Operative Management of 399 Achilles Tendon Ruptures: A Clinical Retrospective Analysis.

Zwaan, E.M. (2014) Operative Management of 399 Achilles Tendon Ruptures: A Clinical Retrospective Analysis. thesis, Medicine.

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Abstract

Background. The Achilles tendon is the most commonly ruptured tendon in the body. There is still controversy regarding the optimal surgical technique of acute Achilles tendon ruptures. The primary objective of this study was to assess the number of re-ruptures after percutaneous or open reconstruction of a Achilles tendon rupture. Our secondary objectives were to assess the number of other complications, ankle function and patient satisfaction after the two different Achilles tendon rupture reconstructions. Method. Over a 10-year period (January 2002 to January 2013) 399 patients underwent percutaneous or open reconstruction for Achilles tendon rupture at the OLVG. Patients were asked to fill out surveys (VISA-A,ATTRS,VAS) at home online. An outpatient clinic visit with physical examination and a follow-up interview were conducted by the examiner at the OLVG. Results. A total of 75 patients (52 patients treated with percutaneous reconstruction, 23 with open reconstruction) were analysed. There were 55 males and 20 females, and the mean age (and standard deviation) was 43,8±10,7 years. The re-rupture rate was 6(8%) in the whole cohort, 4(7,7%) after percutaneous reconstruction and 2(8,7%) after open reconstruction. The results for paresthesia of the sural nerve suggest a trend not beneficial for the percutaneous reconstruction(p=0.093). There was no difference between groups with regards to ankle range of motion , calf circumference, and the multiple surveys. Conclusion. This study shows no difference between percutaneous reconstruction and open reconstruction of Achilles tendon ruptures with regards to re-rupture, functionality of the ankle and patient satisfaction. The results for paresthesia of the sural nerve suggest a trend not beneficial for the percutaneous reconstruction. In comparison with recent literature, re-rupture rate in our institute is comparable and our complication rate is more promising.

Item Type:	Thesis (Thesis)
Supervisor name:	Roerdink, Dr.W.H.
Supervisor name:	Haverlag, R. and Poolman, Dr.R.W. and OLVG
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:59
Last Modified:	25 Jun 2020 10:59
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/1921

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