Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Comparative Study of Clinical Outcome of Three Surgical Techniques in the Achilles Tendon Rupture: Open Repair, Percutaneous Repair, and Minimal Incision Repair by Achillon

아킬레스건 파열의 세 가지 수술적 치료법의 임상 결과에 대한 비교: 관혈적 봉합술, 경피적 봉합술, 아킬론을 이용한 최소절개 봉합술

  • Park, Won Seok (Department of Orthopaedic Surgery, Pusan National University Hospital) ;
  • Lee, Myoung Jin (Department of Orthopaedic Surgery, Dong-A University Hospital) ;
  • Kang, Jung Mo (Department of Orthopaedic Surgery, Dong-A University Hospital) ;
  • Lee, Seung Yup (Department of Orthopaedic Surgery, Dong-A University Hospital)
  • 박원석 (부산대학교병원 정형외과) ;
  • 이명진 (동아대학교병원 정형외과) ;
  • 강정모 (동아대학교병원 정형외과) ;
  • 이승엽 (동아대학교병원 정형외과)
  • Received : 2018.05.09
  • Accepted : 2018.06.07
  • Published : 2018.06.15
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Abstract

Purpose: This study compared the clinical outcomes of open repair, percutaneous repair, and minimal incision repair by Achillon in ruptured Achilles tendon. Materials and Methods: The outcomes of 12 patients with open repair (group 1), 8 patients with percutaneous repair (group 2), and 10 patients with minimal incision repair by Achillon (group 3) from February 2013 to March 2016 were analyzed retrospectively. The postoperative clinical evaluations were done by the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Arner-Linholm scale, mid-calf circumference difference, one-leg heel raise difference, visual analogue scale (VAS) for postoperative scarring, time to return to work, and complications. Results: No significant difference in the AOFAS ankle-hindfoot score, Arner-Linholm scale, and time to return to work was observed among three groups (p=0.968, 0.509, and 0.585). The mean differences in the mid-calf circumference in groups 1, 2, and 3 were 1.09, 0.73, and 0.58, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.002). In addition, the mean VAS scores for postoperative scarring in groups 1, 2, and 3 were 7.0, 9.1, and 9.1, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.001). The mean differences in one-leg heel raising in groups 1, 2, and 3 were 2.03, 1.91, and 1.33, respectively; group 3 was significantly higher than groups 1 and 2 (p=0.010). The complications encountered were one case of deep infection in group 1 and one case of sural nerve hypoesthesia in group 2. Conclusion: Minimal incision repair by Achillon is recommended as an effective surgical treatment for Achilles tendon rupture because it minimizes the risk of complications, leads to an improved tendon strength and healing, and achieves cosmetic satisfaction.

Keywords

References

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