| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
Orthopaedic Surgery Service, Brooke Army Medical Center, Ft. Sam Houston, Texas
Department of Orthopaedic Surgery, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio
Department of Orthopaedic Surgery, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio
We present the long-term results of operative repair in 23 consecutive patients with Achilles tendon ruptures, treated between 1984 and 1991, to evaluate our treat ment method and determine the clinical causes of rupture. Fifty-four percent of ruptures occurred in peo ple in their 30s; 90% occurred during participation in acceleration-deceleration sports. All but three patients were treated within 1 week of injury with open, opera tive, end-to-end repair of the Achilles tendon. The re maining three patients were treated more than 3 weeks after injury. All patients followed a standard postoper ative regimen. Followup averaged 3.6 years (range, 1 to 7.5). Seventeen patients were available for Cybex analysis, and the remaining patients were interviewed personally or by telephone. Subjectively, patients were very satisfied with the results of treatment. Objectively. physical examination and Cybex testing to measure strength and endurance revealed results somewhat better than those previously reported with operative repair. No patient experienced a rerupture, although one attenuated repair was noted 9 months postopera tively. Only two minor wound problems were recorded. Long-term results revealed near-normal function when comparing the injured side with the uninjured side. Ninety-two percent of patients returned fully to their preinjury levels of activity.
This article has been cited by other articles:
|
|
 |
|
  R. Kotnis, S. David, R. Handley, K. Willett, and S. Ostlere Dynamic Ultrasound as a Selection Tool for Reducing Achilles Tendon Reruptures Am. J. Sports Med., September 1, 2006; 34(9): 1395 - 1400. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Majewski, M. Rohrbach, S. Czaja, and P. Ochsner Avoiding Sural Nerve Injuries During Percutaneous Achilles Tendon Repair Am. J. Sports Med., May 1, 2006; 34(5): 793 - 798. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Sharma and N. Maffulli Tendon Injury and Tendinopathy: Healing and Repair J. Bone Joint Surg. Am., January 1, 2005; 87(1): 187 - 202. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Pajala, J. Kangas, P. Ohtonen, and J. Leppilahti Rerupture and Deep Infection Following Treatment of Total Achilles Tendon Rupture J. Bone Joint Surg. Am., November 12, 2002; 84(11): 2016 - 2021. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. S. Kocher, J. Bishop, R. Marshall, K. K. Briggs, and R. J. Hawkins Operative versus Nonoperative Management of Acute Achilles Tendon Rupture: Expected-Value Decision Analysis Am. J. Sports Med., November 1, 2002; 30(6): 783 - 790. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Wong, V. Barrass, and N. Maffulli Quantitative Review of Operative and Nonoperative Management of Achilles Tendon Ruptures Am. J. Sports Med., July 1, 2002; 30(4): 565 - 575. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. A. Schepsis, H. Jones, and A. L. Haas Achilles Tendon Disorders in Athletes Am. J. Sports Med., March 1, 2002; 30(2): 287 - 305. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Assal, M. Jung, R. Stern, P. Rippstein, M. Delmi, and P. Hoffmeyer Limited Open Repair of Achilles Tendon Ruptures : A Technique with a New Instrument and Findings of a Prospective Multicenter Study J. Bone Joint Surg. Am., February 1, 2002; 84(2): 161 - 170. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. MAFFULLI Current Concepts Review - Rupture of the Achilles Tendon J. Bone Joint Surg. Am., July 1, 1999; 81(7): 1019 - 36. [Full Text]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
