• Journal of Korean Foot and Ankle Society
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• v.18 no.3
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• pp.115-118
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• 2014

Purpose: The purpose of this study is to report on the result of repairing Achilles tendon using absorbable suture under nerve block. Materials and Methods: We retrospectively reviewed 20 patients with acute Achilles tendon rupture who were followed up for at least six months after the operation. We repaired Achilles tendon using two absorbable sutures using the Krackow technique for the proximal stump and the Kessler technique for the distal stump. A programmed postoperative management including non-weight bearing with a short leg cast for four weeks after the operation was applied for all patients. We evaluated clinical results using American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) for satisfaction, range of motion of ankle, functional recovery rate, and the starting time of single heel raise. Results: The mean VAS score for satisfaction and AOFAS score was 9.2 and 93.0, respectively. The affected ankle showed a mean dorsiflexion rate of 90% and plantar-flexion rate of 94% compared to the uninjured side. The single heel raise could start at a mean of 3.5 months after the operation. Conclusion: Treatment of Achilles tendon rupture with absorbable suture material using the hybrid suture technique of proximal Krackow and distal Kessler showed sufficient stability and minimal chronic inflammatory reaction.

• Journal of Korean Physical Therapy Science
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• v.10 no.2
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• pp.184-192
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• 2003

This study were investigated the effects to the starting-time of the applied aquatic exercise to the functional healing phase on the Achilles tendon injured rats. The Spraque-Dawley female rats weights($246{\pm}18g$) were assigned to the four groups(24 rats), all experimental groups were able to walling training for 20 min. on the rolling bar motor before injured, one group; control group and three groups; aquatic exercise groups, The aquatic groups were derived into the first day, fourth day and seventh day groups after injuring Achilles tendon according to the levels of aquatic exercise. This studied were investigated the effects of functional healing after appling the aquatic exercising after first day, fourth day and seven days after injured Achilles tendon by the method of rolling bar-motor(Jc-35L-H/GEAR MOTOR, DC, 12V-20RPM, TAIWAN)R.O.C. and to the phase of healing phase to the Achilles tendon. After injuring Achilles tendon, the starting-times of walling on the rolling bar motor were showed from 10th day in the first day aquatic groups, after injuring, from the eight day of fourth day and seventh day aquatic groups, but those, of the all aquatic groups were not significantly showed from the ninth day after injured in the control group. There were showed healing phase without adherence like normal tissue from the fourth day group after injured to the control group. The results stewed that aquatic exercising were effected the healing phase to the injured Achilles tendon to apply exercise, after being the late period of inflammation.

• Journal of Korean Foot and Ankle Society
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• v.7 no.2
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• pp.223-231
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• 2003

Purpose: Achilles tendon rupture has become more common in the recent years. As suture with foreign material has been blamed for impaired healing, better results should be expected from the use of autogenous material such as plantaris tendon. We have evaluated the surgical results of end-to-end anastomosis using the plantaris tendon as suture material. Materials and Methods: Between Jan 1997 and Jan 2002, the 60 patients were included this study during one year follow-up. We performed the operations with end-to-end suture technique using modified Lynn's method. The plantaris tendon has been used as a autogenous suture material and can be utilized in the end-to-end anastomosis of ruptured Achilles tendon with modifed Bunnel suture technique. We used a clinical scoring system reported by Leppilahti to evaluate the results. Results: The overall results were excellent in thirty eight(63.3%), good in sixteen(26.6%), fair in five(8.3%) cases, and poor in only one (1.6%) case. Fifty four cases(90%) had the score more than good. We had no deep infection, rerupture, deep vein thrombosis, and skin necrosis as major complication. In just 2 cases, although there were superficial skin infection, the wounds did not proceed necrosis due to using antibiotics. Conclusion: End-to-end anastomosis using the plantaris tendon as suture material was good treatment option that had low infection rate and no foreign body reaction because of using autogenous material, and therefore we can get rapid healing of ruptured tendon due to early ragne of motion and accerlerated rehabilitation.

• Journal of Korean Foot and Ankle Society
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• v.6 no.1
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• pp.106-110
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• 2002

The rupture of the Achilles tendon is rather uncommon, but its incidence has been increasing. Main causes are usually due to direct injury or sudden indirect high energy trauma such as sports activity without predisposing disease. Spontaneous rupture of the Achilles tendon are sporadically reported especially from person who took steroid or with similiar predisposing disease. We experienced a patient with bilateral ruptures of the Achilles tendon that had occurred almost spontaneously, without any steroid related medication or underlying diseases.

• Journal of Korean Foot and Ankle Society
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• v.25 no.2
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• pp.66-71
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• 2021

Achilles tendinopathy has seen good results with conservative management. However, the management of Achilles tendinopathy lacks evidence-based support, and tendinopathy patients are at risk of long-term morbidity with unpredictable clinical outcomes. Data suggests that 29% of tendinopathy patients required surgical intervention during the follow-up period. Chronic pain after damage to the Achilles tendon is a result of incomplete recovery of fibrous tissue. Recently, many procedures, including various injection treatments, have been tried without understanding proper preservation techniques and procedures for faster tendon recovery, especially for patients who want to quickly return to their daily lives. This article is an extensive literature review on nonoperative management of Achilles tendinopathy.

• PNF and Movement
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• v.18 no.3
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• pp.425-433
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• 2020

Purpose: The purpose of this study was to investigate the effect of 7Hz vibration on the thickness of the rectus femoris, medial femur, rectus femoris tendon, and Achilles tendon. Methods: The statistical methods before and after working around the average value of each of the legs included repeated measures ANOVA. The subjects were 26 males residing in the N area, and we measured the change in muscle thickness and tendon thickness before, four weeks, and eight weeks after the experiment in two groups of 13 subjects each. The analysis method was a two-way repeated measurement variance analysis (ANOVA) with a significance level of 0.05 Results: The rectus femoris, medial broad muscle, rectus femur, and Achilles tendon showed significant increases in the interaction between the periods as well as between the periods and groups (p < 0.05). Conclusion: As a result of this study, the 7Hz vibration had a positive effect on the thickness of the rectus femoris and the vastus medialis muscle as well as the thickness of the rectus femoris tendon and Achilles tendon. It is expected to be used as basic data for vibrational exercises in the future studies and is expected to be used as an exercise to strengthen the leg muscles and tendons.

• Journal of Korean Foot and Ankle Society
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• v.15 no.3
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• pp.144-148
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• 2011

Purpose: To investigate the results of percutaneous repair technique of Achilles tendon ruptures, and to describe the surgical technique. Materials and Methods: We retrospectively analyzed the outcomes of 73 patients with ruptured Achilles tendon from October 1995 to September 2009. 28 patients were excluded due to short follow up period. 34 patients were male and 11 patients were female. The mean patient age was 37.19 (10~62) years. The location of rupture site was 6.58 cm proximal to the tendon insertion into the calcaneus on average. Mean follow up period was 55 months and All patients were surgically repaired using percutaneous technique with sural nerve isolation. Results: Arner-lindholm score were excellent in 32 (71%), good in 12 (27%), poor in 1 (2%) case. 44 cases (98%) had the score more than good. Mean American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot function score was 92.93 (67~100). We had 1 case of superficial infection, 1 case of soft tissue irritation by suture knot. Conclusion: Percutaneous repair with sural nerve isolation in treating ruptured Achilles tendon showed low complication rate and reliable clinical outcome.

• Archives of Reconstructive Microsurgery
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• v.11 no.2
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• pp.162-166
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• 2002

The anterolateral thigh free flap was first reported by Song et al. in 1984 as a fasciocutaneous flap based on septocutaneous or musculocutaneous perforators of the lateral femoral circumflex vessel. It only becomes popular recently through confirmation of additional anatomy. For reconstruction of Achilles area defect, a thin flap is required to improve aesthetic and functional results. The anterolateral thigh free flap is relatively thin and can provide large skin area. It can be a useful option for reconstruction of Achilles area defect based on these characters. Since March 2002, we have successfully transferred 4 anterolateral thigh free flaps to reconstruct Achilles area defects and have attained good range of motion in this region. The anterolateral thigh free flap has many advantages and can be used for the reconstruction of Achilles tendon area defect.

• Journal of Korean Foot and Ankle Society
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• v.25 no.2
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• pp.95-99
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• 2021

The surgical treatment of Achilles tendinopathy can be considered after the failure of conservative treatment, and the surgical methods may be divided into two groups; treatments for insertional and non-insertional tendinopathy. In the case of insertional tendinopathy, debridement including tendon and calcification of the diseased lesion, reattachment of the tendon, and calcaneal ostectomy of the Haglund lesion are the primary treatments. If reattachment is not possible, reconstruction should be performed by other methods such as tendon transfer. As a result of surgery for insertional tendinopathy, there is an improvement in the pain and function after surgery, but there are some patients whose pain does not completely disappear. Some residual pain may persist; therefore, the overall success rate of the surgery can be expected to be 80% to 90%. For the patients of non-insertional tendinopathy, conservative treatment through eccentric exercise is the primary treatment, and most of them have reported good results. In case of failure after various conservative treatments, debridement of the diseased lesion and repair of the remaining tendon would be the primary surgical treatments. If the remaining tendon is not sufficient, reconstruction such as tendon transfer should be considered.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2008.11a
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• pp.203-204
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• 2008