Evaluation of the outcome of primary repair of open Tendo Achilles injury due to fall in the toilet pan
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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Références
- Alam M: Evaluation of the result of early repair of an open tendo Achilles injury, MS thesis, Dhaka University, Bangladesh, 2001.
- Quénu J, Stoianovitch SM. Les ruptures du tendon d'Achille. Rev Chir 1929;67:647—678
- Inglis AE, Scott WN, Sculco TP, Patterson HP. Rupture of the Tendo Achilles - An objective assessment of surgical and non-surgical treatment. J Bone Joint Surgery. 1976; 58: 990-3.
- Rubin DR, Wilson HJ. Surgical repair of the interrupted Achilles Tendon. The Journal of Trauma.1980; 20:248-249. 5. Teuffer A P: Traumatic rupture of the Achilles Tendon-Reconstruction by transplant and graft using the lateral peroneus brevis. Orthopedic Clinic of
- North America; 1974; 5: 89-93.
- Lynn T A: Repair of the Torn Achilles using the Plantaris tendon as a reinforcing membrance. J Bone Joint Surgery [Am]; 1966; 48-A, 268-71.
- Bosworth D M : Repair of defects in the Tendo Achilles, J Bone Ioint Surgery [AM], 1956: 38-A; 111-4.
- Mahmud S W, Megahed A H, Sheshtawy O E: Repair of Calcaneal Tendon - An improved technique: J Bone Joint Surgery [Br] 1992; 74-B: 11417.
- Juhana Lepilhati MD, Kari Forsansuan MD. Jwakko P, MD, PhD, Sakari O, MD. PhD: Clinical orthopaedics and Research, 1998; 346: PP. 152-161. 10. Aldam C H: Repair of Calcaneal Tendom ruptures A safe technique, J Bone Joint Surgery [Br], 1989; 71-B: 486-8.
- Carden D G Noble Chalmers J Lunn P Ellis J: Rupture of the calcaneal Tendon- The early and late management, J Bone Joint Surgery [Br], 1987; 19-B: 416-19.
- Gilles H, Chalmers J: The management of fresh ruptures of the Tendo Achilles. J Bone Joint Surgery [Am], 1970; 52-A: 337-42.
- Kellam J F, Hunter G A, Mcelwain J P: Review of the operative treatment of Achilles Tendon repture, Clin Orthop; 1985; 2001: 80-3.
- Kakiuchi M: A combined open and percutaneous technique of repair of Tendo Achilles. J Bone Joint Surgery, 1995; 77-B: No-1, 61-63.
- Lindholm A: A new method of operation in subcutaneous rupture of the Achilles Tendon, actor chir Scand, 1959; 117: 261.
- Gillespie H S, George E A: Result of surgical repair of spontaneous rupture of the Achilles Tendon, The journal of Trauma, 1969; 9: 247-9.
- Moller M, Movin T, Granhed H, Lind K, Faxen E, Karisson J: Acute rupture of Tendo Achilles. A prospective randomized study of comparison between surgical and non surgical treatment, J Bone Joint Surgery [Br] 2001; 83-B: 843-8.
- Ralston E L: Repair of the ruptured Achilles Tendon. The Journal of Trauma, 1971; 11: 15-21.
- Cetti R, Henriksen LO, Jacobsen KS. A new treatment of ruptured Achilles tendons. A prospective randomized study. Clin Orthop Relat Res; 1994 Nov, (308):156-65.
Publiée 2021-09-21
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