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KMID : 0896720020060010086
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Journal of the Korean Society of Foot Surgery
2002 Volume.6 No. 1 p.86 ~ p.91
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Repair of Achilles tendon tear with distal wire pulling
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Kim Boo-Han
Yoo Seong-Ho
Yi Sang-Hun
Heo Mu-Jung
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Abstract
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Purpose:This study was designed to evaluate whether the method “Distal pulling with wire” after primary repair of Achilles tendon, can result in early restoration of ankle motion.
Materials and Methods:In 14 cases of tendocalcaneus repair, the proximal stump was pulled down distally by wire and fixed the ends of wire to the transcalcaneal K-wire. We evaluated the range of motion of ankle joint at 4th, 6th, 12th week in 10 patients whom we followed up for more than 1 year. We evaluated the results of Achilles tendon repair by Hooker’s criteria.
Results:Range of motion of ankle joint revealed as follows. Degree of mean dorsiflexion improved -5.1°, 15.0°, 22.4°, at 4th, 6th, 12th week respectively, while plantarflexion improved 21.5°, 32.7° and 42.3° respectively. At one year follow up, seven of them had no problems in active daily life and sports activities. According to Hooker’s criteria, the result rated excellent in nine, satisfactory in one.
Conclusion:Early gain of ankle joint motion was possible by “Distal pulling with wire” after primary repair of Achilles tendon.
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KEYWORD
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Achilles tendon, Repair, Distal wire pulling
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