Outcome of acute degenerative Achilles tendon reconstruction using peroneus brevis tendon its early mobilization

Abstract

Achilles Tendon (TA) rupture is not a rare condition nowadays. Mostly it is seen in athletic young age group population or accidental trauma in physically active group & degenerative rupture. TA rupture injury may present with acute (Traumatic) & chronic (Degenerative). Reconstruction of torn TA & its post operative rehabilitation is challenge. There are multiple technique for TA repair published in literature with their own results. But open surgery has a good results than conservative management. In present study, we report 11 patient who underwent augmented repair of acute degenerative Achilles Tendon reconstruction by peroneus brevis tendon by creating a dynamic loop technique as described by Turco & Spinella modification to Teuffer technique & with early mobilization. Patients were evaluated at 3 weeks, 3 & 6 months post surgery using Ankle Hindfoot scale by American Orthopaedic Foot and Ankle Society. At the last postoperative follow-up visit 10 out of 11 were able to do all physical activity with good functional outcome achievement. No patient had episode of re-rupture of Achilles tendon.