears compared to conservative treatment for Achilles tendon ruptures. V-Y plasty has been proven to be an effective technique for treating chronic ruptures with large defects in tendon continuity. Immediate weight-bearing and rehabilitation post-surgery have shown positive outcomes in patient recovery.
Further research is needed to establish a standardized rehabilitation protocol for Achilles tendon ruptures. The unique management regimen used in the cases presented yielded successful results, emphasizing the importance of immediate rehabilitation post-surgery for improved patient outcomes. V-Y plasty with immediate weight-bearing and rehabilitation is a promising method for treating chronic Achilles tendon ruptures.
References
Bochenek A, Reicher M. (2012). Anatomy of man, Volume 1, Wydawnictwo Lekarskie PZWZ, Warsaw.
Bochenek A, Ciszek B, Krasucki K, Reicher M, Aleksandrowicz R. (2012). Human Anatomy, Volumes 1-5. Wydawnictwo Lekarskie PZWZ, Warsaw.
Bochenek A, Reicher M. (2012). Anatomy of man, Volume 1, Wydawnictwo Lekarskie PZWZ, Warsaw.
Maffulli, N., Via, A. G., & Oliva, F. (2015). Chronic Achilles tendon disorders: tendinopathy and chronic rupture. Clinics in sports medicine, 34(4), 607-624. https://doi.org/10.1016/j.csm.2015.06.010
Boyd R, Dimock R, Solan M & Porter E. (2015). Achilles tendon rupture: how to avoid missing the diagnosis. British Journal of General Practice, 65(641), 668-669. https://doi.org/10.3399/bjgp15X688069
Maffulli N, Via A, & Oliva F. (2017). Suppl 4, M6: chronic Achilles tendon rupture. The Open Orthopaedics Journal, 11, 660. https://doi.org/10.2174/1874325001711010660
Lin Y, Duan X & Yang L. (2019). V‐Y tendon plasty for reconstruction of chronic Achilles tendon rupture: a medium‐term and long‐term follow‐up. Orthopaedic Surgery, 11(1), 109-116. https://doi.org/10.1111/os.12429
Guclu B, Basat H, Yildirim T, Bozduman O, & Us A. (2016). Long-term results of chronic Achilles tendon ruptures repaired with VY tendon plasty and fascia turndown. Foot & ankle international, 37(7), 737-742. https://doi.org/10.1177/1071100716642753
Frankewycz B, Krutsch W, Webe, J, Ernstberger A, Nerlich M & Pfeifer C. (2017). Rehabilitation of Achilles tendon ruptures: is early functional rehabilitation daily routine?. Archives of orthopaedic and trauma surgery, 137, 333-340. https://doi.org/10.1007/s00402-017-2627-9
Frankewycz B, Krutsch W, Webe J, Ernstberger A, Nerlich M & Pfeifer C. (2017). Rehabilitation of Achilles tendon ruptures: is early functional rehabilitation daily routine?. Archives of orthopaedic and trauma surgery, 137, 333-340. https://doi.org/10.1007/s00402-017-2627-9
Carter T, Fowle, P & Blokker C. (1992). Functional postoperative treatment of Achilles tendon repair. The American journal of sports medicine, 20(4), 459-462. https://doi.org/10.1177/036354659202000417
Yang X, Meng H, Quan Q, Peng J, Lu S, & Wang A. (2018). Management of acute Achilles tendon ruptures: A review. Bone & joint research, 7(10), 561-569. https://doi.org/10.1302/2046-3758.710.BJR-2018-0004.R2
Costa M, MacMillan K, Halliday D, Chester R, Shepstone L, Robinson A & Donell S. (2006). Randomised controlled trials of immediate weight-bearing mobilisation for rupture of the tendo Achillis. The Journal of Bone & Joint Surgery British Volume, 88(1), 69-77. https://doi.org/10.1302/0301-620X.88B1.16549
Young S, Patel A, Zhu M, van Dijck S, McNair P, Bevan W. & Tomlinson M. (2014). Weight-bearing in the nonoperative treatment of acute Achilles tendon ruptures: a randomized controlled trial. The Journal of Bone and Joint Surgery - American, 96(13), 1073-1079. https://doi.org/10.2106/JBJS.M.00248
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Bartłomiej Kacprzak, Anita Kisielewska, Adrian Miler, Magdalena Hagner-Derengowska, Ewa Kitschke, Walery Zukow
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 122
Number of citations: 0