Evaluation of the outcome of primary repair of open Tendo Achilles injury due to fall in the toilet pan
Publiée 2021-09-21
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Résumé
Introduction: Tendo Achilles injury causes a disabling condition with failure to push-off, resulting in difficulty in walking, the inability of running and sports activities. Tendo Achilles injury requires immediate treatment; if treatment is delayed there appears a gap or defect between the two ends of the injured tendon, due to contracture of the calf muscles. Primary repair prevents gaping, hastens the healing and obviates the necessity of reinforcement of repair. Objective: The aim of this study was to determine the functional outcome of primary surgical repair as a better method of treatment for open Tendo Achilles injury caused by fall in toilet pan in Bangladesh. Methods: This prospective study was done in NITOR during the period of July 2006 to June 2008, including 32 patients. Results: Median age of the patient was 31.5 years. The injury repaired early (median interval 5 hours 15 minutes) and followed up for 4 months to 14 months (median 7.5 m) and evaluated according to modified Juhana scoring method. Outcomes were excellent in 13 cases (40.63%), good in 15 cases (46.88%), fair in 3 cases (9.37%), and poor in 1 case (3.12%). In this series no major complication was found, all complications were minor. Conclusion: Primary repair of the open Tendo Achilles injury may be the best method of treatment due to satisfactory healing, excellent outcome to be obtained
by early mobilization and vigorous physiotherapy and patients can return to their pre-injury activities.
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