Department of Orthopaedic surgery, Faculty of medicine, Tanta University, Hassan Radwan st. Tanta city, Gharbia governorate, Tanta city, Al-gharbia governorate, ZIP:31511, Egypt.
BMC Musculoskelet Disord. 2023 Jun 2;24(1):446. doi: 10.1186/s12891-023-06561-0.
This investigation aimed to study the outcome of percutaneous repair of Achilles tendon ruptures regarding patient-reported and objective outcomes.
This is a retrospective review of a cohort of patients (n = 24) who underwent percutaneous repair of neglected Achilles rupture in the period between 2013 and 2019. Included patients were adults with closed injuries, presented 4-10 weeks after rupture, with intact deep sensation. All underwent clinical examination, X-rays to exclude bony injury and MRI for diagnosis confirmation. All underwent percutaneous repair by the same surgeon, using the same technique and rehabilitation protocol. The postoperative assessment was done subjectively using ATRS and AOFAS score and objectively using a percentage of heel rise comparison to the normal side and calf circumference difference.
The mean follow-up period was 14.85 months ± 3 months. Average AOFAS scores at 6,12 months were 91 and 96, respectively, showing statistically significant improvement from pre-op level (P < 0.001). Percentage of heel rise on the affected side and calf circumference showed statistically significant improvement over the 12 month follow up period (P < 0.001). Superficial infection was reported in two patients (8.3%), and two cases reported transient sural nerve neuritis.
Percutaneous repair of neglected Achilles rupture using the index technique proved a satisfactory patient-reported and objective measurement at a one-year follow-up. With only minor transient complications.
本研究旨在探讨经皮修复跟腱断裂的疗效，包括患者报告的结果和客观结果。
这是一项对 2013 年至 2019 年间接受经皮修复的 24 例慢性跟腱断裂患者的回顾性研究。纳入标准为成年人、闭合性损伤、发病后 4-10 周就诊、深感觉正常。所有患者均接受临床检查、X 线检查排除骨损伤和 MRI 检查确诊。所有患者均由同一位外科医生采用相同的技术和康复方案进行经皮修复。术后评估采用 ATRS 和 AOFAS 评分进行主观评估，采用跟腱提踵高度百分比和小腿周径差值进行客观评估。
平均随访时间为 14.85 个月±3 个月。平均 AOFAS 评分在 6 个月和 12 个月时分别为 91 和 96，与术前相比有显著改善（P<0.001）。患侧跟腱提踵高度百分比和小腿周径在 12 个月的随访期间均有显著改善（P<0.001）。有 2 例（8.3%）患者报告出现浅表感染，2 例患者出现短暂性腓肠神经神经炎。
采用本研究中的技术经皮修复慢性跟腱断裂，在 1 年随访时获得了令人满意的患者报告的结果和客观测量结果，且并发症轻微、短暂。
