Your browser doesn't support javascript.
loading
Comparative Study of Clinical Outcome of Three Surgical Techniques in the Achilles Tendon Rupture: Open Repair, Percutaneous Repair, and Minimal Incision Repair by Achillon / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society ; : 68-73, 2018.
Article in Korean | WPRIM | ID: wpr-715012
ABSTRACT

PURPOSE:

This study compared the clinical outcomes of open repair, percutaneous repair, and minimal incision repair by Achillon in ruptured Achilles tendon. MATERIALS AND

METHODS:

The outcomes of 12 patients with open repair (group 1), 8 patients with percutaneous repair (group 2), and 10 patients with minimal incision repair by Achillon (group 3) from February 2013 to March 2016 were analyzed retrospectively. The postoperative clinical evaluations were done by the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Arner-Linholm scale, mid-calf circumference difference, one-leg heel raise difference, visual analogue scale (VAS) for postoperative scarring, time to return to work, and complications.

RESULTS:

No significant difference in the AOFAS ankle-hindfoot score, Arner-Linholm scale, and time to return to work was observed among three groups (p=0.968, 0.509, and 0.585). The mean differences in the mid-calf circumference in groups 1, 2, and 3 were 1.09, 0.73, and 0.58, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.002). In addition, the mean VAS scores for postoperative scarring in groups 1, 2, and 3 were 7.0, 9.1, and 9.1, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.001). The mean differences in one-leg heel raising in groups 1, 2, and 3 were 2.03, 1.91, and 1.33, respectively; group 3 was significantly higher than groups 1 and 2 (p=0.010). The complications encountered were one case of deep infection in group 1 and one case of sural nerve hypoesthesia in group 2.

CONCLUSION:

Minimal incision repair by Achillon is recommended as an effective surgical treatment for Achilles tendon rupture because it minimizes the risk of complications, leads to an improved tendon strength and healing, and achieves cosmetic satisfaction.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Rupture / Achilles Tendon / Sural Nerve / Tendons / Heel / Retrospective Studies / Cicatrix / Return to Work / Foot / Hypesthesia Type of study: Observational study Limits: Humans Language: Korean Journal: Journal of Korean Foot and Ankle Society Year: 2018 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Rupture / Achilles Tendon / Sural Nerve / Tendons / Heel / Retrospective Studies / Cicatrix / Return to Work / Foot / Hypesthesia Type of study: Observational study Limits: Humans Language: Korean Journal: Journal of Korean Foot and Ankle Society Year: 2018 Type: Article