Artikel
Evaluation of the ankle function after Achilles tendon resection – a clinical study
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Autoren
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Olimpiu Bota
- Klinik für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany
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Feras Taqatqeh
- Klinik für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany
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Florian Bönke
- Klinik für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany
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Michael Amlang
- Klinik für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany
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Leona Heinzinger
- Klinik für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany
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Adrian Dragu
- Klinik für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Germany
| Veröffentlicht: | 25. Oktober 2022 |
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Gliederung
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Objectives: The Achilles tendon is the strongest and thickest in the human body. After surgical tendon repair or after more often after Trauma or as result of chronic wounds, an infection of this voluminous tendon may occur. This condition may only be handled by radical resection and soft tissue debridement. The wound closure may be performed either by split thickness skin grafting or by a pedicled or a free flap.
The goal of our study was to evaluate the ankle function and the gait after resection of the Achilles tendon.
Methods: After the institutional board review, a retrospective data analysis was performed. All patients who received a radical resection of the Achilles tendon between June 2017 and October 2021 in our clinic were included in the study. Finally, the patients were recalled and the range of motion the strength of the ankle joint were measured and the AIFAS, VAS, EuroQol and Leppilathi scores were collected.
Results and conclusion: Twenty-five patients could be included in the study. The cause for the tendon infection was in 9 cases an open tendon repair, in 3 cases trauma and in 13 cases a chronic wound, which all lead to tendon exposure and infection. In 24 cases the wounds could be closed with split thickness skin graft, while in one case the exposed calcaneal cancellous bone required a free anterolateral thigh flap closure. There was no attempt to reconstruct the missing Achilles tendon. The results showed a high patient satisfaction, with acceptable ankle joint functionality and an independent gait.
When necessary, the resection of the Achilles tendon may safely enable the closure of chronic, complicated wounds, without compromising the ankle joint function and the gait.
