RESUMO
UNLABELLED: We present the case of a 39-year-old man who sustained an open talar fracture of the right lower extremity and a supracondylar traumatic amputation of the left lower extremity. We used osteochondral chips from the femoral condyles of the amputated extremity as an autologous graft to reconstruct the talus and fixated these with Barouk screws. Two years postsurgery, the patient was pain free and without functional limitations, and his American Orthopaedic Foot and Ankle Society Scale score was 92, despite showing radiographic evidence of ankle joint space narrowing. LEVEL OF CLINICAL EVIDENCE: 4.
Assuntos
Acidentes de Trânsito , Transplante Ósseo/métodos , Fraturas Expostas/cirurgia , Motocicletas , Procedimentos Ortopédicos , Tálus/cirurgia , Adulto , Fraturas Expostas/diagnóstico , Indicadores Básicos de Saúde , Humanos , Masculino , Período Pós-Operatório , Tálus/lesões , Índices de Gravidade do TraumaRESUMO
BACKGROUND: Rerupture is a main complication in Achilles tendon rupture surgery, with an incidence of 2-8%. Although wound break-down and rerupture are well known complications, spontaneous open rerupture has not been previously reported to the authors' knowledge. METHODS: We report on two cases of open rerupture of Achilles tendon following augmented repair, through a transverse wound perpendicular to the primary incision line. Reruptures occurred 80 and 54 days after primary repair. RESULTS AND CONCLUSIONS: After surgical repair long term follow-up results are good in both cases. This complication could be related to subtotal closure of the paratenon due to the bulk of the augmented repair and to an inadequate and a too extended period of postoperative ankle immobilization.