KẾT QUẢ PHẪU THUẬT KHÂU PHỤC HỒI ĐỨT GÂN ACHILLES SAU CHẤN THƯƠNG TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objective: To evaluate the outcomes of surgical repair for post-traumatic Achilles tendon rupture at Hanoi Medical University Hospital. Subjects and Methods: A cross-sectional descriptive study, combining retrospective and prospective approaches, was conducted on 35 patients diagnosed with Achilles tendon rupture who underwent surgical repair at Hanoi Medical University Hospital from June 2022 to February 2025. Results: The study included 35 patients with a mean age of 43,83 ± 14,26 years; the male/female ratio was 6/1, the most common cause was sports injury (4,.8%). The majority of patients underwent surgery within the first 4 weeks after injury (54,3%). Achilles tendon injuries were classified based on the gap distance between the two ruptured ends according to Myerson. In this study, the common Achilles tendon injury was type II (91,5%), and the most frequent gap distance was between 3-4 cm (34,3%). Patients were followed up for an average of 13,8 ± 5,12 months. The mean postoperative AOFAS and ATRS scores both showed a statistically significant increase compared to preoperative scores, at 87,86 ± 6,07 and 87,2 ± 6,57 respectively. Conclusion: Surgical repair of a ruptured Achilles tendon encompasses various techniques, which primarily depend on the gap distance between the two ruptured tendon ends. At Hanoi Medical University Hospital, the initial results of a study on patients with post-traumatic Achilles tendon rupture have shown good outcomes, evidenced by postoperative improvements specifically assessed using the ATRS, AOFAS scores,... However, our study has only been evaluated on a small number of patients. Further studies with a larger patient population and a longer follow-up period are needed to enhance the scientific objectivity of the research.