Acta clinica Croatica, Vol. 43 No. 2, 2004.
Original scientific paper
Follow-Up Results of Achilles Tendon Rupture Treatment by the Method of Modified Percutaneous Suture
Suad Crnica
Nenad Božić-Božo
Želimir Korać
Abstract
Achilles tendon ruptures are treated by various surgical methods as well as by conservative procedures. Recent surgical methods are aimed at surgical trauma reduction; however, there are few literature reports on the follow-up results of such treatment. Unlike percutaneous technique, we used a smaller incision to visualize approximation of the ruptured tendon ends. The aim of the study was to evaluate follow-up results after Achilles tendon rupture treatment by the technique of modified percutaneous suture. One minor incision of approximately 1-1.5 cm was made laterally of the rupture location, while the suture was placed at both ends percutaneously. All patients operated on by this method at Department of Plastic Surgery, Karlovac General Hospital, during a 2-year period (Jan 1, 2001 - Dec 31, 2002) were analyzed. Minimal follow-up of six months was necessary to satisfy the inclusion criteria. Results were evaluated by the Trillat scoring system. Eleven patients were operated on, age range 29-42 (mean 36.6) years and follow-up 7-16 (mean 11.2) months. According to the Trillat scoring system scale, nine (81.8%) patients met the criteria for "excellent result" and two (18.2%) patients were in the "good result" group. This technique was found to provide excellent results in our sample, thus we prefer it to other methods. The sample was rather small, thus a larger series with a longer follow-up should be assessed in a future study.
Keywords
Achilles tendon - injuries; Achilles tendon - surgery; Rupture - surgery; Surgical procedures
Hrčak ID:
14452
URI
Publication date:
1.6.2004.
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