Repair of acute Achilles tendon ruptures using Lynn method

Abstract

Objectives: Efficiency assessment of Lynn method on open primary repair of acute Achilles tendon ruptures. Methods: Data were evaluated from 19 patients who treated with the Lynne method due to acute Achilles tendon rupture. Average follow-up length was 12.3 months (range 8-15 months). Dominant side was the right side by all patients and all patients were males. Plantaris tendon augmentation was applied after end-to-end repair by modified Kessler suture technique. Results: The mean postoperative AOFAS score (The American Orthopaedic Foot and Ankle Society hindfoot clinical outcome scores) was 93.5 (range 82-100). The average of Achilles tendon postoperative assessment score, as developed by Thermann and colleagues, was 93.3. Both assessment scores were between 90-100 and were evaluated as very good. None of the patients developed post-operative wound infection. The Thompson test was negative on all patients and bilateral motor strength was 5/5. Conclusion: Lynn method, especially in young and active patients with acute Achilles tendon rupture is a method that should be considered in treatment protocols.

Keywords

• Achilles tendon, Lynn method, AOFAS score

Akut Aşil tendon yırtıklarının Lynn yöntemi ile tamiri

Abstract

Amaç: Akut Aşil tendon yırtıklarının açık primer tamirinde Lynn yönteminin etkinliğinin değerlendirilmesi. Yöntemler: Akut Aşil tendon yırtığı nedeniyle Lynn yöntemi ile tedavi edilen 19 hastanın verileri değerlendirildi. Hastaların ortalama takip süreleri 12,3 ay (8 – 15 ay) idi. Tüm hastaların dominant tarafları sağ taraf olup, çalışmaya katılan bütün hastalar erkekti. Tüm hastalara modifiye Kessler dikiş tekniği kullanılarak uç-uca tamir yapıldıktan sonra plantaris tendonu ile güçlendirme uygulandı. Bulgular: Postoperatif AOFAS skoru (The American Orthopaedic Foot and Ankle Society hindfoot clinical outcome scores) ortalama 93,5 (dağılım 82-100) olarak hesaplandı. Thermann ve arkadaşlarının geliştirdiği Aşil tendon cerrahi sonrası değerlendirme skorunda ortalama puan 93,3 olarak saptandı. Her iki değerlendirme 90-100 puan arasında çıkmış olup sonuçlar çok iyi olarak değerlendirildi. Operasyon sonrasında hiçbir hastada yara yeri enfeksiyonu gelişmedi. Yapılan son kontrollerinde tüm hastaların Thompson testi negatif olup, bilateral motor kuvvet 5/5 olarak saptandı. Sonuç: Lynn yöntemi, özellikle aktif ve genç yaştaki akut Aşil tendon yırtığı olan hastaların tedavi protokolleri arasında göz önünde bulundurulması gereken bir yöntemdir.

Keywords

• Aşil tendon, Lynn yöntemi, AOFAS skoru

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