Deep Vein Thrombosis after Achilles Tendon Repair: A Case Report

Hoseong Jang; Yong Eun Shin; Sung Hyun Kim; Hyun-Woo Park

doi:10.14193/jkfas.2016.20.1.39

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Jang, Shin, Kim, and Park: Deep Vein Thrombosis after Achilles Tendon Repair: A Case Report

Case Report

J Korean Foot Ankle Soc 2016;20(1):39-42.

Published online: 10 March 2016

DOI: https://doi.org/10.14193/jkfas.2016.20.1.39

Deep Vein Thrombosis after Achilles Tendon Repair: A Case Report

Hoseong Jang, Yong Eun Shin, Sung Hyun Kim, Hyun-Woo Park

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea

Corresponding Author: Hyun-Woo Park Department of Orthopedic Surgery, Dankook University College of Medicine, 119 Dandae-ro, Dongnam-gu, Cheonan 31116, Korea Tel: 82-41-550-3296, Fax: 82-41-556-3238, E-mail: m3artist@hanmail.net

Received 3 January 2016 Revised 4 February 2016 Accepted 5 February 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Achilles tendon rupture is thought to be increasing with participation in sports activities. Both operative and non-operative treatments of Achilles tendon rupture include a period of immobilization. Complications following treatment of the Achilles tendon rupture include recurrence of rupture, flexor weakness, infection, and wound problems. However, deep vein thrombosis (DVT) after operative treatment of the Achilles tendon has not been reported. We report on a case of DVT after Achilles tendon repair.

Keywords: Achilles tendon, Deep vein thrombosis, Complications, Repair, Intervention

References

1. Lapidus LJ, Rosfors S, Ponzer S, Levander C, Elvin A, Lärfars G, et al. Prolonged thromboprophylaxis with dalteparin after surgical treatment of achilles tendon rupture: a randomized, placebo-controlled study. J Orthop Trauma. 2007; 21:52–7.

2. Patel A, Ogawa B, Charlton T, Thordarson D. Incidence of deep vein thrombosis and pulmonary embolism after Achilles tendon rupture. Clin Orthop Relat Res. 2012; 470:270–4.

3. Coon WW. Venous thromboembolism. Prevalence, risk factors, and prevention. Clin Chest Med. 1984; 5:391–401.

41. Makhdom AM, Cota A, Saran N, Chaytor R. Incidence of symptomatic deep venous thrombosis after Achilles tendon rupture. J Foot Ankle Surg. 2013; 52:584–7.

5. Nilsson-Helander K, Thurin A, Karlsson J, Eriksson BI. High incidence of deep venous thrombosis after Achilles tendon rupture: a prospective study. Knee Surg Sports Traumatol Arthrosc. 2009; 17:1234–8.

6. Felcher AH, Mularski RA, Mosen DM, Kimes TM, DeLoughery TG, Laxson SE. Incidence and risk factors for venous thromboembolic disease in podiatric surgery. Chest. 2009; 135:917–22.

7. Howell MD, Geraci JM, Knowlton AA. Congestive heart failure and outpatient risk of venous thromboembolism: a retrospective, case-control study. J Clin Epidemiol. 2001; 54:810–6.

8. Di Nisio M, Di Iorio A, Porreca E, Abate M, Ferrante N, Bandinelli S, et al. Obesity, poor muscle strength, and venous thromboembolism in older persons: the InCHIANTI study. J Gerontol A Biol Sci Med Sci. 2011; 66:320–5.

9. Falck-Ytter Y, Francis CW, Johanson NA, Curley C, Dahl OE, Schulman S, et al. American College of Chest Physicians. Prevention of VTE in orthopedic surgery patients: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012; 141(2 Suppl):e278S–325S.

10. Lassen MR, Borris LC, Nakov RL. Use of the low-molecular-weight heparin reviparin to prevent deep-vein thrombosis after leg injury requiring immobilization. N Engl J Med. 2002; 347:726–30.

Figure 1.

Magnetic resonance imaging of the left ankle. T2-weighted sagittal image (A) and coronal image (B) show partial transverse rupture of two third portion of fibular which is 7.5 cm distant from the calcaneal attachment site.

Figure 2.

The intraoperative photo of left ruptured Achilles tendon. (A) Medial portion of the Achilles tendon was ruptured at mid calf. (B) After prolonged skin incision made.

Figure 3.

Computed tomography venography shows thrombus (arrows). (A) Infrarenal inferior vena cava. (B) Left iliac vein. (C) Left popliteal vein.

Figure 4.

Angiointervention. (A) Venous flow is blocked at inferior vena cava (IVC) (arrow). (B) IVC filter placement and filling of thrombus is found (arrow). (C) Venous flow is recovered after thrombus removal (arrow).

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