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Case Reports
. 2020 May 30;91(4-S):179-182.
doi: 10.23750/abm.v91i4-S.9518.

Neglected complete bilateral achilles tendon rupture. clinical case presentation, treatment and follow-up

Federico Polidoro  1 , Roberto Rea  2 , Fabrizio Fascione  3 , Vincenzo Salini  4 , Alberto Belluati  5
Affiliations
Case Reports

Neglected complete bilateral achilles tendon rupture. clinical case presentation, treatment and follow-up

Federico Polidoro et al. Acta Biomed. .

Abstract

Background and aim of the work: subcutaneous Achilles tendon lesions are common degenerative tendon tears, often related to sport activities, multiple pharmacotherapies and internal medical comorbidities. Neglect an Achilles tendon lesion can affect walk ability, while neglect a bilateral lesion could really lead to a serious limitation of self-sufficiency in daily living. We report a case of chronic bilateral Achilles tendon lesion successful treated with LARS augmentation, along with some clinical considerations concerning the clinical outcome.

Methods: we report a case of a chronic bilateral Achilles tendon lesion in an elderly man with multiple comorbidities, successful treated with LARS reconstruction, along with some considerations concerning possible intraoperative issues and the clinical outcome.

Results: good functional result was obtained as documented with pre and postoperative American Orthopedic Foot And Ankle Society Scale and the "Foot And Ankle Disability Index", without complications.

Conclusions: a bilateral Achilles tendon rupture is a very disabling pathology, that needs prompt diagnosis and treatment to prevent further complications. LARS reconstruction could be an effective method in selected patients to avoid some intraoperative issues related to patient comorbidities and ability to follow complex postoperative rehabilitation protocols. (www.actabiomedica.it).

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Clinical presentation and patient position on the operating table
Figure 2.
Figure 2.
Intraoperative view: remnants of ruptured native tendon
Figure 3.
Figure 3.
Lars implantation: transosseus tunnel and transfascial proximal suture
Figure 4.
Figure 4.
Two sagittal postoperative MRI view showing LARS integration in the calcaneus tunnel and fatty degeneration of calf muscles
Figure 5.
Figure 5.
Postoperative active standing on forefoot
See this image and copyright information in PMC

References

    1. Hess G.W. Achilles tendon rupture: a review of etiology, population, anatomy, risk factors, and injury prevention. Foot ankle spec. 2010;3(1):29–32. - PubMed
    1. Matsumoto K, Hukuda S, Nishioka J, Asajima S. Rupture of the Achilles tendon in rheumatoid arthritis with histologic evidence of enthesitis. A case report. Clin. Orthop. Relat. Res. 1992;280:235–240. - PubMed
    1. Vosseller J.T, Ellis S.J, Levine D.S, et al. Achilles tendon rupture in women. Foot Ankle int. 2013;34(1):49–53. - PubMed
    1. Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M. Surgical versus nonsurgical treatment of acute Achilles tendon rupture: a meta-analysis of randomized trials. J Bone and Jt. Surg. American volume. 2012;94(23):2136. - PMC - PubMed
    1. Cary D.V. How to diagnose and manage an acute Achilles tendon rupture. JAAPA-J AM ACAD PHYS. 2009;22(8):39–43. - PubMed

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