A study of chronic tendon Achilles rupture and the different modalities of its repair.

Background: Achilles tendon rupture is a common and primary cause of lower limb tendon injuries suffered during sports-related activities. The causes of Achilles tendon rupture include calf muscle and tendon overuse, steroid local injection in tendon, poor tendon quality, and various medical conditions. Historically, acute Achilles tendon rupture was treated conservatively. However, historical techniques are now associated with an increased risk of rerupture. Aim and Objective: To study of the reconstruction of chronic tendoachilles ruptures with the flexor hallucis longus and peroneus brevis. Material and Method: 30 patients aged between 30 and 60 years underwent reconstruction of chronically ruptured tendon Achilles either with flexor hallucis longus or peroneus brevis. Ruptures are due to stumbling in fields, falling from stairs, and some being uneventful. All these patients attended the department of Orthopaedics OPD and tertiary care of SSIMS, Bhilai. The patients were admitted and surgically treated after appropriate counseling and consent. The results were compared with the Quigley scale and Leppilahti scores. Results: Rupture of the Achilles tendon is more common in middle-aged males. Delay in diagnosis is due to a lack of adequate knowledge by the treating physician and a lack of immediate disability for the patient. The Thompson test has high sensitivity and specificity in diagnosis. Complications such as superficial skin infections and wound dehiscence are more common in patients treated with peroneus Peroneus and Sensory disturbance on foot is post operative complication. Conclusion: Flexor hallucis longus is superior to Peroneus brevis because of its anatomical and technical advantages, less incidence of superficial infections, wound dehiscence, and sensory disturbance, and better weight-bearing times and functional recovery. [ABSTRACT FROM AUTHOR]