Management of Missed Traumatic Achilles Tendon Rupture in a Pediatric Patient: A Case Report
- Authors: Andaloussi S.1
-
Affiliations:
- Marche Verte Hospital, Regional Delegation of Public Health Boulemane
- Issue: Vol 9, No 4 (2021)
- Pages: 465-470
- Section: Clinical cases
- URL: https://journals.eco-vector.com/turner/article/view/77113
- DOI: https://doi.org/10.17816/PTORS77113
- ID: 77113
Cite item
Abstract
BACKGROUND: Missed traumatic Achilles tendon ruptures in children are rarely reported in the literature. Various techniques have been described to reconstruct delayed Achilles tendon ruptures for adults, but the long-term consequences in the growing child are unknown.
CLINICAL CASE: The article presents a clinical observation of a 8-year-old girl with missed rupture of the Achilles tendon operated 7 weeks after the trauma by end-to-end Kessler-type sutures augmented with the plantaris tendon. At 2-year follow-up, the patient was completely asymptomatic.
DISCUSSION: A review of the literature shows that this is the third neglected pediatric case of post-traumatic Achilles tendon rupture. The first case concerns a 10-year-old boy treated successfully six weeks after the traumat by open surgical repair using the Bunnell sutures technique. The second patient was a 7-year-old girl, she was operated 8 weeks after the trauma with a termino-terminal tenorrhaphy using the Bunnell technique augmented with the plantaris tendon.
CONCLUSIONS: Using the plantaris tendon to reinforce the Achilles tendon repair offers satisfactory results with minimal morbidity. Prognosis depends on the extent of tendon defect which determines the long-term functional outcome. Any skin wound that sits on the back of the leg requires a systematic and careful physical examination to check the integrity of the Achilles tendon.
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About the authors
Saad Andaloussi
Marche Verte Hospital, Regional Delegation of Public Health Boulemane
Author for correspondence.
Email: andaloussi.saad@yahoo.com
ORCID iD: 0000-0002-5382-1481
MD, pediatric surgeon
Morocco, Avenue Annakhil, Missour 33250References
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