Abstract | PURPOSE: To evaluate the outcome after percutaneous repair followed by accelerated rehabilitation for acute Achilles tendon ruptures. METHODS: 21 men and 9 women (mean age, 41 years) underwent percutaneous repair by a single senior surgeon for acute Achilles tendon ruptures, followed by early weight bearing and accelerated rehabilitation. Outcome measures included the Achilles tendon re- rupture rate, the Achilles tendon total rupture score (ATRS) at 3 and 6 months, the incidence of sural nerve injury, wound infection, wound dehiscence, patient satisfaction, and the time to return to pre- rupture activity. RESULTS: The mean follow-up period was 12.5 months. The mean ATRS score improved from 57.65 at 3 months to 86.95 at 6 months (p<0.001). No patient had intra-operative complications, tendon re- rupture, sural nerve injury, wound dehiscence, or deep infection. Two patients developed a superficial wound infection, which was resolved with oral flucloxacillin. Two patients had a mass at the transverse incision, but neither had any symptoms or functional restriction. All patients were able to bear full weight comfortably without the walker boot at 8 weeks, and return to their work by 3 months. The mean time to return to pre- rupture activity, including sports, was 10.4 months. The mean satisfaction rate was 87% at 6 months. CONCLUSION: Percutaneous repair of the Achilles tendon followed by early weight bearing and accelerated rehabilitation achieves good functional outcome.
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Authors | Louay Al-Mouazzen, Karthig Rajakulendran, Ali Najefi, Nurul Ahad |
Journal | Journal of orthopaedic surgery (Hong Kong)
(J Orthop Surg (Hong Kong))
Vol. 23
Issue 3
Pg. 352-6
(Dec 2015)
ISSN: 2309-4990 [Electronic] England |
PMID | 26715717
(Publication Type: Journal Article)
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Topics |
- Achilles Tendon
(injuries)
- Adult
- Aged
- Female
- Humans
- Incidence
- Male
- Middle Aged
- Patient Satisfaction
- Recovery of Function
- Rupture
(rehabilitation, surgery)
- Tendon Injuries
(rehabilitation, surgery)
- Treatment Outcome
- Weight-Bearing
- Wound Healing
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