A new approach for surgical treatment of acute closed Achilles tendon rupture -- a retrospective clinical study
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Abstract
Background To introduce a new surgical approach for Achilles tendon repair and analyze its clinical effect and postoperative complications compared with the traditional long incision approach. Methods A retrospective control study of 43 patients treated with Achilles tendon rupture using two different approaches carried out. The conventional approach: one continuous longitudinal incision, 1cm medial from the central posterior ankle joint. The modified approach: one short S shape incision across the posterior part of the ankle and 2 pairs of tiny incisions at the proximal edges of Achilles tendon. The Arner-Lindholm score was used for ankle function evaluation and complications were summarized. Results In the conventional group (25 patients), there were 4 cases with local skin necrosis. Achilles tendon rupture occurred again in one patient 2 month after surgery. No cutaneous nerve injury occurred. The total incidence rate of complication was 20%. In the modified group (19 patients), one patient had sural nerve injury. No wound dehiscence and re-rupture of Achilles tendon occurred in all the cases. The total incidence rate of complication was 5.3%. There were significant differences between the two groups in the incidence of postoperative complications (P < 0.05). The excellent and good rates of the ankle joint function in the modified group were statistically higher than those in the conventional group (P < 0.05).Conclusion The modified surgical approach for Achilles tendon repair was recommended. With this approach fewer complications and better functional recovery could be achieved.
Keywords
operative approach; Achilles tendon rupture; postoperative complication; curative effect
Cite this paper
Hongtao Xiong, Yuzhou Liu, Yongqing Zhuang, Jie Lao, Chunling Chen,
A new approach for surgical treatment of acute closed Achilles tendon rupture -- a retrospective clinical study
, SCIREA Journal of Clinical Medicine.
Volume 4, Issue 6, December 2019 | PP. 289-303.
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