Retrospective analysis of mini-open repair versus open repair for acute Achilles tendon ruptures.
Foot Ankle Spec
; 6(1): 15-20, 2013 Feb.
Article
em En
| MEDLINE
| ID: mdl-23064474
ABSTRACT
PURPOSE:
Debate exists over optimal treatment for acute Achilles tendon ruptures. Recent literature suggests the mini-open technique may provide the reliability of the open repair with the decreased complication rate of non-operative treatment. This retrospective review compares acute tendon ruptures treated with one of two techniques open repair (TO) or mini-open repair (MOA). METHODS &RESULTS:
Records were reviewed and 34 patients were found to meet the inclusion criteria for open or mini-open repair of an acute Achilles tendon rupture with follow up of at least 12 months. TO (n=16) and MOA (n=18) had no statistically significant differences in age at time of injury [TO 41 + 2.5 years (range 20 - 68); MOA 46 + 2.5 years (range 33 - 73)] or time between injury and surgical repair [TO 15 + 2 days (range 2 - 30); MOA 15 + 2 days (range 2 - 30)]. Post-operative VISA-A scores were 82 + 10 (range 42 - 98) and 92 + 5 (range 66 - 100) for TO and MOA, respectively. Significant differences were found in the time between surgical intervention and beginning of rehabilitation [TO Post op day 37 + 5 (range 21 - 46); MOA Post op day 19 + 2 (range 7 - 32)] and the time between surgical intervention and full return to activity [TO Post op month 7 + 1 (range 4 - 11); MOA Post op month 5 + 0.6 (range 4 - 11)].CONCLUSION:
These results suggest that the mini-open repair provides acceptable surgical outcomes while optimizing patient function after Achilles tendon repair.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tendão do Calcâneo
/
Procedimentos Ortopédicos
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Aged
/
Humans
/
Middle aged
Idioma:
En
Revista:
Foot Ankle Spec
Assunto da revista:
ORTOPEDIA
/
PODIATRIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Estados Unidos