Repair of Chronic Tendoachilles Rupture – Bosworth Technique versus Peroneus Brevis Transfer Technique – A Retrospective and Prospective Study
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Introduction: Chronic rupture of Achilles tendon causes marked functional impairment. The recommended treatment for this is surgery and various techniques have been reported in the literature. Materials and Methods: From 2008 to 2016, 30 patients (20 men and 10 women) operated with Bosworth Technique (23 patients) or peroneus brevis (PB) tendon transfer (7 patients) were included for the study. At 12-month follow-up, all patients were assessed with regard to post-operative complications, the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle–Hindfoot score, and ankle range of motion. Result: AOFAS scores increased from an average 61.57/100 (range, 58-80) pre-operatively to 95.91 (range, 90-98) post-operatively for Bosworth technique. AOFAS scores increased from an average 61.14/100 (range, 58-64) pre-operatively to 96.71 (range, 94-98) post-operatively for PB tendon transfer technique. All patients were able to perform their daily activity unrestrictedly at last follow-up. Two patient experienced wound dehiscence and 1 patient had hypertrophic scar in Bosworth technique while 1 patient experienced wound dehiscence in PB Tendon transfer technique. Conclusion: Both the techniques have near similar functional outcome and complication rate. However, Bosworth technique has limitations in the form of requirement of the distal stump and imparting of bulky consistency to the tendoachilles which are not present with PB tendon transfer technique. Either of the technique can be used as per the surgeon’s preference and expertise as well as patients profile and choice.
Authors and Affiliations
P Ahmed P Ahmed, Y Usmani Y Usmani, Apoorv Mohan Garg
Keywords
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