The Outcomes Between Acute and Delayed Repair After Achilles Tendon Rupture

Abstract

Background: To assess the outcomes of patients with delayed presentation, who had received no treatment until 14 days later following injury of Achilles tendon rupture repaired with open reconstruction surgery and were compared with a group of patients who received surgery within 14 days.Methods: A total of twenty-four patients with Achilles tendon rupture who were treated with uniform surgical techniques were retrospectively assessed. The cohort was divided into two groups according to the time from injury to surgery (TTS): acute repair (TTS≤14days) and delayed repair (TTS>14days).Function was evaluated by the Tegner activity level. Score evaluation included Achilles tendon Total Rupture Score (ATRS) and Visual analogue score (VAS).Results: At least 12 months following repair, patients with delayed repair (TTS: 14-28days) had mean (SD) ATRS score of 88.4(7.8) compared with 89.2(6.3) in patients treated acutely. There were no significant differences between groups: Tegner [mean (SD) delayed: 4.3(1.6), acute: 4.4(1.5)], VAS score [mean (SD) delayed: 1.8(0.7), acute: 1.6(0.9)]. There were also no significant differences in complications between the two groups.Conclusions: For those patients with delayed presentation of 14 to 28 days，even though the local medical departments don't have minimally invasive incision techniques or Achilles tendon repair equipment, open repair is also a better choice.

A Two-year Follow-up Study of Accelerated Functional Rehabilitation Combined with Percutaneous Minimally Invasive Suture in the Treatment of Acute Closed Achilles Tendon Rupture

“…Surgical treatment within 6h after ACATR has the best prognosis. With the development of the concept of minimally invasive surgery, percutaneous minimally invasive suture technique has become an effective method for the treatment of ACATR, which has relatively less damage to the wound tissue and less blood loss compared to non-micro-wound surgery, compared with traditional surgery, there is no significant difference in prognosis muscle strength and muscle endurance, which is more conducive to early postoperative rehabilitation intervention.Ma et al [16] suggested that minimally invasive repair should be performed on the broken end 2-8cm above the calcaneus in ACATR(<2 weeks). Compared with open suture in the treatment of ACATR, minimally invasive percutaneous suture has more advantages in terms of preoperative patient willingness, early postoperative functional score, complication rate, and patient satisfaction.…”