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Acute Achilles tendon rupture


Authors: Radim Krejčí;  Jiří Toman
Authors‘ workplace: Hospital Nove Mesto na Morave, p. o. ;  Nemocnice Nové Město na Moravě, p. o.
Published in: Úraz chir. 23., 2015, č.1

Overview

Aim of the study:
The author evaluates the results of surgical treatment of acute closed rupture of the Achilles tendon at his workplace and performs a comparison between different surgical techniques.

Material and Methods:
The author retrospectively assessed findings of a group of 54 patients presented with acute simplex Achilles tendon rupture by using of Leppilathi score in 2008–2012. 16 patients were treated with an invasive technique, 25 patients with semiinvasive technique and 13 patients with percutaneous technique. Orthesis VacoPed (earlier VacoAchill) with the possibility of immediate functional therapy was applied in all cases.

Results:
All cases of Achilles tendon rupture healed completely. There was no difference in the functional outcome in total among all the used techniques. Healing complications of the wound in the form of superficial hemorrhage occurred in the total amount of 12 patients (22.2 %). Deep wound infection associated with secondary healing was observed twice (3.7 %). The main difference was found during wound healing after open surgery method, when the author noted 37.5 % of complications compared with 15.4 % with the percutaneous method. In total, nine cases of phlebothrombosis (16.7 %) and five cases of irritation of nervus suralis (9.3 %) were reported. No relapse of Achilles tendon rupture was reported.

Conclusion:
Percutaneous technique combined with immediate functional (load – movement) therapy has been manifested as the most proper method of treatment that enables immediate rehabilitation and patient’s integrations into the social life.

Key words:
Achilles tendon rupture, immediate functional treatment, VACOped orthesis.


Sources

1. BARTONÍČEK, J., HEŘT, J. Základy klinické anatomie pohybového aparatátu. 1. vyd. Praha: Maxdorf, 2004, 256 s. ISBN 80-7345-017-8.

2. BLANKSTEIN, A., ISRAELI, A. et al. A. Percutaneous Achilles Tendon Repair Combined with Real-Time Sonography. Isr Med Assoc J. 2007, 9, 83–85. ISSN 1565-1088.

3. CALDER, JDF., SAXBY, TS. Early, active rehabilitation following mini-open repair of Achilles tendon rupture: a prospective study. Br J Sports Med. 2005, 39, 857–859. ISSN 0306-3674.

4. ČRETNIK, A. Achilles tendon repair under local anesthesia. In: Clinical use of local anesthetics [online]. Rijeka: InTech, 2012, s. 75-86 [cit. 2013-10-05]. ISBN 9789535104308 Dostupné z: http://library.umac.mo/ebooks/b28113457.pdf#page=83.

5. NG, E. et al. Repair of acute Achilles tendon rupture using a double-ended needle. J Orthop Sur. 2006, 14, 142–146. ISSN 1022-5536.

6. FUJIKAWA, A. et al. Achilles Tendon After Percutaneous Surgical Repair: Serial MRI Observation of Uncomplicated Healing. Am J Roentgenol. 2007, 189, 1169–1174. ISSN 0361-803X.

7. HENRÍQUEZ, H. et al. Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture? Clin Orthop Relat Res. 2012, 470, 998–1003. ISSN 0009-921X (print), 1528-1132.

8. CHAN, SK., CHUNG, SCY. et al. Minimally invasive repair of ruptured Achilles tendon. Hong Kong Med J. 2008, 14, 255–258. ISSN 1024-2708.

9. INGVAR, J., TAGIL, M. et al. Nonoperative treatment of Achilles tendon rupture: 196 consecutive patiens with a 7% re-rupture rate. Acta Orthop. 2005, 76, 597–601. ISSN 1745-3674.

10. JACKSON, G. et al. Outcomes of Functional Weight-bearing Rehabilitation of Achilles Tendon Ruptures. Orthopedics. 2013, 36, e1053–1059. ISSN 0147-7447.

11. JENNINGS, AG., SEFTON, GK. et al. Repair of acute rupture of the Achilles tendon: a new technice using polyester tape without external splintage. Ann R Coll Surg Engl. 2004, 86, 445–448. ISSN 0035-8843.

12. JIANG, N. et al. Operative versus nonoperative treatment for acute Achilles tendon rupture: a meta-analysis based on current evidence. Int Orthop. 2012, 36, 765–773. ISSN 0341-2695.

13. KHAN, JK. et al. Treatment of Acute Achilles Tendon Ruptures. J Bone Joint Surg Am. 2005, 87, 2202–2210. ISSN 0021-9355.

14. KONEČNÝ, J., VEVERKOVÁ, L. et al. Current possibilities of treatment of Achilles tendon rupture. A review. Scripta Medica. 2006, 79, 75–84. ISSN 1211-3395.

15. MAES, R., COPIN, G. et al. Is percutaneous repair of the Achilles tendon a safe technique? A study of 124 cases. Acta Orthop Belg. 2006, 72, 179–183. ISSN 0001-6462.

16. METZ, R. et al. Acute Achilles tendon rupture: minimally invasive surgery versus non operative treatment, with immediate full weight bearing. Design of a randomized controlled trial. BMC Musculoskelet Disord. 2007, 6, 8–108. ISSN 1471-2474.

17. NYYSÖNEN, T. et al. Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: a retrospective comparison in 98 patients. Acta Orthop Scand. 2003, 74, 206–208. ISSN 0001-6470.

18. PINK, M., VALOUŠEK, T. Perkutánní sutura Achillovy šlachy. Ortopedie. 2011, 5, 8–11. ISSN 1802-1727.

19. ROUVILLAIN, JL. et al. Percutaneous suture of acute Achilles tendon rupture. A study of 60 cases. Acta Orthop Belg. 2010, 76, 237–242. ISSN 0001-6462.

20. SIROVÝ, M., CARDA, M. Perkutánní vs. otevřená sutura subkutánní ruptury Achillovy šlachy. Rozhl Chir. 2007, 86, 594–599. ISSN 0035-9351.

21. STRAUSS, EJ. et al. Operative treatment of acute Achilles tendon ruptures: An institutional review of clinical outcomes. Injury. 2007, 38, 832–838. ISSN 0020-1383.

22. SUCHAK, AA. et al. The Influence of Early Weight-Bearing Compared with Non-Weight-Bearing After Surgical Repair of the Achilles Tendon. J Bone Joint Surg Am. 2008, 90, 1876–1883. ISSN 0021-9355.

23. SUCHAK, AA. et al. Postoperative Rehabilitation Protocols for Achilles Tendon Ruptures. Clin Orthop Relat Res. 2006, 445, 216–221. ISSN 0009-921X.

24. UCHIYAMA, E. et al. A Modified Operation for Achilles Tendon Ruptures. Am J Sports Med. 2007, 35, 1739–1743. ISSN 0363-5465.

25. WEBER, O., SCHMIDGEN, A. et al. Semi-functional postoperative treat-ment of surgically Achilles tendon ruptures. Trauma Berufskrankheit. 1999, 1, 258–263. ISSN 1436-6274.

26. WORTH, N., GHOSH, S. et al. Management of acute Achilles tendon ruptures in the United Kingdom. J Orthop Surg. 2007, 15, 311–314. ISSN 1022-5536.

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Surgery Traumatology Trauma surgery
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