Journals / Acta Orthopaedica et Traumatologica Turcica / 2014 / Cilt: 48 - Sayı: 5

Functional outcomes of repair of Achilles tendon using a biological open surgical method

Pages
563–569
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Treatment results in low complication rates and restores ankle strength, endurance and position sense.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to evaluate the mid-term functional outcomes of ankles following biological open Achilles tendon repair and early postoperative mobilization.Methods: The study retrospectively evaluated 22 male patients who underwent one-sided biological open Achilles tendon repair.
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Key Findings & Data:The American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, isokinetic muscle strength and endurance tests and active angle reproduction test at 15° of dorsiflexion and 20° of plantarflexion of the injured and uninjured sides were measured and compared.Results: Mean age was 38.6 years and mean follow-up was 33.7 months.
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Conclusion & Impact:Treatment results in low complication rates and restores ankle strength, endurance and position sense.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to evaluate the mid-term functional outcomes of ankles following biological open Achilles tendon repair and early postoperative mobilization.Methods: The study retrospectively evaluated 22 male patients who underwent one-sided biological open Achilles tendon repair. The American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, isokinetic muscle strength and endurance tests and active angle reproduction test at 15° of dorsiflexion and 20° of plantarflexion of the injured and uninjured sides were measured and compared.Results: Mean age was 38.6 years and mean follow-up was 33.7 months. One patient had rerupture following a blunt trauma 1 month after operation. No other complication was seen. Mean AOFAS hindfoot score was 97.9 (range: 90 to 100). Peak isokinetic torque at 30°/sec (isokinetic muscle strength) and total work at 120°/sec (isokinetic muscle endurance) did not significantly differ between the operated and uninjured ankles. Proprioceptive evaluation with active angle reproduction test at 15°of dorsiflexion and 20° of plantarflexion was similar between the two sides.Conclusion: Biological open Achilles tendon repair with early postoperative mobilization appears to be a convenient intervention for acute Achilles tendon rupture in active young patients. Treatment results in low complication rates and restores ankle strength, endurance and position sense.

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Cite This Article

ARSLAN, A., ÇEPNİ, S. K., ŞAHİNKAYA, T., MAY, C., MUTLU, H., PARMAKSIZOĞLU, A. S. (2014). Functional outcomes of repair of Achilles tendon using a biological open surgical method. Acta Orthopaedica et Traumatologica Turcica, Cilt: 48 - Sayı: 5, 563–569. https://ajindex.com/articles/354410

References (14)

  1. Akgün U, Erol B, Karahan M. Primary surgical repair with the Krackow technique combined with plantaris tendon augmentation in the treatment of acute Achilles tendon ruptures. [Article in Turkish] Acta Orthop Traumatol Turc 2006;40:228-33
  2. Cretnik A, Kosanovic M, Smrkolj V. Percutaneous versus open repair of the ruptured Achilles tendon: a comparative study. Am J Sports Med 2005;33:1369-79
  3. Haji A, Sahai A, Symes A, Vyas JK. Percutaneous versus open tendo achillis repair. Foot Ankle Int 2004;25:215-8
  4. Kakiuchi M. A combined open and percutaneous technique for repair of tendo Achillis. Comparison with open repair. J Bone Joint Surg Br 1995;77:60-3
  5. Assal M, Jung M, Stern R, Rippstein P, Delmi M, Hoffmeyer P. Limited open repair of Achilles tendon ruptures: a technique with a new instrument and findings of a prospective multicenter study. J Bone Joint Surg Am 2002;84- A:161-70
  6. Elliott AJ, Kennedy JG, O'Malley M. Minimally invasive Achilles tendon repair using the Achillon repair system. Tech Foot Ankle Surg 2006;5:171-4
  7. Rippstein PF, Jung M, Assal M. Surgical repair of acute Achilles tendon rupture using a "mini-open" technique. Foot Ankle Clin 2002;7:611-9
  8. Ozkaya U, Parmaksizoglu AS, Kabukcuoglu Y, Sokucu S, Basilgan S. Open minimally invasive Achilles tendon repair with early rehabilitation: functional results of 25 consecutive patients. Injury 2009;40:669-72
  9. Mortensen HM, Skov O, Jensen PE. Early motion of the ankle after operative treatment of a rupture of the Achilles tendon. A prospective, randomized clinical and radiographic study. J Bone Joint Surg Am 1999;81:983-90
  10. Moorman CT, Kaseta MK. Formal open repair of the Achilles tendon. In: Nunley JA, editor. The Achilles tendon, treatment and rehabilitation. New York: Springer Science & Business Media, LLC; 2009. p. 83-92
  11. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the anklehindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 1994;15:349-53
  12. Chan AP, Chan YY, Fong DT, Wong PY, Lam HY, Lo CK, et al. Clinical and biomechanical outcome of minimal invasive and open repair of the Achilles tendon. Sports Med Arthrosc Rehabil Ther Technol 2011;3:32
  13. Tenenbaum S, Dreiangel N, Segal A, Herman A, Israeli A, Chechik A. The percutaneous surgical approach for repairing acute Achilles tendon rupture: a comprehensive outcome assessment. J Am Podiatr Med Assoc 2010;100:270-5
  14. Leppilahti J, Siira P, Vanharanta