ACHILLES TENDON RUPTURE IN MIDDLE AGED SOLDIERS; AN EXPERIENCE OF 10 CASES

  • Zaki Hussain Combined Military Hospital Rawalpindi
  • Adnan Anwar Combined Military Hospital Rawalpindi
Keywords: Achilles tendon; Acute rupture; Open surgical repair

Abstract

Objective: To evaluate the effectiveness of open surgical repair in the treatment of Achilles tendon rupture and to compare it with other forms of management.
Study Design: Case series.
Place and Duration of Study: Study was conducted by two surgical teams in various Military hospitals in Pakistan and Pak level 3 hospitals Darfur. Duration was three years from June 2008 to June 2011.
Material and Method: We gathered an experience of ten cases of tendo Achilles ruptures. We used open surgical repair employing Krachow suture technique in most of our cases under spinal anesthesia. Postoperatively the foot was immobilized in a non-weight bearing cast in equinus position for two weeks, followed by another two weeks in a cast with the ankle at almost 90° then another two weeks at 90° and progressive weight bearing. The patients were followed up for a mean period of 18 months.
Results: Clinical results were good with no loss in range of motion. Complications were 2 (20%) early infections which required debridement and repeated change of dressings. One patient complained of mild pain at operation site off and on but it did not hinder his physical activities. Mean time to return to professional activities on average was 3.5 months; they resumed their sporting activities on average of 6.8 months after the initial injury.
Conclusion: Open surgical repair is the main and standard treatment providing strong repair with a low complication and lowest re-rupture rate as compared to percutaneous repair or conservative treatment.

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Published
2013-09-30
How to Cite
Hussain, Z., & Anwar, A. (2013). ACHILLES TENDON RUPTURE IN MIDDLE AGED SOLDIERS; AN EXPERIENCE OF 10 CASES. Pakistan Armed Forces Medical Journal, 63(3), 412-15. Retrieved from https://pafmj.org/index.php/PAFMJ/article/view/2243
Section
Field Medicine