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Bilateral traumatic rupture of Achilles tendons in absence of risk factors treated with percutaneous technique and platelet-rich plasma: a case report
- Source :
- Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 20(3)
- Publication Year :
- 2014
-
Abstract
- We present a clinical case of a 52-year-old man with bilateral traumatic rupture of the Achilles tendon (AT) in absence of risk factors. In medical history, the patient does not report pre-existing tendon diseases. AT ruptures occurred following a skiing injury in which the forward fall caused a severe stress and elongation of the AT. Associated with tendon injury there was a fracture of the right humeral greater tuberosity. The patient was subjected to percutaneous tenorraphy according to Maffulli's technique and subsequently topical injection of autologous platelet-rich plasma (PRP) 7 days after the injury. After surgery, the patient followed an accelerated rehabilitation protocol, allowing the weight bearing with guards (Rom-Walker) and crutches to four weeks then freely to 8 weeks. We performed a clinical (AOFAS ankle-hindfoot score) and ultrasonography follow-up at month 1, 3, 6 and 12, with excellent results in the end. To the best of our knowledge bilateral cases like this have not been described in the literature.
- Subjects :
- Male
PRP
medicine.medical_specialty
Percutaneous
Bilateral traumatic rupture
medicine.disease_cause
Achilles Tendon
Tendon Injurie
Weight-bearing
Risk Factors
Skiing
Tendon Injuries
medicine
Humans
Orthopedics and Sports Medicine
Medical history
Rupture
Achilles tendon
business.industry
Platelet-Rich Plasma
Risk Factor
Suture Techniques
Growth factor
Middle Aged
Surgery
Tendon
Accelerated rehabilitation
medicine.anatomical_structure
Platelet-rich plasma
Percutaneous tenorraphy
Ultrasonography
Absence of risk factor
business
Human
Subjects
Details
- ISSN :
- 14609584
- Volume :
- 20
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
- Accession number :
- edsair.doi.dedup.....1ac93268ce231cac2ef28d834e3d4c35