What is the Best Treatment of Subcutaneous Rupture of the Achilles Tendon?

Kader, Deiary F.; Deehan, David J.; Maffulli, Nicola

doi:10.1002/9780470988732.ch29

Cited by 1 publication

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“…The management of AT ruptures has changed with time, as more evidence is available in favor of early weight bearing and early active mobilization [26,34,35], and also for the use of percutaneous techniques instead of open surgery [21,24]. One review of the literature [20] suggested that most patients were around 40 years old, although the ages ranged from 12 to 86 years. Most reports describe the injury primarily in young middle-aged patients (mean age, 38.5 years; range, 26-53 years) [23], but with some variations (eg, average age, 47.9 years, range, 22-77 years [8]; and average age 49.3 years, range, 30-82 years [3]).…”

Section: Introductionmentioning

confidence: 99%

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

Maffulli

Longo

Ronga

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Percutaneous repair of Achilles tendon (AT) ruptures reportedly reduces the risk of rerupture compared to nonoperative treatment and reduces the risk of wound infection compared to open surgery. We retrospectively reviewed the postoperative Achilles tendon total rupture score (ATRS), and the maximum calf circumference in 35 patients over 65 years of age who sustained an acute tear of the AT and underwent percutaneous repair of the AT. There were 26 men and nine women with a mean age at operation of 73.4 ± 8.7 years (range, 65-86 years). Of the 35 recruited patients, we report on 27 patients for whom we have a full data set. The minimum followup was 49 months (mean, 88 months; range, 49-110 months). The ATRS had a postoperative average rating of 69.4 ± 14 (range, 56-93). All patients were able to bear weight fully on the affected limb by the eighth postoperative week. The data suggest that percutaneous repair of the AT is a suitable option for patients older than 65, producing similar outcomes when compared to percutaneous repair in younger patients of previous reports.

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