Rehabilitation nursing for 10 cases of chronic achilles tendon rupture undergoing transplantation of flexor hallucis longus and plantaris tendon and gastrocnemius fascia flap repairing

Objective To evaluate the effect of rehabilitated nursing in patients undergoing the transplantation of flexor hallucis longus and plantaris tendon and gastrocnemius fascia flap repairing. Methods From January, 2012 to January, 2015, 10 cases was observed with using psychological nursing, limb care, physical therapy, and rehabilitation training and recovery guide, including 8 males and 2 females with a median age of (35.3±1.32) years (range, 22-54 years). The score was (69.5±2.07) according to American Orthopedic Foot and Ankle Society (AOFAS) ankle and hindfoot score system. The interval time was (5.31±1.04) months(range, 4-8 months) from injury time to intervene time. Results Ten patients were followed up 12-36 months (mean, 13.7 months). NO any complication was occurred and all incisions were primary healing. The average interval to return to work was (5.03±1.03) months (range from 3 to 12 months) and recovery to sports (8.31±1.30) months (range from 6 to 18 months). At 12 months after operation, the AOFAS ankle and hindfoot score was 96.3±1.6, showing significant difference when compared with that before operation. These Results were excellent in 6 cases, good in 3 cases, and fair in 1 case with an excellent and good rate of 90.0%. Conclusion The self-management ability of Achilles tendon rupture was improved with scientific rehabilitation nursing mode, reducing the occurrence of Achilles tendon rupture, providing a positive Method to the rehabilitation of the Flexor Hallucis Longus transfer with turndown gastrocnemius fascia flap and reinforced with plantaris tendon repairing for chronic Achilles tendon rupture.