Mid-term functional outcome after distal Achilles tendon rupture anchoring screw repair in elderly osteopenia as a reliable technique: A case report
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Achilles Tendon Rupture, Anchoring Screw, Functional Outcome, Osteopenia
Abstract
The management of distal Achilles tendon rupture is still controversial, especially in elderly patients, due to poor bone quality and tendon stump integrity. One of the proposed repair techniques is by using an anchoring screw. Here we report the mid-term follow-up of two patients with distal Achilles tendon rupture treated with an anchoring screw. Two elderly males in their sixties came to the outpatient clinic with similar complaints of intermittent pain, reddening, and ankle swelling after falling. Both patients were diagnosed with distal Achilles tendon rupture and were treated with open repair using a Krakow suture and anchoring screws. Functional outcome evaluation postoperatively found a good outcome. Previous studies have shown that repair with the anchoring technique is better biomechanically than with ordinary sutures. Repairs with this technique can withstand greater forces and loads before they fail. An anchoring screw repair technique for total distal Achilles tendon rupture repair provides good results in elderly with osteopenia.
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References
Benjamin, M., Toumi, H., Ralphs, J. R., et al. (2006). Where tendons and ligaments meet bone: Attachment sites ('entheses’) in relation to exercise and/or mechanical load. J Anat, 208(4), pp. 471–490.
Boin, M. A., Dorweiler, M. A., McMellen, C. J., et al. (2017). Suture-Only Repair Versus Suture Anchor–Augmented Repair for Achilles Tendon Ruptures With a Short Distal Stump: A Biomechanical Comparison. Orthop J Sports Med, 5(1).
Callahan, L. F., Cleveland, R. J., Allen, K. D., et al. (2021). Racial/Ethnic, Socioeconomic, and Geographic Disparities in the Epidemiology of Knee and Hip Osteoarthritis. Rheum Dis Clin North Am, 47(1), pp. 1–20.
Işık, Ç. and Tahta, M. (2017). Primary repair of achilles tendon avulsions: Presentation of a novel technique and its comparison with suture anchor repair. J Orthop Surg, pp. 1–6.
Nilsson-Helander, K., Thomee, R., Silbernagel, K. G., et al. (2007). The Achilles tendon Total Rupture Score (ATRS): Development and validation. Am J Sports Med, pp. 421–426.
Roos, E. M., Brandsson, S. and Karlsson, J. (2001). Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int, 22(10), pp. 788–794.
Zurita Uroz, N. A., Paniagua, A., Kelly, F., et al. (2022). Pathophysiology, diagnosis and treatment of Achilles tendinopathy. Revista Española de Artroscopia y CirugÃa Articular English ed., 29(1).
Authors
Qanun Medika by FK UM Surabaya is liscence under Lisensi Creative Commons Atribusi 4.0 Internasional.