Mosconi Mario, Pasta Gianluigi, Annunziata Salvatore, Guerrieri Viviana, Ghiara Matteo, Perelli Simone, Torriani Camilla, Grassi Federico Alberto, Jannelli Eugenio
Orthopedics and Traumatology Clinic, IRCCS Policlinico San Matteo Foundation, 27100 Pavia, Italy.
Specialization School in Orthopaedics and Traumatology, University of Pavia, 27100 Pavia, Italy.
Diagnostics (Basel). 2022 Jul 29;12(8):1824. doi: 10.3390/diagnostics12081824.
the incidence of Achilles tendon (AT) rupture is rising; however, there is no clear consensus regarding the optimal treatment. The aim of this retrospective study was to compare instrumental and patient-reported outcome scores after fast functional rehabilitation (group A) versus plaster cast immobilization (group B) programs in patients who underwent AT tenorrhaphy.
33 patients, with similar clinical and demographic features, underwent open AT tenorrhaphy between January and July 2018. Of these, 15 patients were treated with fast functional rehabilitation program (group A), and 18 patients were treated with plaster cast immobilization protocol (group B). Sural triceps hypotrophy and functional scores (American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score, and Achilles tendon Total Rupture Score (ATRS)) were recorded at a 12-month follow-up. Ultrasonography (US) and elastosonography (ES) were used to compare the characteristics of the tendons after surgery.
At 12 months, no significant differences in any of the patient-reported outcomes or the instrumental measurement tests were seen between the two groups.
fast functional rehabilitation after AT surgical repair is safe, effective, and may be the first choice of treatment, especially in young, collaborative, and active patients.
跟腱断裂的发生率正在上升；然而，关于最佳治疗方法尚无明确共识。这项回顾性研究的目的是比较接受跟腱缝合术的患者在快速功能康复（A组）与石膏固定（B组）方案后的仪器测量结果和患者报告的结果评分。
2018年1月至7月期间，33例具有相似临床和人口统计学特征的患者接受了开放性跟腱缝合术。其中，15例患者接受了快速功能康复计划（A组），18例患者接受了石膏固定方案（B组）。在12个月随访时记录腓肠三头肌萎缩情况和功能评分（美国矫形足踝协会（AOFAS）踝-后足评分和跟腱完全断裂评分（ATRS））。使用超声（US）和弹性超声（ES）比较术后肌腱的特征。
在12个月时，两组之间在任何患者报告的结果或仪器测量测试中均未发现显著差异。
跟腱手术修复后的快速功能康复是安全、有效的，可能是首选的治疗方法，尤其是对于年轻、配合且活跃的患者。
