Merits and demerits of different surgical techniques in treating old, neglected ruptures of tendo achilles

Abstract

Study conducted in 25 patients in NRI general hospital. Study included 19 males and 6 female patients. Trauma is most common mode of injury and ruptures were significantly common in patients who received local steroid injection. Most of ruptures are in zone 2. In majority of cases gap in tendon is more than 4cms. Bosworth repair done in 13 cases, FHL transfer in 7 cases and peroneus brevis transfer in 5 cases. Excellent results are seen in 14 cases, good in 7 cases, fair in 3 cases and poor in 1 case. All the procedures had similar good to excellent results in range of 80-85%. Though many surgical treatments are available for reconstruction of a neglected Achilles tendon rupture, there is no concrete data to support that one technique is superior over another.