Aims. This prospective cohort study aims to determine if the size of
the tendon gap following acute rupture of the
Aims. The gold standard for percutaneous
A total of seven patients (six men and one woman)
with a defect in the
We hypothesised that a minimally invasive peroneus
brevis tendon transfer would be effective for the management of
a chronic rupture of the
Aims. Our aim was to describe the mid-term appearances of the repair
process of the
Thirteen patients with ruptures of the
We have reviewed 106 patients after treatment for spontaneous rupture of the
Aims. Flexor hallucis longus (FHL) tendon transfer is a well-recognized
technique in the treatment of the neglected tendo Achillis (TA)
rupture. Patients and Methods. We report a retrospective review of 20/32 patients who had undergone
transtendinous FHL transfer between 2003 and 2011 for chronic TA
rupture. Their mean age at the time of surgery was 53 years (22
to 83). The mean time from rupture to surgery was seven months (1
to 36). The mean postoperative follow-up was 73 months (29 to 120).
Six patients experienced postoperative wound complications. Results. The mean postoperative
The microvascular anatomy of the
We report the use of a simple new technique for the repair of recent and old, neglected disruptions of the
A new method of repair of the
Ruptures of the
Thirty-three consecutive patients with complete ruptures of the
We have studied the use of filamentous polyglycolic acid (Dexon) for the induction of neotendon in the
Magnetic resonance imaging was performed on 28 patients with suspected
1. This case is presented to illustrate two etiological factors in tendon rupture occurring in one patient. 2. The rupture of the long head of the biceps brachii muscle appears to have been of acute traumatic origin. 3. Bilateral simultaneous rupture of the
For equinus deformity in spastic hemiplegia, correction by the White slide technique has been studied in a group of 35 patients followed up for 14 to 20 years. It is a simple, effective method of lengthening the
Forty patients with acute complete rupture of the
The Swansea Morriston Achilles Rupture Treatment
(SMART) programme was introduced in 2008. This paper summarises
the outcome of this programme. Patients with a rupture of the Achilles
tendon treated in our unit follow a comprehensive management protocol
that includes a dedicated Achilles clinic, ultrasound examination,
the use of functional orthoses, early weight-bearing, an accelerated
exercise regime and guidelines for return to work and sport. The
choice of conservative or surgical treatment was based on ultrasound
findings. The rate of re-rupture, the outcome using the Achilles Tendon
Total Rupture Score (ATRS) and the Achilles Tendon Repair Score,
(AS), and the complications were recorded. An elementary cost analysis
was also performed. Between 2008 and 2014 a total of 273 patients presented with
an acute rupture 211 of whom were managed conservatively and 62
had surgical repair. There were three
re-ruptures (1.1%). There were 215 men and 58 women with a mean
age of 46.5 years (20 to 86). Functional outcome was satisfactory.
Mean ATRS and AS at four months was 53.0
( The SMART programme resulted in a low rate of re-rupture, a satisfactory
outcome, a reduced rate of surgical intervention and a reduction
in healthcare costs. Cite this article:
We The triple-strand technique significantly increased the tensile
strength (p = 0.0001) and gap resistance (p = 0.01) of bovine tendon
repairs, and might have advantages in human application for accelerated
post-operative rehabilitation.