Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Surgical Treatment of the Ruptured Achilles Tendon: A Comparative Study between Percutaneous and Open Repair

급성 아킬레스건 파열의 수술적 치료: 경피적 봉합술과 관혈적 봉합술의 비교

  • Kim, Do-Yeon (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Kim, Sang-Bum (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Heo, Youn-Moo (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Lee, Jung-Bum (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Lim, Jae-Woo (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Oh, Hyeong-Tak (Department of Orthopedic Surgery, Konyang University College of Medicine)
  • 김도연 (건양대학교 의과대학 건양대학교병원 정형외과) ;
  • 김상범 (건양대학교 의과대학 건양대학교병원 정형외과) ;
  • 허윤무 (건양대학교 의과대학 건양대학교병원 정형외과) ;
  • 이정범 (건양대학교 의과대학 건양대학교병원 정형외과) ;
  • 임재우 (건양대학교 의과대학 건양대학교병원 정형외과) ;
  • 오형탁 (건양대학교 의과대학 건양대학교병원 정형외과)
  • Received : 2011.04.18
  • Accepted : 2011.05.11
  • Published : 2011.06.15
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Abstract

Purpose: The purpose of the present study was to compare and analyze the clinical outcomes of the percutaneous and open repair of acute Achilles tendon ruptures. Materials and Methods: We performed a retrospective study on 24 patients (group 1) managed with percutaneous repair, and 21 patients (group 2) managed with open repair for acute Achilles tendon rupture. The postoperative evaluations were done by an Arner-Lindholm scale and AOFAS score. Postoperative overall satisfaction and cosmetic satisfaction were also evaluated. Results: By Arner-Lindholm scale and AOFAS score, there was no difference between two groups (p<0.05). As for postoperative overall satisfaction, 5 cases were very satisfied, 16 cases were satisfied and 3 cases were fair in group 1. In group 2, 12 cases were very satisfied, 9 cases were satisfied. For postoperative cosmetic satisfaction, 13 cases were satisfied, 11 cases were fair in group 1. In group 2, 9 cases were very satisfied, 12 cases satisfied. In open repair group, a case of deep wound infection and three cases of skin necrosis were reported as complication. 2 cases of sural nerve injury were seen in percutaneous repair group and were recovered within 3 months. Conclusion: Percutaneous repair of acute Achilles tendon ruptures have high level of cosmetic satisfaction compared with open repair without any significant difference in clinical outcomes.

Keywords

References

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