Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Clinical Result of Modified Percutaneous Repair Technique of Ruptured Achilles Tendon

변형된 경피적 술식을 이용한 아킬레스 건 봉합술의 임상적 결과

  • Baek, Jong-Ryoon (Department of Orthopedic Surgery, Gil Hospital, Gachon University of Medicine and Science) ;
  • Kwak, Ji-Hoon (Department of Orthopedic Surgery, Gil Hospital, Gachon University of Medicine and Science) ;
  • Won, Jun-Sung (Department of Orthopedic Surgery, Gil Hospital, Gachon University of Medicine and Science) ;
  • Park, Hong-Gi (Department of Orthopedic Surgery, Gil Hospital, Gachon University of Medicine and Science)
  • 백종륜 (가천의과학대학교 길병원 정형외과) ;
  • 곽지훈 (가천의과학대학교 길병원 정형외과) ;
  • 원준성 (가천의과학대학교 길병원 정형외과) ;
  • 박홍기 (가천의과학대학교 길병원 정형외과)
  • Received : 2011.07.20
  • Accepted : 2011.08.16
  • Published : 2011.09.15
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Abstract

Purpose: To investigate the results of percutaneous repair technique of Achilles tendon ruptures, and to describe the surgical technique. Materials and Methods: We retrospectively analyzed the outcomes of 73 patients with ruptured Achilles tendon from October 1995 to September 2009. 28 patients were excluded due to short follow up period. 34 patients were male and 11 patients were female. The mean patient age was 37.19 (10~62) years. The location of rupture site was 6.58 cm proximal to the tendon insertion into the calcaneus on average. Mean follow up period was 55 months and All patients were surgically repaired using percutaneous technique with sural nerve isolation. Results: Arner-lindholm score were excellent in 32 (71%), good in 12 (27%), poor in 1 (2%) case. 44 cases (98%) had the score more than good. Mean American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot function score was 92.93 (67~100). We had 1 case of superficial infection, 1 case of soft tissue irritation by suture knot. Conclusion: Percutaneous repair with sural nerve isolation in treating ruptured Achilles tendon showed low complication rate and reliable clinical outcome.

Keywords

References

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