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01.12.2015 | Case report | Ausgabe 1/2015 Open Access

BMC Musculoskeletal Disorders 1/2015

Successful treatment of a fracture of a huge Achilles tendon ossification with autologous hamstring tendon graft and gastrocnemius fascia flap: a case report

Zeitschrift:
BMC Musculoskeletal Disorders > Ausgabe 1/2015
Autoren:
Hisatoshi Ishikura, Naoshi Fukui, Hiroshi Takamure, Satoru Ohashi, Mitsuyasu Iwasawa, Kentaro Takagi, Ayako Horita, Ikuo Saito, Toshihito Mori
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

NF drafted the manuscript and critically revised it for important intellectual content. HT and KT performed the surgical procedures and critically revised the manuscript for important intellectual content. AH and IS performed histological examinations of the excised specimens and critically revised the manuscript for important intellectual content. SO, MI, and TM provided advice and guidance regarding the surgical procedure and critically revised the manuscript for important intellectual content. All authors read and approved the final manuscript.

Authors’ information

NF is a professor in the Department of Life Sciences at the Graduate School of Arts and Sciences of the University of Tokyo.

Abstract

Background

Fracture of an ossified Achilles tendon is a rare entity, and no standard treatment has been established. This is the first report to describe the use of a hamstring tendon graft and gastrocnemius fascia flap for Achilles tendon reconstruction.

Case presentation

We present the case of a 50-year-old woman with fracture of an ossified Achilles tendon. She presented to our clinic with acute right hindfoot pain, which started suddenly while going up the stairs. Plain radiography and magnetic resonance imaging revealed a massive ossification on the right Achilles tendon extending over 14 cm in length; the ossification was fractured at 5 cm proximal to the calcaneus insertion. Surgical treatment included removal of the ossified tendon and reconstruction with an autologous hamstring tendon graft and gastrocnemius fascia flap. One year after surgery, she was able to walk with little pain or discomfort and to stand on her right tiptoe.

Conclusion

Our novel surgical procedure may be useful in the treatment of fractured ossified Achilles tendons and large Achilles tendon defects.
Literatur
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