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Titre : | 5-year results of the 1.5 cm incision Achilles tendon repair |
Type de document : | article de périodique |
Auteurs : | Samuel K.K. Ling, Auteur ; [et al.], Auteur |
Année de publication : | 2017 |
Article en page(s) : | p. 35-38 |
Langues : | Anglais (eng) |
Descripteurs (mots clés) : | [Thésaurus Mesh]Procédures de chirurgie opératoire [Thésaurus Mesh]Tendon calcanéen [Thésaurus Mesh]Thérapeutique
|
Mots-clés : | Achilles tendon rupture Mini-open repair Krackow locking sutures Medium term results |
Résumé : | Background: To study a hypothesis that the cost-effective 1.5 cm medial incision Achilles tendon repair technique
will provide good functional outcomes which are maintained for over 5 years.
Method: Prospective study of 12 consecutive cases with a minimal 5-year follow-up were recruited from April
2008 to November 2010. Cases whom were mentally incompetent or those which required concomitant procedures
were excluded. Outcomes measures included the numeric pain rating scale, motor power strength, range
of motion, functional scoring using the AOFAS hindfoot score and patient’s self-assessment using the Foot and
Ankle Outcome Score (FAOS).
Result: No re-ruptures or sural nerve injured were identified after a minimal 5-year follow-up. Pain was minimal
at 0.5/10, calf power was 5/5 and ankle range was good (plantarflexion: 38°/dorsiflexion: 21°). The AOFAS
hindfoot score was 97.4 and all 5 sub-categories of the Foot and Ankle Outcome Score (FAOS) were good.
Conclusion: The 1.5 cm medial incision repair of the Achilles tendon is an economically sound surgical technique,
with minimal complications, which gives good medium length functional outcomes.
Level of evidence: IV |
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