Functional Outcome of Neglected Rupture of Tendoachilles by Peroneus Brevis Tendon Transfer

Abstract

ABSTRACT Tendoachilles Rupture is one of the most common problems in Asian subcontinent. Neglected TA rupture as well as Rerupture also the most common problem. This is the retrospective as well as prospective study to    assess the functional outcome of the patients who were            undergone modified Teuffers procedure(Peroneus Brevis Transfer) for neglected rupture of TA cut. Methods -We have reviewed 13 patients who were undergone modified Teuffers procedure in our Kilpauk Medical College Hospital during the period of June 2008 June 2011 of which 7 male patients and 6 female patients in the age group of 20- 60 years.The               technique which was used Modified Teuffers .Functional  outcome was analysed over the period of three years. Results -Wound healing delay or infection occurred in 2 cases without affecting final outcome.There was no rerupture in any case during follow up.Three patients had less than 3 cms calf    atrophy,2 patients had less than 10 degree restriction of ankle dorsiflexion.Patients were generally satisfied with the               procedure and all of them had regained their normal preinjury daily activities.Conclusion-The technique of Peroneus brevis tendon transfer is strongly recommended to augment or bridge the gap in neglected rupture of TA cases.