Аннотация
In Acad. N. Kipshidze central university Clinic , 12 patients were treated surgically, because of Achilles tendon rupture. In all cases surgery was performed by use of “V-Y” surgical technique.
Majority of patients (10 cases) were men and their average age was 32.5 years. From all patients, 10 - had closed ruptures of Achilles tendon and in two patients there were cases of open ruptures.
Indications for surgery using “V-Y” plastic were: old ruptures of Achilles tendon, ruptures caused by degenerative changes of tendon structure, acute ruptures of tendon, in cases when it was not possible to perform end to end suturing of tendon in 20æ% plantar flexion of the foot.
In post operative period foot was immobilized by use of plaster cast for three weeks in maximally possible plantar flexion position. After this period foot was immobilized in neutral position, again for three weeks. Rehabilitation usually started in 1,5 month after surgery. Movements in ankle joint and partial foot baring was allowed in two month period after surgery. Active movements and sport activities were allowed in 6 month post operatively.
Follow up period of patients continued up to 6 months and included clinical and ultrasonic observation of patients. In all cases good results of Achilles tendon healing, with satisfactory functional outcomes were achieved.
In two cases complications with wound healing were seen (necroses of skin and subcutaneous tissues). These patients due to conservative treatment achieved secondary wound healing and had satisfactory functional result.
“V-Y’ plastic is an affective method of surgical treatment while ruptures of Achilles tendon mainly while ruptures with significant defects.