Traumatic Posterior Tibial Tendon Ruptur After Bimalleolar Fractures: Case report and review of literature

Abstract

Introduction: Rupture of the posterior tibial tendon associated with closed ankle fractures is seen rarely been and such cases in the literature are usually reported as case reports. Case Report: Bimalleolar fracture was determined in a 49 years old man after a fall from stairs. Management was consisted of open reduction-internal fixation of the fractures and primer repair of the tibialis posterior tendon. After 12 months follow-up, the patient had adequate ankle range of motion and comfortable walking. Significant major complication was not noted. Conclusion: However it is a rare condition, rupture of tibialis posterior tendon should not be overlooked after ankle fractures. These ruptures can be diagnosed only at surgery since pain inhibits clinical examination. Misdiagnosed and untreated cases can cause major complications such as ankle deformity, ankle joint arthrosis and chronic pain. In this case report, we aimed to share our unique experience of a posterior tibial tendon rupture associated with ankle fracture and to present a comprehensive review of the literature.

Does Treatment Modality Affect Clinical Results of Calcaneal Fractures: A Retrospective Comparative Study

“…Yapılan bir meta-analizde [13] iyi sonuçlardan dolayı cerrahi tedaviye yönelik bir eğilim olmasının yanında cerrahi tedavinin önerilmesindeki kanıtların zayıf olduğu tespit edilmiştir. Ancak BT kullanımının yaygınlaşması ile patoana- İntraartiküler kalkaneus kırıklarının komplikasyonları arasında malunion, posttravmatik subtalar osteoartrit, kronik ayak ağrısı, peroneal tendinit ve lateral impingement sendromu sayılabilir [21] ayrıca ayak bileği ve ayak kırıklarına tendon yırtıkları eşlik edebilir [22]. Özellikle cerrahi tedavi %53 ile en sık gözlenen komplikasyon zayıf yara iyileşmesi gibi yumuşak doku problemleri sayılabilir dahası nöropatisi olan hastalardaposttravmatik enfeksiyonlar kronik kalkaneus osteomyeliti ile sonuçlanabilir [10,23].…”