Comparison of the open primary repair with augmentation and without augmentation in acute achilles tendon rupture
Date
2012Author
Öçgüder, DA.
Doğan, Metin
Bektaşer, SB.
Akgün, E.
Tolunay, T.
Uğurlu, M.
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Show full item recordAbstract
Aim: To compare the clinical and the functional effi ciency of 2 surgical methods that are used in open primary repair of
acute Achilles tendon ruptures: one that utilizes the augmentation of the plantaris tendon and one that does not.
Materials and methods: Data were evaluated from 41 patients that underwent surgical repair for acute Achilles tendon
ruptures with these 2 diff erent surgery methods. In the fi rst group, which included 21 patients (19 male, 2 female; mean
age: 36.8 years; age range: 22 to 49), we performed augmentation with the plantaris tendon aft er an end-to-end primary
repair with a modifi ed Kessler technique. In the second group, which included 20 patients (19 male, 1 female; mean age:
41.4 years; age range: 23 to 52), we did not perform augmentation aft er the end-to-end primary repair with a modifi ed
Kessler technique. For both groups, we used polydioxanone suture (PDS) materials in Kessler knots.
Results: Th e mean American Orthopedic Foot and Ankle Society (AOFAS) hindfoot clinical outcome score was 94 ±
6.4 (range: 73-100) in the fi rst group. In the second group, the mean AOFAS score was 94.4 ± 6.1 (range: 76-100). Th e
fi rst group’s mean Achilles tendon assessment score was 81.7 ± 10.9 (good, range of 60-96); the mean Achilles tendon
assessment score of the second group was 82.4 ± 6.1 (good, range of 71 to 94). Th ere was no statistically signifi cant
diff erence between these 2 groups in terms of functional scores (P > 0.05). In the fi rst group, 2 patients (9.5%) had
superfi cial skin infections and 1 patient (4.7%) had hypertrophic scar tissue. In the second group, 3 patients (15%) had
superfi cial skin infections and 1 patient (5%) experienced a partial rerupture.
Conclusion: Clinical and functional results did not show any statistically signifi cant diff erence between methods with
or without augmentation when ap