Yılmaz Bilge Kagan, Issı Caglar Tuna, Yesıl Murat, Kaya Furkan, Ozcan Ozal
Department of Orthopaedic and Traumatology, Afyonkarahisar Health Science University, Afyonkarahisar-Türkiye.
Department of Orthopaedic and Traumatology, Ministry of Health Aksaray Training and Research Hospital, Aksaray-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2025 Jun;31(6):587-595. doi: 10.14744/tjtes.2025.92998.
Acute Achilles tendon ruptures (ATR) are among the most common sports-related injuries. The aim of this study was to evaluate the correlation between Achilles tendon (AT) and Kager's fat pad (KFP) thickness with clinical and functional outcomes, measured using the Achilles Tendon Rupture Score (ATRS) and the Foot and Ankle Outcome Score (FAOS), in patients treated with open surgical repair for acute ATR.
This retrospective study included 42 patients who underwent surgery for ATR at our institution between January 2017 and December 2021. All patients were treated using the open surgical Krackow suture technique. ATRS, FAOS, and Visual Analogue Scale (VAS) scores were recorded one year postoperatively. AT and KFP thicknesses were measured via ultrasonography by an independent radiologist at one-year follow-up.
The mean age of the patients was 45.38+-9.68 years, with 22 male patients (52.4%). The mean ATRS was 65.17+-24.46, the mean FAOS was 76.14+-16.75, and the mean VAS score was 3.02+-1.44. The mean AT thickness on the operated side was 15.54+-2.89 mm, compared to 14.58+-2.28 mm on the contralateral side (p=0.009). The mean KFP thickness on the operated side was 8.42+-2.99 mm, compared to 6.32+-2.67 mm on the contralateral side (p=0.005). A strong correlation was found between ATRS and FAOS (r=0.742, p<0.001). For AT thickness, there were moderate negative correlations with both ATRS and FAOS (r=-0.544, p=0.013; r=-0.451, p=0.003, respectively). For KFP thickness, a moderate negative correlation was found with ATRS (r=-0.506, p=0.001).
AT and KFP thicknesses had no significant direct effect on ATRS and FAOS. However, ATRS and FAOS scores following open surgical repair of acute ATR were correlated with each other and with functional outcomes. Despite its specific complications, open surgical repair of acute ATR is an effective option for patients eligible for surgery.
急性跟腱断裂（ATR）是最常见的运动相关损伤之一。本研究的目的是评估在接受开放性手术修复急性ATR的患者中，跟腱（AT）和Kager脂肪垫（KFP）厚度与临床和功能结局之间的相关性，结局采用跟腱断裂评分（ATRS）和足踝结局评分（FAOS）进行测量。
这项回顾性研究纳入了2017年1月至2021年12月期间在本机构接受ATR手术的42例患者。所有患者均采用开放性手术Krackow缝合技术进行治疗。术后一年记录ATRS、FAOS和视觉模拟量表（VAS）评分。在一年随访时，由一名独立的放射科医生通过超声测量AT和KFP的厚度。
患者的平均年龄为45.38±9.68岁，其中男性患者22例（52.4%）。平均ATRS为65.17±24.46，平均FAOS为76.14±16.75，平均VAS评分为3.02±1.44。手术侧的平均AT厚度为15.54±2.89mm，对侧为14.58±2.28mm（p=0.009）。手术侧的平均KFP厚度为8.42±2.99mm，对侧为6.32±2.
