Mini-open repair for the treatment of acute closed achilles tendon ruptures.
- Author:
Tao CHEN
;
Xin ZHENG
;
Hong-bin AN
;
Yang HUANG
;
Fang-hu CHEN
;
Jian-wei RUAN
;
Hai-bao WANG
- Publication Type:Journal Article
- MeSH: Achilles Tendon; injuries; physiopathology; surgery; Adult; Female; Humans; Male; Middle Aged; Minimally Invasive Surgical Procedures; methods; Tendon Injuries; physiopathology; surgery; Treatment Outcome; Wound Healing
- From: China Journal of Orthopaedics and Traumatology 2015;28(7):654-656
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the clinical efficacy of mini-open repair for the treatment of acute closed achilles tendon ruptures.
METHODSFrom April 2012 and October 2013,14 patients (14 feet) with acute closed achilles tendon ruptures were treated in our department. They were 9 males and 5 females, with an average age of 30.5 years old (ranged, 25 to 49 years old). The interval between injury and operation ranged from 1 to 13 days (8 days on average). A longitudinal incision approximately 1.5 to 2.0 cm in length was made around the ruptured achilles tendon for mini-open repair after insertion of oval clamp. Postoperative rehabilitation was carried out.
RESULTSThe wounds healed at the first stage except 2 cases with slow recovery. All the patients were followed up for 6 to 24 months, with an average of 11 months. According to the ankle-hindfoot scoring system of American Orthopaedic Foot & Ankle Society (AOFAS),the score was 92.71 ± 6.58 (82 to 100).
CONCLUSIONThe surgical treatment of acute achilles tendon rupture with mini-open repair has advantages of little invasion, a low rate of incision problems, quick function recovery, and simple operation, and it is suitable for primary hospital.