Akademik Veri Yönetim Sistemi
International Symposium of Scientific Research and Innovative Studies, Çanakkale, Türkiye, 22 - 25 Şubat 2021, ss.2019-2024
Aims: Acute Achilles tendon ruptures are frequently seen in third and fourth decade and in male population. Surgical treatment is the commonly preferred method for the treatment of Achilles tendon ruptures due to the advantages such as less re-rupture rates, better functional results and early return to physical activities. The main aims of our current study are to compare the limited open and percutaneous approaches for the treatment of acute Achilles tendon ruptures in terms of the duration of return to daily activities, the rates of complications and the postoperative functional results.
Methods: A total of fourty patients (19 female and 21 male), who were treated with limited open (22 patients) and percutaneous (18 patients) approaches for acute Achilles tendon ruptures between 18-65 years of age were retrospectively investigated from medical records. We investigated the postoperative soft tissue complications, neurovascular injuries, the duration of return to daily activities, re-rupture rates, The Achilles Tendon Total Rupture Score (ATRS) and American Orthopedic Foot and Ankle Society (AOFAS) scores of the patients at the first and sixth months of follow-up according to surgical approach groups.
Results: There was no significant difference between study groups in terms of the mean age, gender distribution, the mean operation time, the duration of return to daily activities, The Achilles Tendon Total Rupture and American Orthopedic Foot and Ankle Society scores at first and sixth months of follow-up. We observed no postoperative complication in limited open approach group. Re-rupture in a patient at fourth week of follow-up and sural nerve injuries in two patients were observed in percutaneous approach group.
Conclusion: In our study, limited open and percutaneous approaches have shown similar postoperative functional results at sixth month of follow-up period. Although we observed rerupture in a patient and sural nerve injury in two patients in percutaneous approach group, we believe that both approaches could be used safely for the treatment of acute Achilles tendon ruptures.