Open and subcutaneous recent tibialis anterior tendon ruptures: Does postoperative immobilization method influence outcome?

Summary We report on seven traumatic lesions of the tibialis anterior tendon (one subcutaneous rupture and six open tears) in seven injured patients of mean age 45 years [17–79] all managed by direct suture and immobilization either using a cast boot (four cases) or a lower leg external fixator (thr...

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Bibliographic Details
Published in:Orthopaedics & traumatology, surgery & research surgery & research, 2011-04, Vol.97 (2), p.211-216
Main Authors: Lefebvre, B, Beldame, J, Bertiaux, S, Biga, N
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Casts, Surgical
External Fixators
Female
Humans
Immobilization - methods
Lower limb external fixation
Male
Middle Aged
Orthopedics
Retrospective Studies
Rupture
Surgery
Suture Techniques
Tendon injuries
Tendon Injuries - surgery
Tibialis anterior
Traumatic rupture
Traumatic section
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Summary:Summary We report on seven traumatic lesions of the tibialis anterior tendon (one subcutaneous rupture and six open tears) in seven injured patients of mean age 45 years [17–79] all managed by direct suture and immobilization either using a cast boot (four cases) or a lower leg external fixator (three cases). After a mean follow-up of 31 months (6–50), external fixation achieved favourable clinical results with no specific complication. External fixation improves the conditions for suture efficiency, provides full immobilization and facilitates wound care in patients at a high risk of developing cutaneous complications. In accordance with data published in the literature, immobilization by means of a windowed cast boot achieved satisfactory results in patients with no risk factors. This method compatible with early mobilization avoids placement of a posterior splint which could induce slackening and weakening of tendon repair. Level of evidence Retrospective study (Level IV).
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2010.09.018