Treatment of Acute Achilles Tendon Rupture Using Krackow Suture Technique.
- Author:
Hyong Nyun KIM
1
;
Ki Hoon PARK
;
Yong Wook PARK
Author Information
1. Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. aofas@chollian.net
- Publication Type:Original Article
- Keywords:
Achilles tendon;
Acute rupture;
Krackow suture
- MeSH:
Achilles Tendon;
Animals;
Ankle;
Female;
Follow-Up Studies;
Humans;
Leg;
Male;
Muscles;
Range of Motion, Articular;
Rupture;
Suture Techniques;
Sutures
- From:Journal of Korean Foot and Ankle Society
2009;13(1):34-39
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We try to evaluate the clinical results of the acute Achilles tendon rupture treated with Krackow suture technique. MATERIALS AND METHODS:We reviewed 27 patients with acute Achilles tendon rupture treated between October 2005 and September 2007. There were 26 complete ruptures and 1 incomplete rupture. All were ruptured at tendinous area. There were 21 men and 6 women, and mean age was 38 years. We repaired ruptured Achilles tendon with Krackow suture technique. The results were evaluated with Arner-Lindholm scale for patients' satisfaction, strength of calf muscle power, calf circumference, and ankle motion. The average follow-up was 29 months. RESULTS:The patients' subjective clinical results was excellent in 25 cases and good in 2 cases. There were 15 cases of less than 1 cm, 6 cases of 1~3 cm, and 1 case of more than 3 cm in the calf circumference difference between the normal and affected leg. There were 20 cases of less than 5 degrees, and 2 cases of more 5 degrees in the difference of range of motion between the normal and affected ankle. We had an experience of postoperative deep infection in one diabetic patient. CONCLUSION: We had a good clinical result for acute Achilles tendon rupture treated with Krackow suture method. So we recommand Krackow suture technique for acute Achilles tendon rupture.
