아킬레스건 파열에 대한 수술 후 조기 재활 치료

Early Mobilization after Operative Treatment of a ruptured Achilles tendon

  • 정형진 (인제대학교 부속 상계백병원 정형외과) ;
  • 박준석 (인제대학교 부속 상계백병원 정형외과) ;
  • 김현호 (인제대학교 부속 상계백병원 정형외과) ;
  • 박용원 (인제대학교 부속 상계백병원 정형외과)
  • Chung, Hyung-Jin (Department of Orthopaedic Surgery, Sanggye Paik Hospital, InJe University) ;
  • Park, Joon-Suk (Department of Orthopaedic Surgery, Sanggye Paik Hospital, InJe University) ;
  • Kim, Hyun-Ho (Department of Orthopaedic Surgery, Sanggye Paik Hospital, InJe University) ;
  • Park, Yong-Won (Department of Orthopaedic Surgery, Sanggye Paik Hospital, InJe University)
  • 발행 : 2003.06.01

초록

Purpose: The purpose of the study is to evaluate the clinical outcomes of acute achilles tendon rupture patients treated by early mobilization after operative repair. Materials and Methods: In this retrospective study, 12 patients of acute Achilles tendon rupture were surgically treated from May 2001 to November 2002, with follow-up period of at least 6 months. There were 10 men and 2 women, and mean age was 35.9 year. The repair method was single Krackow suture technique. Two to three weeks after the operation, early ROM with removable ankle-foot orthosis(AFO) was started. We used Amer-Lindholm scale for the clinical evaluation and analyzed patient's satisfaction and subjective strength deficit. Results: We had 11 excellent results(92%), and 1 good results(8%). One-leg heel raising was possible in all patients. All the patients returned to the preinjury occupations and 7 patients(58%) reached the preoperative level of sports activities. There was no significant difference in ankle ROM and ankle plantar flexion isokinetic strength compared to contralateral side. There was, no reruptures. Conclusion: Early mobilization proved to be a well tolerated, safe, and effective means for the compliant patient.

키워드