Department of Orthopedic Surgery, Sports Orthopedic Research Center - Copenhagen (SORC-C), Copenhagen University Hospital, Hvidovre, Denmark.
Department of Orthopaedic Surgery, Clinical Orthopaedic Research Hvidovre (CORH), Copenhagen University Hospital Hvidovre, Denmark.
J Foot Ankle Surg. 2022 May-Jun;61(3):503-507. doi: 10.1053/j.jfas.2021.09.026. Epub 2021 Oct 6.
Interpretation of the Achilles tendon Total Rupture Score (ATRS) is challenging because limited knowledge exists about at which score the patients consider the outcome of treatment as satisfactory. The aims of the study were (1) to describe the proportion of patients who find their symptom levels to be satisfactory, to reflect treatment failure or neither after acute Achilles tendon rupture (ATR), and (2) to estimate the Patient Acceptable Symptom State (PASS) and the Treatment Failure (TF) threshold values for the ATRS at 6 months, 1 year, and 2 years after ATR. The study was based on data extracted from the nationwide Danish Achilles tendon Database which includes patients treated operatively or nonoperatively after ATR. The PASS and TF threshold values for ATRS were estimated using the adjusted predictive modeling method. One hundred and sixty-six patients were included at 6 months, 248 patients at 1 year, and 287 patients at 2 years after ATR. The proportion of patients who considered their symptom level to be satisfactory was 61% at 6 months, 50% at 1 year, and 66% at 2 years, while 5% at 6 months, 11% at 1 year, and 10% at 2 years considered their symptom level to reflect treatment failure. The PASS threshold value for ATRS (95% confidence interval) was 49 (46-52) at 6 months, 57 (54-60) at 1 year, and 52 (49-55) at 2 years. The TF threshold value for ATRS was 30 (23-36) at 6 months, 33 (26-40) at 1 year, and 35 (29-39) at 2 years. The calculated PASS and TF threshold values can help interpret the outcome of ATR when measured with the ATRS. About 50% to 66% of the patients had a satisfactory symptom level after ATR.
跟腱完全断裂评分（ATRS）的解读具有一定挑战性，因为目前对于患者认为治疗结果满意的评分标准知之甚少。本研究的目的是：（1）描述急性跟腱断裂（ATR）后，患者认为症状水平满意、治疗失败或介于两者之间的比例；（2）估计 ATRS 在 ATR 后 6 个月、1 年和 2 年时的患者可接受症状状态（PASS）和治疗失败（TF）阈值。本研究基于全国性丹麦跟腱数据库中提取的数据，该数据库包含 ATR 后接受手术或非手术治疗的患者。使用调整后的预测建模方法来估计 ATRS 的 PASS 和 TF 阈值。ATR 后 6 个月纳入 166 例患者，1 年纳入 248 例患者，2 年纳入 287 例患者。6 个月时，61%的患者认为自己的症状水平满意，1 年时为 50%，2 年时为 66%，而 6 个月时 5%、1 年时 11%和 2 年时 10%的患者认为自己的症状水平反映了治疗失败。ATR 后 6 个月 ATRS 的 PASS 阈值（95%置信区间）为 49（46-52），1 年时为 57（54-60），2 年时为 52（49-55）。ATR 后 6 个月 ATRS 的 TF 阈值为 30（23-36），1 年时为 33（26-40），2 年时为 35（29-39）。计算得出的 PASS 和 TF 阈值可帮助解读 ATRS 测量的 ATR 结果。大约 50%到 66%的患者在 ATR 后症状水平满意。
