COMPARING RESULTS OF COMPLETE RUPTURE OF THE ACHILLES TENDON USING THE TECHNIQUE OF PERCUTANEOUS AND OPEN REPAIR

Văn Lượng Nguyễn, Năng Giỏi Nguyễn

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Abstract

Objectives: To compare the results and complications of surgical treatment of patients with complete rupture of the Achilles tendon due to trauma using the percutaneous and open repair technique. Subjects and methods: In a retrospective control study, 60 adult patients with complete rupture of the Achilles tendon due to trauma, treated surgically at 108 Military Central Hospital from January 2017 to August 2022, were divided into two groups: 30 patients underwent percutaneous repair of Achilles tendon, and 30 patients underwent open repair of the Achilles tendon. Results: The ATRS score, the range of plantar flexion and dorsal flexion of the ankle joint, and the rate of re-rupture of the Achilles tendon were similar in the two treatment groups. However, patients with percutaneous repair had a lower rate of wound infection, could stand on tiptoes sooner, had a shorter length of stay in the hospital, sooner resumed work, and had more aesthetic scars. Conclusion: The functional outcomes are similar in the two treatment groups, which are one year postoperative. However, percutaneous repair has the advantages of infection, length of stay hospital in hospital, resumed work, and aesthetic scars.

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References

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