Abstract

SURGICAL MANAGEMENT OF CHRONIC ACHILLES TENDON RUPTURES WITH BOSWORTH TECHNIQUE- A PROSPECTIVE STUDY

Author(s): Asadi Madhu Sudhana, Mahesh Kareti

BACKGROUND The Achilles tendon is the strongest tendon in the human body. Retraction and atrophy of the tendon ends, scar tissue between the tendon ends makes primary repair of the chronic Achilles tendon tear difficult. Tendon transfer is associated with less strength of the graft, need for additional incisions for harvesting the graft, wound breakdown and infections. Achilles tendon is used to reconstruct the gap to overcome the above complications. The aim of the study was to evaluate the clinical and functional outcomes of chronic Achilles tendon ruptures treated with Bosworth technique. MATERIALS AND METHODS This is a prospective observational study. Sixty-seven patients with chronic complete tendoachilles rupture treated surgically with Bosworth technique were included. The clinical outcome was assessed using Leppilahti scoring system. RESULTS The mean followup was 36.4 months. Excellent to good results were reported in 60 patients (89.5%), 5 patients had fair and 2 patients had poor results according to Leppilahti scoring system. No major complications or re-rupture of the tendon were noted. CONCLUSION The reconstruction of chronic Achilles tendon ruptures with Bosworth technique is associated with good clinical and functional outcomes.