Reconstruction of ruptured archilles tendon using peroneus brevis tendon transfer to OS calcis

Author(s): N Vinod Kumar Reddy and P Lakshmi Narayana Reddy

Abstract: Background: Increase in the incidence of reruptures after non operative management of ruptured Achilles tendon and advances in operative modalities led to primary surgical management of Achilles tendon ruptures in the majority. The present study was undertaken to elucidate the effectiveness of operative management of ruptured Achilles tendon by reconstructing it with Peroneus brevis tendon transfer and evaluate the benefits and risks of this technique in acute and chronic ruptures.
Method: This study comprised of 37 patients with Achilles tendon rupture which were primarily operated upon at Santhiram Medical College and General Hospital, Nandyal, Kurnool (OT), A.P. between october 2013 and october 2015. All patients were treated by reconstruction of ruptured tendon with peroneus brevis tendon transfer.
Results: Maximum numbers of patients were in the 41-50 year age group (49%). Most of the patients sustained injuries on their right lower extremity (78.3%). Stumbling in the fields (dorsiflexion injury) was the mechanism of injury in the majority (59.4%), while it was fall at bathroom in the aged population. Acute ruptures were 22 and chronic ruptures were 15 patients. The average follow-up was 11.3 months (6-12 months). Functional scoring was done Achilles tendon Total Rupture Score (ATRS). We could achieve functionally excellent result in both acute and chronic ruptured patients.
Conclusion: Based on these findings, it can be concluded that reconstruction of ruptured Achilles tendon can be successfully done by peroneus brevis tendon transfer with achievement of excellent functional outcome and plantar flexion in both acute and chronic ruptures with very minimal complications.

DOI: https://doi.org/10.22271/ortho.2018.v4.i2c.29