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EVALUATION OF SURGICAL TREATMENT OUTCOMES FOR CLOSED ACHILLES TENDON RUPTURE
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Abstract
Objectives: 1) To describe the clinical and paraclinical characteristics of patients with closed Achilles tendon rupture. (2) To evaluate the outcomes of surgical treatment for this condition. Material and methods: A cross-sectional, single-arm, interventional clinical study was conducted on 30 patients from March 2023 to September 2024 at Can Tho Central General Hospital and Can Tho University of Medicine and Pharmacy Hospital. Results: Closed Achilles tendon rupture was observed in both sexes, predominantly affecting males aged 30 to 49 years. Trauma was the most common cause, accounting for 73.3% of cases. The incidence of bilateral injuries was similar. Clinical signs included tendon discontinuity (86.7%), a positive Thompson test (96.7%), and complete tendon rupture on ultrasound imaging (93.3%). A statistically significant association was found between body mass index (BMI) and tendon pathology (p = 0.007, Fisher's exact test) and between the distance of the rupture site from the insertion point (p < 0.001, Wilcoxon test). Postoperative complications were associated with the distance of the rupture site from the insertion, particularly in proximal ruptures (p = 0.048). The Achilles tendon Total Rupture Score (ATRS) was not associated with the distance of the rupture site from the insertion (p = 0.287). Conclusions: Surgical treatment for closed Achilles tendon rupture facilitates early functional recovery and yields favorable outcomes.
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Keywords
Closed Achilles tendon rupture, Achilles tendon rupture, surgical treatment, flexor hallucis longus tendon, ATRS
References
2. Pedowitz, D., & Kirwan, G. (2013). Achilles tendon ruptures. Current reviews in musculoskeletal medicine, 6, tr. 285-293.
3. Amendola, F., Barbasse, L., Carbonaro, R., Alessandri-Bonetti, M., Cottone, G., Riccio, M., Serror, K. (2022). The acute Achilles tendon rupture: An evidence-based approach from the diagnosis to the treatment. Medicina, 58(9), tr. 1195.
4. Fan, L., Hu, Y., Zhou, L., & Fu, W. (2024). Surgical vs. nonoperative treatment for acute Achilles' tendon rupture: a meta-analysis of randomized controlled trials. Frontiers in Surgery, 11, 1483584.
5. Feng, S.-M., Maffulli, N., Oliva, F., Saxena, A., Hao, Y.-F., Hua, Y.-H., Migliorini, F. (2024). Surgical management of chronic Achilles tendon rupture: evidence-based guidelines. Journal of orthopaedic surgery and research, 19(1), tr. 132.
6. Ahn, H. S., Kim, H. J., Suh, J. S., Kazmi, S. Z., Kang, T. U., & Choi, J. Y. (2022). WITHDRAWN: The association of body mass index and waist circumference with the risk of Achilles tendon problems: A nationwide population-based longitudinal cohort study. In: Elsevier.
7. Cao, S., Teng, Z., Wang, C., Zhou, Q., Wang, X., & Ma, X. (2021). Influence of Achilles tendon rupture site on surgical repair outcomes. Journal of Orthopaedic Surgery, 29(1), 23094990211007616.
8. Maffulli, N., Ziello, S., Maisto, G., Migliorini, F., & Oliva, F. (2023). Local tendon transfers for chronic ruptures of the Achilles tendon: a systematic review. Journal of Clinical Medicine, 12(2), tr. 707.