A new approach for surgical treatment of acute closed Achilles tendon rupture -- a retrospective clinical study

Volume 4, Issue 6, December 2019     |     PP. 289-303      |     PDF (506 K)    |     Pub. Date: December 22, 2019
DOI:    227 Downloads     5126 Views  

Author(s)

Hongtao Xiong, Department of Hand ＆ Vascular surgery, Shenzhen First Hospital, the Second Clinical Medical College of Jinan University, Guangdong, Shenzhen 518020, China
Yuzhou Liu, Department of Hand surgery, Huashan Hospital，Affiliated hospital of Fudan University, Shanghai 200040,China
Yongqing Zhuang, Department of Hand ＆ Vascular surgery, Shenzhen First Hospital, the Second Clinical Medical College of Jinan University, Guangdong, Shenzhen 518020, China
Jie Lao, Department of Hand surgery, Huashan Hospital，Affiliated hospital of Fudan University, Shanghai 200040,China
Chunling Chen, Department of Hand ＆ Vascular surgery, Shenzhen First Hospital, the Second Clinical Medical College of Jinan University, Guangdong, Shenzhen 518020, China

Abstract
Background To introduce a new surgical approach for Achilles tendon repair and analyze its clinical effect and postoperative complications compared with the traditional long incision approach. Methods A retrospective control study of 43 patients treated with Achilles tendon rupture using two different approaches carried out. The conventional approach: one continuous longitudinal incision, 1cm medial from the central posterior ankle joint. The modified approach: one short S shape incision across the posterior part of the ankle and 2 pairs of tiny incisions at the proximal edges of Achilles tendon. The Arner-Lindholm score was used for ankle function evaluation and complications were summarized. Results In the conventional group (25 patients), there were 4 cases with local skin necrosis. Achilles tendon rupture occurred again in one patient 2 month after surgery. No cutaneous nerve injury occurred. The total incidence rate of complication was 20%. In the modified group (19 patients), one patient had sural nerve injury. No wound dehiscence and re-rupture of Achilles tendon occurred in all the cases. The total incidence rate of complication was 5.3%. There were significant differences between the two groups in the incidence of postoperative complications (P < 0.05). The excellent and good rates of the ankle joint function in the modified group were statistically higher than those in the conventional group (P < 0.05).Conclusion The modified surgical approach for Achilles tendon repair was recommended. With this approach fewer complications and better functional recovery could be achieved.

Keywords
operative approach; Achilles tendon rupture; postoperative complication; curative effect

Cite this paper
Hongtao Xiong, Yuzhou Liu, Yongqing Zhuang, Jie Lao, Chunling Chen, A new approach for surgical treatment of acute closed Achilles tendon rupture -- a retrospective clinical study , SCIREA Journal of Clinical Medicine. Volume 4, Issue 6, December 2019 | PP. 289-303.

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