Prognostic Factors in Outcome of Operative Treatment of Achilles Tendon Rupture / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 181-187, 1999.
Article
in Korean
| WPRIM
| ID: wpr-650640
ABSTRACT
PURPOSE:
We have evaluated the outcome of the operative treatment of Achilles tendon rupture and analyzed the prognostic factors related to the results. MATERIALS ANDMETHODS:
Subjective assessment of symptoms, range of ankle motion and isokinetic ankle strength was performed on 50 patients during a 1-year follow up. We used a clinical scoring system reported by Leppilahti et al to evaluate the results.RESULTS:
The overall results were excellent in 18 (36%), and good in 16 (32%), fair in 10 (20%), and poor in 6 (12%) cases. Lower activity level (P<0.001), presence of systemic disease (P<0.001), later return to physical exercise (P=0.044), and previous Achilles tendon symptoms (P=0.015) were associated with unsatisfactory strength results. An older age (P<0.001) and later return to strenuous activities (P=0.005) were associated with unsuccessful overall results.CONCLUSIONS:
We think that a clinical scoring system, including subjective and objective assessment, is good protocol to find the prognostic factors related to the results after the operative treatment of Achilles tendon rupture. The patient group with poor prognostic factors present a challenge for rehabilitation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rehabilitation
/
Rupture
/
Achilles Tendon
/
Exercise
/
Follow-Up Studies
/
Ankle
Type of study:
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
1999
Type:
Article
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