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2007 | 79 | 6 | 410-417

Article title

Evaluation of Long Term Therapy Outcomes for Achilles Tendon Ruptures

Content

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Languages of publication

EN

Abstracts

EN
The aim of the study was to assess the results of treatment for partial and complete Achilles tendon ruptures.Material and methods. We evaluated 94 patients suffering from the injury (61 males and 33 females) with an average age of 43.8.Results. The most common mechanism of injury was sport-related (57 participants) or walking-related overstraining (32 participants). 81 patients underwent surgical procedures. In 77 patients, Kessler's suture was used and in 12 patients, transplantation of iliotibial tract was performed. A group of 13 patients underwent a conservative therapy. Plantar flexion immobilization was used for 3 months (constant immobilization for 6 weeks) in all groups. Every patient underwent rehabilitation following surgery. The follow up period was 2.5 years. 85 patients fully recovered lower limb function. In 9 patients, complications were noted: 4 had flexor contractions in the ankle joint requiring further treatment, 2 patients suffered from reoccurrence of tears, and 2 had thrombophlebitis. One patient developed diffuse necrosis of the posterior region of the distal leg, which required amputation.Conclusions. An appropriate approach to the treatment of Achilles tendon injuries is surgery followed by intensive physiotherapy. During the surgical procedure, it is essential to properly realign the anatomic structures including the fibers rotating within the tendon.

Year

Volume

79

Issue

6

Pages

410-417

Physical description

Dates

published
1 - 6 - 2007
online
27 - 11 - 2007

Contributors

  • Department of Emergency Medicine and Multiple Injuries, 2 Chair of General Surgery, Collegium Medicum Jagiellonian University in Cracow
  • Department of Emergency Medicine and Multiple Injuries, 2 Chair of General Surgery, Collegium Medicum Jagiellonian University in Cracow
  • Department of Emergency Medicine and Multiple Injuries, 2 Chair of General Surgery, Collegium Medicum Jagiellonian University in Cracow
  • Department of Emergency Medicine and Multiple Injuries, 2 Chair of General Surgery, Collegium Medicum Jagiellonian University in Cracow
  • Department of Emergency Medicine and Multiple Injuries, 2 Chair of General Surgery, Collegium Medicum Jagiellonian University in Cracow
author
  • Department of Emergency Medicine and Multiple Injuries, 2 Chair of General Surgery, Collegium Medicum Jagiellonian University in Cracow
  • Department of Emergency Medicine and Multiple Injuries, 2 Chair of General Surgery, Collegium Medicum Jagiellonian University in Cracow
author
  • Department of Emergency Medicine and Multiple Injuries, 2 Chair of General Surgery, Collegium Medicum Jagiellonian University in Cracow

References

  • Świerczyński R, Śmigielski R, Mioduszewski A: Uszkodzenia ścięgna piętowego leczone operacyjnie z programem rehabilitacji bez unieruchomienia gipsowego - wczesne wyniki 12 przypadków. Acta Clinica 2001; 2:152-60.
  • Astrom M: Partial rupture in chronic achilles tendinopathy. A retrospective analysis of 342 cases. Acta Orthop Scand 1998; 69: 404-07.[Crossref]
  • Beskin JL, Sanders RA, Hunter SC et al.: Surgical repair of Achilles tendon ruptures. Am J Sports Med 1987; 15: 1-8.[Crossref]
  • Bradley JP, Tibone JE: Percutaneous and open surgical repairs of Achilles tendon ruptures. A comparative study. Am J Sports Med 1990; 25: 177-81.
  • Maffulli N: Rupture of the Achilles tendon. J Bone Joint Surg 1999; 81A :1019-36.
  • Teitz CC, Garrett WE Jr, Miniaci A et al.: Tendon problems in athletic individuals. Instr Course Lect 1997; 46: 569-82.[PubMed]
  • Thermann H, Hufner T, Tscherne H: Achilles tendon rupture. Orthopade 2000; 29: 235-50.[PubMed]
  • Garabito A, Martinez-Miranda J, Sanchez-Sotelo J: Augmented repair of acute Achille tendon rupture using gastrocnemius-soleus fascia. Int Orthop 2005; 29: 42-46.[Crossref]
  • Kocher MS, Bishop J, Marshall R et al.: Operative versus nonoperative management of acute Achilles tendon rupture: expected-value decision analysis. Am J Sport Med 2002; 30: 783-90.
  • Nistor L: Surgical and non-surgical treatment of Achilles tendon rupture. A prospective randomized study. J Bone Joint Surg 1981; 63A: 394-99.
  • Van der Linden-van der Zwaag HM, Nelissen RG, Sintenie JB: Results of surgical versus non-surgical treatment of Achilles tendon rupture. Int Orthop 2004; 28: 370-73.
  • Weber M, Niemann M, Lanz R et al.: Nonoperative treatment of acute rupture of the Achilles tendon: results of a new protocol and comparison with operative treatment. Am J Sports Med 2003; 31: 685-91.
  • Wong J, Barrass V, Maffulli N: Quantitative review of operative and nonoperative management of Achilles tendon ruptures. Am J Sports Med 2002; 30: 565-75.
  • Taglialavoro G, Stecco C: The subcutaneous Achilles tendon rupture: comparison of three surgical techniques. Foot and Ankle Surg 2004; 10: 187-94.
  • Aracil J, Pina A, Lozano JA et al.: Percutaneous suture of Achilles tendon rupture. Foot Ankle 1992; 13: 350-51.[Crossref][PubMed]
  • Assal M, Jung M, Stern R et al.: Limited open repair of Achilles tendon ruptures: a technique with a new instrument and findings of prospective multicenter study. J Bone Joint Surg 2002; 84A: 161-70.
  • Fernandez- Fairen M, Gimeno C: Augmented repair of Achilles tendon ruptures. Am J Sports Med 1997; 25: 177-81.[Crossref]
  • Jaakkola JI, Hutton WC, Beskin JL et al.: Achilles tendon rupture repair: biomechanical comparison of the triple bundle technique versus the Krakow locking loop technique. Foot Ankle Int 2000; 21: 14-17.[PubMed][WoS]
  • Nyyssonen T, Saarikoski H, Kaukonen JP et al.: Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: a retrospective comparison in 98 patients. Acta Orthop Scand 2003; 74: 2006-08.
  • Rippstein PF, Jung M, Assal M: Surgical repair of acute Achilles tendon rupture using "mini-open" technique. Foot Ankle Clin 2002; 7: 611-19.[PubMed][Crossref]
  • Soldatis JJ, Goodfellow DB, Wiber JH: End-to-end operative repair of Achilles tendon rupture. Am J Sports Med 1997; 25: 90-95.[Crossref]
  • Vivaldi AS: Percutaneous repair of ruptured tendo Achillis. J Bone Joint Surg 2000; 82B: 619.
  • Zell RA, Santoro VM: Augmented repair of acute Achilles tendon ruptures. Foot Ankle Int 2000; 21: 469-74.[PubMed][WoS]
  • Buisson P, Batisse J, Potier L et al.: Traitment des ruptures du tendon d'Achille selon la technique de tenorraphie percutanee. J Traumatol Sport 1996; 13: 204-11.
  • April EW: Anatomy. 2nd ed, Malvern: Williams & Wilkins 1990.
  • Bochenek A, Reichel M: Anatomia człowieka. Wyd. 6. PZWL, Warszawa 1997.
  • Ciszek B, Śmigielski R: Wewnętrzna struktura ścięgna piętowego (Achillesa). Acta Clinica 2003; 3: 210-15.
  • Lippert H: Anatomia. Wyd. 1. Urban & Partner; Wrocław 1998.
  • White JW: Torsion of the Achilles tendon; its surgical significance Archs Surg 1943; 46: 784-87.
  • Omelianenko NP: Structuro-functional organization of the fiber network in the human Achilles tendon. Arkhiv Anatomii, Gistologii i Embriologii 1983; 84: 69-73.
  • Putz R, Pubst R: Atlas anatomii człowieka-Sobotty. Wyd. 2. Urban & Partner; Wrocław 2001.
  • Karcz MJ, Skawina A, Gorczyca J et al.: The arterial vascularisation of the human calcaneus (Achilles) tendo during the prenatal development. Folia Morphol 1996; 55: 306-08.
  • Lorkowski J, Skawina A, Mazur T: Estimation of underfoot pressure distribution during treatment of patients with partial rupture of Achilles tendon. Acta Kinesiologiae Univ Tartu 2001; 6: 156-59.
  • Wang CL, Hsu TC, Shau YW et al.: Ultrasonographic measurement of the mechanical properties of the sole under the metatarsal heads. J Orthop Res 1999; 17: 709-13.[PubMed][Crossref]
  • Astrom M, Gentz CF, Nilsson P et al.: Imaging in chronic achilles tendinopathy: a comparison of ultrasonography, magnetic resonance imaging and surgical findings in 27 histologically verified cases. Skel Radiol 1996; 25: 615-20.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-007-0064-0
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