COMPLICATIONS OF SURGICAL TREATMENT OF SUBCUTA NEOUS DEGENERATIVE                          ACHILLES TENDON RUPTURES

Sivakon' Stanislav Vladimirovich, Doctor of medical sciences, associate professor, head of sub-department of traumatology, orthopedics and military medicine, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), sivakon@mail.ru
Sretenskiy Sergey Vladimirovich, Senior lecturer, sub-department of traumatology, orthopedics and military medicine, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), ssv_84@mail.ru
Chizh Andrey Aleksandrovich, Candidate of medical sciences, associate professor, sub-department of traumatology, orthopedics and military medicine, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), travma-pgu@mail.ru

616-001.68

Background. The aim of the work is to study the frequency and structure of complications in surgical treatment of degenerative subcutaneous Achilles tendon ruptures, depending on the method of operation.
Material and methods. The authors analyzed the nature and causes of complications of surgical treatment in 120 patients with degenerative subcutaneous Achilles tendon ruptures. According to the method of operations the patients were divided into 5 groups: closed percutaneous suture of the Achilles tendon (25 patients); open suture of the torn tendon (28 patients); plasty of tendon according Chernavsky (24 patients); plasty of tendon by mylar tape (22 patients); plasty of tendon by bioprostheses from xenopericardium (21 patients).
Results. 70 cases of complications in 32 patients (26,6 % of the total) were ob-served. The greatest number of complications was found in patients who underwent the plasty by mylar tape. Moreover, these complications often caused an increase in duration of treatment and poor long-term functional results. The smallest number of complications was in the group of patients who underwent the plasty by bioprostheses of xenopericardium – in authors’ opinion, this was due to a complete restoration of the sliding surface of the tendon that excluded complications later.
Conclucion. The obtained results show the effectiveness of using the bioprosthe-sis of xenopericardium for plasty of the Achilles tendon.

surgical treatment of Achilles tendon, complications.

1. Boyden E. M., Kitaoka H. B., Cabalan T. D., An K. N. Clin. Orthop. 1995, vol. 317, pp. 150–158.
2. Gritsyuk A. A., Sereda A. P. Akhillovo sukhozhilie [Achilles tendon]. Moscow: RAEN, 2010, 313 p.
3. Pajala A., Kangas J., Siira P., Ohtonen P., Leppilahti J. J. Bone Joint Surg Am. 2009, vol. 91, no. 5, pp. 1092–1100.