Journal of Education, Health and Sport (May 2024)

Evaluation of the effectiveness of V-Y plasty of frozen Achilles tendon rupture, with immediate follow-up weight-bearing and rehabilitation. Case analysis

  • Bartłomiej Kacprzak,
  • Anita Kisielewska,
  • Adrian Miler,
  • Magdalena Hagner-Derengowska,
  • Ewa Kitschke,
  • Walery Zukow

DOI
https://doi.org/10.12775/JEHS.2024.60.51779
Journal volume & issue
Vol. 60

Abstract

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The Achilles tendon is a strong tendon in the human body but is prone to rupture, especially during recreational activities. Misdiagnosis of ruptures can lead to chronic issues, affecting the quality of life. Surgical V-Y plasty is a technique used to treat chronic Achilles tendon ruptures by lengthening the tendon and restoring its continuity. Two cases of Achilles tendon ruptures were presented, where V-Y plasty was performed along with immediate weight-bearing and rehabilitation. The patients showed significant improvement post-surgery, with no symptoms or restrictions on physical activity after about 6 months. The rehabilitation protocol included functional training, regenerative treatments, and follow-up visits to monitor progress. Studies have shown that surgical treatment is more effective in preventing re-tears compared to conservative treatment for Achilles tendon ruptures. V-Y plasty has been proven to be an effective technique for treating chronic ruptures with large defects in tendon continuity. Immediate weight-bearing and rehabilitation post-surgery have shown positive outcomes in patient recovery. Further research is needed to establish a standardized rehabilitation protocol for Achilles tendon ruptures. The unique management regimen used in the cases presented yielded successful results, emphasizing the importance of immediate rehabilitation post-surgery for improved patient outcomes. V-Y plasty with immediate weight-bearing and rehabilitation is a promising method for treating chronic Achilles tendon ruptures.

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