Neglected tendoachilles rupture treated by reconstruction by teuffer’s technique
Dr. Riyaz Nn, Dr. Vinil R
Background: We present the results of reconstruction of neglected tendoachilles rupture with Peroneus Brevis tendon. Patient and Methods: 20 patients with neglected rupture of Achilles tendon treated between 2012 and 2015 were included in the study. We performed our reconstruction by Teuffer’s technique in which peroneus brevis tendon of the same side was harvested. In all cases, a below knee cast was applied in 20 degrees of plantar flexion. Total period of immobilization was 6 weeks. Modified Rupp score was used to evaluate the outcome. Results: All patients achieved excellent subjective and functional outcome. All of them were able to return to previous sport activity. Two patients developed necrosis and raw area over heel which required split skin grafting. One patient developed surgical site infection which required debridement. Five patients had stiffness of ankle due to post operative adhesions which gradually improved. The mean Rupp score was 28(3-33). Conclusion: Reconstruction of chronic neglected tendoachilles rupture with peroneus brevis tendon provides a good outcome. When compared to similar studies, our method was found to be superior and associated with less complications.