Rupture Spontanee Du Tendon D’achille Sur Terrain Diabetique : A Propos Du Cas

Achilles Tendon Rupture (ATR) is a frequently described lesion in sports traumatology. It can occur following certain chronic or systemic diseases. We reported a case of a 48-year-old woman, a teacher by profession, who was consulting for lameness. Anamnesis found during a walk, a brutal sensation of blow on the heel with cowardice and sharp pain at the elective point imposing upon the resting of the patient. Clinical examination noted an increased spontaneous dorsiflexion of the affected ankle, depression corresponding to the tendon continuity solution, and a positive Thompson test. The diagnosis of Achilles Tendon Rupture was made. The patient was operated 2 weeks later by open surgery. A simple suture kept by a plaster splint was performed (the ankle in equinus). Functional rehabilitation was done for 6 weeks, and walking was allowed at the 6th week. In the absence of minimally invasive surgery, conventional surgery can provide good results in case of spontaneous Achilles Tendon Rupture at the cost of rigorous monitoring of the patient

The different steps of the hip arthrodesis procedure with the anterolateral arthrodesis plate.

<p>The different steps of the procedure of the hip fusion with the anterolateral arthrodesis plate are depicted: a) transfixion of the femoral head and the acetabulum by two short sleeved 6.5 mm cancellous screws with washer and anterior view of the positioned anterolateral arthrodesis plate, b) lateral view the positioned anterolateral arthrodesis plate.</p

Pre- and post-operative evaluation of the patients.

<p>Each criterion is rated from 0 points (worst condition) to 6 points (best condition).</p

The anterolateral arthrodesis plate.

<p>Two different sizes of anterolateral arthrodesis plates are shown; one of the plates has been moulded into the appropriate shape to obtain the “arthrodesis position” of the leg.</p

Radiological course of a hip fusion case with the view the anterolateral arthrodesis plate.

<p>Radiographs of the right hip in a 35 years old man showing a) a Kellgren 4 hip arthritis secondary to a neglected slipped capital epiphysis, b) the HA with the anterolateral plate 3 months post-operatively, c) fusion of the hip joint and removal of the plate 25 months post-operatively.</p