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KMID : 0896720030070020223
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Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 2 p.223 ~ p.231
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Surgical Treatment of Ahilles Tendon Rupture Using Modified Lynn Method
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Kang Jae-Do
Kim Kwang-Yeol
Choi Shin-Kwon
Kim Hyung-Chun
Kim Jin-Hyoung
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Abstract
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Purpose:Achilles tendon rupture has become more common in the recent years. As suture with foreign material has been blamed for impaired healing, better results should be expected from the use of autogenous material such as plantaris tendon. We have evaluated the surgical results of end-to-end anastomosis using the plantaris tendon as suture material.
Material and Methods : Between Jan 1997 and Jan 2002, the 60 patients were included this study during one year follow-up. We performed the operations with end-to-end suture technique using modified Lynn’s method. The plantaris tendon has been used as a autogenous suture material and can be utilized in the end-to-end anastomosis of ruptured Achilles tendon with modified Bunnel suture technique. We used a clinical scoring system reported by Leppilahti to evaluate the results.
Results: The overall results were excellent in thirty eight(63.3%), good in sixteen(26.6%), fair in five(8.3%) cases, and poor in only one (1.6%) case. Fifty four cases(90%) had the score more than good. We had no deep infection, rerupture, deep vein thrombosis, and skin necrosis as major complication. In just 2 cases, although there were superficial skin infection, the wounds did not proceed necrosis due to using antibiotics.
Conclusions: End-to-end anastomosis using the plantaris tendon as suture material was good treatment option that had low infection rate and no foreign body reaction because of using autogenous material, and therefore we can get rapid healing of ruptured tendon due to early ragne of motion and accerlerated rehabilitation.
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KEYWORD
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Achilles tendon, Plantaris tendon, Achilles tendon rupture, end-to-end anastomosis
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