EVALUATION OF THE FUNCTIONAL OUTCOME AFTER BOSWORTH TECHNIQUE FOR NEGLECTED ACHILLES TENDON RUPTURE - A CLINICAL STUDY

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Y Agarwal D Aher P Misra S Gaur A Gohiya S Tandon

Abstract

Background: Most ruptures of the Achilles tendon occur at the watershed area which is about 2 to 6 cm proximal to insertion of the tendon. There are many techniques of repair like using tendon transfer, autograft or synthetic ligament. Bosworth has described a technique of sural triceps aponeurosis turndown. The study was conducted with the objective to describe the effectiveness and functional outcome after Bosworth procedure in chronic ruptures in zone II in cases where end-to-end repair can’t be done. Material and Methods: The study consisted of a total 20 patients. Positive Thompson test was elicited in all patients. Bosworth technique was used in for repair in all patients. The functional outcome was assessed at 1 month, 6-month and 1-year follow-up visits using the clinical scoring method described by Leppilahti et al. Results: All patients resumed work at 6 months postoperatively. Almost all patients had normal walking and stair climbing. The range of ankle motion showed significant improvement postoperatively. Conclusion: Bosworth repair for chronic neglected Achilles tendon ruture is still a good method for achieving better functional outcomes for ankle for ruptures of Achilles tendon in zone 2, where more than 2 cm distal stump is available.

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How to Cite
Agarwal, Y., Aher, D., Misra, P., Gaur, S., Gohiya, A., & Tandon, S. (2018). EVALUATION OF THE FUNCTIONAL OUTCOME AFTER BOSWORTH TECHNIQUE FOR NEGLECTED ACHILLES TENDON RUPTURE - A CLINICAL STUDY. International Journal of Medical and Biomedical Studies, 2(4). https://doi.org/10.32553/ijmbs.v2i4.27
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Research Articles