Allograft and Autologous Reconstruction Techniques for Neglected Achilles Tendon Rupture: A Mid-Long-Term Follow-Up Analysis
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Eligibility
2.3. Surgical Algorithm and Technique
2.4. Outcome Assessment and Data Analysis
3. Results
3.1. Sample Characteristics
3.2. Follow-Up and Complications
3.3. AOFAS and ATRS Scores
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
AOFAS | American Orthopaedic Foot and Ankle Society |
ATRS | Achilles Tendon Total Rupture Score |
FDL | Flexor digitorum longus |
FHL | Flexor hallucis longus |
MRI | Magnetic resonance imaging |
PB | Peroneus brevis |
PMMA | Poly(methyl methacrylate) |
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Age | Gender | Gap (cm) 1 | Group and Surgery |
---|---|---|---|
62 | Male | 3 | Autologous techniques (V-Y advancement) |
36 | Male | 3 | Autologous techniques (V-Y advancement) |
69 | Male | 3.5 | Autologous techniques (V-Y advancement) |
37 | Female | 3.5 | Autologous techniques (V-Y advancement) |
24 | Male | 4 | Autologous techniques (V-Y advancement) |
34 | Male | 4 | Autologous techniques (V-Y advancement) |
45 | Male | 5.5 | Autologous techniques (V-Y + FHL transfer) |
32 | Male | 6.5 | Autologous techniques (V-Y + FHL transfer) |
26 | Male | 6 | Autologous techniques (V-Y + FHL transfer) |
67 | Female | 7 | Allograft reconstruction |
32 | Male | 7 | Allograft reconstruction |
41 | Male | 7 | Allograft reconstruction |
56 | Male | 7 | Allograft reconstruction |
45 | Male | 8 | Allograft reconstruction |
47 | Female | 8 | Allograft reconstruction |
27 | Male | 9 | Allograft reconstruction |
48 | Male | 9 | Allograft reconstruction (+FHL transfer) |
Autologous Techniques n = 9 | Allograft Reconstruction n = 8 | Global Sample n = 17 | Significance | |
---|---|---|---|---|
Sex (M/F) | 8 M/1 F | 6 M/2 F | 14 M/3 F | 0.00 |
Age (years) | 40.55 ± 15.5 (24–69) | 45.37 ± 12.68 (27–67) | 42.82 ± 14.02 (24–69) | 0.33 |
Metabolic disorders (%) * | 6 (66.6%) | 6 (75%) | 12 (70.5%) | 0.71 |
Gap (cms) | 4.33 ± 1.32 (3–6.5) | 7.75 ± 0.88 (7–9) | 5.94 ± 2.07 (3–9) | 0.00 |
Follow-up (months) | 76.33 ± 36.33 (36–136) | 88.75 ± 38.22 (26–150) | 82.17 ± 36.60 (26–150) | 0.42 |
Autologous Techniques n = 9 | Allograft Reconstruction n = 8 | Global Sample n = 17 | |
---|---|---|---|
ATRS pre | 35 (33.75–38.5) | 27 (19–45) | 35 (24.5–40.5) |
ATRS post | 90 (85.5–95.25) | 88 (79.5–94) | 90 (79.75–95.25) |
AOFASAH pre | 55 (46–69) | 50.5 (46.5–62) | 55 (46–67) |
AOFASAH post | 96 (94–100) | 95 (87–100) | 96 (92.5–100) |
Autologous Techniques | Allograft Reconstruction | |
---|---|---|
Advantages | Suitable for small gaps Almost always available Shorter non-weight bearing time | Avoidance of donor site morbidity Smaller incision for large gaps Adequate tissue quantity Faster surgical procedure |
Disadvantages | Greater incision and soft tissue stripping in large gaps Demanding technique in large gaps Increased surgical time Donor site morbidity | Infection concerns Potential immune response Increased cost Risk of no integration of bone block Longer non-weight-bearing time |
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Jiménez-Carrasco, C.; Ammari-Sánchez-Villanueva, F.; Prada-Chamorro, E.; García-Guirao, A.J.; Tejero, S. Allograft and Autologous Reconstruction Techniques for Neglected Achilles Tendon Rupture: A Mid-Long-Term Follow-Up Analysis. J. Clin. Med. 2023, 12, 1135. https://doi.org/10.3390/jcm12031135
Jiménez-Carrasco C, Ammari-Sánchez-Villanueva F, Prada-Chamorro E, García-Guirao AJ, Tejero S. Allograft and Autologous Reconstruction Techniques for Neglected Achilles Tendon Rupture: A Mid-Long-Term Follow-Up Analysis. Journal of Clinical Medicine. 2023; 12(3):1135. https://doi.org/10.3390/jcm12031135
Chicago/Turabian StyleJiménez-Carrasco, Cristina, Fadi Ammari-Sánchez-Villanueva, Estefanía Prada-Chamorro, Antonio Jesús García-Guirao, and Sergio Tejero. 2023. "Allograft and Autologous Reconstruction Techniques for Neglected Achilles Tendon Rupture: A Mid-Long-Term Follow-Up Analysis" Journal of Clinical Medicine 12, no. 3: 1135. https://doi.org/10.3390/jcm12031135
APA StyleJiménez-Carrasco, C., Ammari-Sánchez-Villanueva, F., Prada-Chamorro, E., García-Guirao, A. J., & Tejero, S. (2023). Allograft and Autologous Reconstruction Techniques for Neglected Achilles Tendon Rupture: A Mid-Long-Term Follow-Up Analysis. Journal of Clinical Medicine, 12(3), 1135. https://doi.org/10.3390/jcm12031135