Table of Contents
International Scholarly Research Notices
Volume 2014, Article ID 840369, 5 pages
http://dx.doi.org/10.1155/2014/840369
Clinical Study

Miniopen Repair of Ruptured Achilles Tendon in Diabetic Patients

Department of Orthopaedic Surgery, Faculty of Medicine, Zagazig University, Zagazig 44511, Egypt

Received 17 April 2014; Revised 14 September 2014; Accepted 24 September 2014; Published 30 October 2014

Academic Editor: Nadr Jomha

Copyright © 2014 Abdelsalam Eid. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Acute degenerative Achilles tendons ruptures may be managed either operatively or nonoperatively with the superiority of the operative treatment in reducing the risk of rerupture. Acute rupture of Achilles tendon is commonly seen in diabetic patients. Open techniques for Achilles tendon repair have been associated with significant complications as deep infection and wound-related problems. Patients and Methods. Thirteen type II diabetic patients with acute degenerative rupture of the Achilles tendon were managed by miniopen repair augmented by peroneus brevis tendon. Results. All repairs healed successfully. The patients were able to return to preinjury level of activity after a mean of 5 months. The mean ATRS score improved from 15.1 preoperatively to 74.8 postoperatively. The mean Leppilahti ankle score was 59.6. Three patients suffered from superficial wound infection which was successfully managed. However, no patients suffered any major complications such as DVT, deep infection, or reruptures during the period of the study. Conclusion. Repair of acute degenerative tear of the Achilles tendon with peroneus brevis tendon augmentation could be successfully performed through a miniopen technique with minimization of wound complications in diabetic patients.