Evaluation of Long Term Therapy Outcomes for Achilles Tendon Ruptures
The aim of the study was to assess the results of treatment for partial and complete Achilles tendon ruptures.
Material and methods. We evaluated 94 patients suffering from the injury (61 males and 33 females) with an average age of 43.8.
Results. The most common mechanism of injury was sport-related (57 participants) or walking-related overstraining (32 participants). 81 patients underwent surgical procedures. In 77 patients, Kessler's suture was used and in 12 patients, transplantation of iliotibial tract was performed. A group of 13 patients underwent a conservative therapy. Plantar flexion immobilization was used for 3 months (constant immobilization for 6 weeks) in all groups. Every patient underwent rehabilitation following surgery. The follow up period was 2.5 years. 85 patients fully recovered lower limb function. In 9 patients, complications were noted: 4 had flexor contractions in the ankle joint requiring further treatment, 2 patients suffered from reoccurrence of tears, and 2 had thrombophlebitis. One patient developed diffuse necrosis of the posterior region of the distal leg, which required amputation.
Conclusions. An appropriate approach to the treatment of Achilles tendon injuries is surgery followed by intensive physiotherapy. During the surgical procedure, it is essential to properly realign the anatomic structures including the fibers rotating within the tendon.