Treatment of Acute Achilles Tendon Rupture.
10.14193/jkfas.2015.19.3.77
- Author:
Tae Hoon LEE
1
;
Hak Jun KIM
;
Young Sik JEON
Author Information
1. Department of Orthopaedic Surgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea. dakjul@hanmail.net
- Publication Type:Review
- Keywords:
Achilles tendon;
Rupture;
Treatment;
Surgical;
Nonsurgical
- MeSH:
Achilles Tendon*;
Humans;
Rehabilitation;
Rupture*;
Sports;
Suture Techniques;
Sutures;
Weight-Bearing
- From:Journal of Korean Foot and Ankle Society
2015;19(3):77-80
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute Achilles tendon rupture is a frequent injury during sports and recreational activities. Treatments for Achilles tendon rupture have been controversial in recent decades. Traditionally the surgical treatment had benefit over nonsurgical treatment in terms of low rerupture rate and early functional restoration. Recently, nonsurgical treatment was found to show no statistically significant inferiority in re-rupture rate, functional outcome, and calf strength. Whereas, surgical treatment had some complications including adhesion, nerve injury, and infection. Nonsurgical treatment has been increasing due to functional rehabilitation with early weight bearing and restricted early motion. It focuses more attention on the course of caring for patients with deep discussion. There are open repair and minimally invasive repair in terms of surgical treatment. There are various techniques for minimally invasive repair of Achilles tendon, which has some advantages over the open repair. However, the optimal technique for minimally invasive repair has not been established. The number of suture strands is important regardless of suture technique.
