Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Treatment of Acute Achilles Tendon Rupture

급성 아킬레스건 파열의 치료

  • Lee, Tae Hoon (Department of Orthopaedic Surgery, Guro Hospital, Korea University College of Medicine) ;
  • Kim, Hak Jun (Department of Orthopaedic Surgery, Guro Hospital, Korea University College of Medicine) ;
  • Jeon, Young Sik (Department of Orthopaedic Surgery, Guro Hospital, Korea University College of Medicine)
  • 이태훈 (고려대학교 의과대학 구로병원 정형외과학교실) ;
  • 김학준 (고려대학교 의과대학 구로병원 정형외과학교실) ;
  • 전영식 (고려대학교 의과대학 구로병원 정형외과학교실)
  • Received : 2015.07.05
  • Accepted : 2015.07.24
  • Published : 2015.09.15
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Abstract

Acute Achilles tendon rupture is a frequent injury during sports and recreational activities. Treatments for Achilles tendon rupture have been controversial in recent decades. Traditionally the surgical treatment had benefit over nonsurgical treatment in terms of low rerupture rate and early functional restoration. Recently, nonsurgical treatment was found to show no statistically significant inferiority in re-rupture rate, functional outcome, and calf strength. Whereas, surgical treatment had some complications including adhesion, nerve injury, and infection. Nonsurgical treatment has been increasing due to functional rehabilitation with early weight bearing and restricted early motion. It focuses more attention on the course of caring for patients with deep discussion. There are open repair and minimally invasive repair in terms of surgical treatment. There are various techniques for minimally invasive repair of Achilles tendon, which has some advantages over the open repair. However, the optimal technique for minimally invasive repair has not been established. The number of suture strands is important regardless of suture technique.

Keywords

References

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