Surgical outcomes in patients with Achilles tendon rupture—a retrospective study
Background There are two main methods used to treat Achilles tendon rupture (ATR): conservative treatment and surgical intervention. Surgical techniques are divided into three main categories: open surgical repair, mini-open surgical repair, and percutaneous repair (PR). We aimed to compare clinical...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PeerJ Inc.
2025-01-01
|
| Series: | PeerJ |
| Subjects: | |
| Online Access: | https://peerj.com/articles/18890.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582516794458112 |
|---|---|
| author | Hüseyin Kürüm Hacı Bayram Tosun Faruk Aydemir Orhan Ayas Kübra Orhan Kürüm Funda İpekten |
| author_facet | Hüseyin Kürüm Hacı Bayram Tosun Faruk Aydemir Orhan Ayas Kübra Orhan Kürüm Funda İpekten |
| author_sort | Hüseyin Kürüm |
| collection | DOAJ |
| description | Background There are two main methods used to treat Achilles tendon rupture (ATR): conservative treatment and surgical intervention. Surgical techniques are divided into three main categories: open surgical repair, mini-open surgical repair, and percutaneous repair (PR). We aimed to compare clinical outcomes in individuals with ATR who were treated with PR, primary repair, and flexor hallucis longus augmentation (FHL-A) with those treated with V-Y plasty and FHL-A. Methods The study involved 54 patients who underwent ATR surgical intervention retrospectively. Thirty-two of these were identified as acute and 22 were chronic rupture patients. PR was performed in 32 patients, primary repair and FHL-A in 14 patients, and V-Y plasty and FHL-A in eight patients. Results The mean forward jump was 142.69 ± 7.14 cm in individuals who received PR, 137.71 ± 4.51 cm in those who received primary repair + FHL-A, and 123.88 ± 3.09 cm in those who received V-Y plasty + FHL-A (p < 0.001). The decrease in the mean vertical jump distance on the operated side compared to the contralateral extremity was 0.97 ± 0.93, 2.07 ± 0.99, and 3.00 ± 1.69 cm in individuals who underwent PR, primary repair + FHL-A, and V-Y plasty + FHL-A, respectively (p < 0.001). The decrease in the mean dorsiflexion of the operated side ankle compared to the contralateral extremity was found to be 4.34 ± 1.18, 1.93 ± 1.07, and 2.38 ± 0.92 degrees in individuals who underwent PR, primary repair + FHL-A, and V-Y plasty + FHL-A, respectively (p < 0.001). Conclusion Although no surgical technique is completely superior to another, better performance tests were observed after PR repair compared to open surgery in individuals involved in sports, but rerupture, dorsiflexion restriction, and painful ankle were disadvantages. FHL-A, which has gained popularity in recent years, showed better performance in tests by contributing to more stable and stronger ankles in sporting individuals with chronic ruptures who had undergone open surgery. FHL-A can be utilized in addition to primary surgical intervention in individuals with high performance expectations before and after injury. |
| format | Article |
| id | doaj-art-6ea2f33740834bee8d3349987a2efa24 |
| institution | Kabale University |
| issn | 2167-8359 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | PeerJ Inc. |
| record_format | Article |
| series | PeerJ |
| spelling | doaj-art-6ea2f33740834bee8d3349987a2efa242025-01-29T15:05:09ZengPeerJ Inc.PeerJ2167-83592025-01-0113e1889010.7717/peerj.18890Surgical outcomes in patients with Achilles tendon rupture—a retrospective studyHüseyin Kürüm0Hacı Bayram Tosun1Faruk Aydemir2Orhan Ayas3Kübra Orhan Kürüm4Funda İpekten5Orthopaedics and Traumatology, Elazığ Fethi Sekin Training and Research Hospital, Elazığ, TurkeyOrthopaedics and Traumatology, Elazığ Fethi Sekin Training and Research Hospital, Elazığ, TurkeyDepartment of Emergency, Elazığ Fethi Sekin Training and Research Hospital, Elazığ, TurkeyOrthopaedics and Traumatology, Elazığ Fethi Sekin Training and Research Hospital, Elazığ, TurkeyPhysical Therapy and Rehabilitation, İnönü University Turgut Özal Medical Center, Malatya, TurkeyBiostatistics, Faculty of Medicine, Adiyaman University, Adıyaman, TurkeyBackground There are two main methods used to treat Achilles tendon rupture (ATR): conservative treatment and surgical intervention. Surgical techniques are divided into three main categories: open surgical repair, mini-open surgical repair, and percutaneous repair (PR). We aimed to compare clinical outcomes in individuals with ATR who were treated with PR, primary repair, and flexor hallucis longus augmentation (FHL-A) with those treated with V-Y plasty and FHL-A. Methods The study involved 54 patients who underwent ATR surgical intervention retrospectively. Thirty-two of these were identified as acute and 22 were chronic rupture patients. PR was performed in 32 patients, primary repair and FHL-A in 14 patients, and V-Y plasty and FHL-A in eight patients. Results The mean forward jump was 142.69 ± 7.14 cm in individuals who received PR, 137.71 ± 4.51 cm in those who received primary repair + FHL-A, and 123.88 ± 3.09 cm in those who received V-Y plasty + FHL-A (p < 0.001). The decrease in the mean vertical jump distance on the operated side compared to the contralateral extremity was 0.97 ± 0.93, 2.07 ± 0.99, and 3.00 ± 1.69 cm in individuals who underwent PR, primary repair + FHL-A, and V-Y plasty + FHL-A, respectively (p < 0.001). The decrease in the mean dorsiflexion of the operated side ankle compared to the contralateral extremity was found to be 4.34 ± 1.18, 1.93 ± 1.07, and 2.38 ± 0.92 degrees in individuals who underwent PR, primary repair + FHL-A, and V-Y plasty + FHL-A, respectively (p < 0.001). Conclusion Although no surgical technique is completely superior to another, better performance tests were observed after PR repair compared to open surgery in individuals involved in sports, but rerupture, dorsiflexion restriction, and painful ankle were disadvantages. FHL-A, which has gained popularity in recent years, showed better performance in tests by contributing to more stable and stronger ankles in sporting individuals with chronic ruptures who had undergone open surgery. FHL-A can be utilized in addition to primary surgical intervention in individuals with high performance expectations before and after injury.https://peerj.com/articles/18890.pdfAchilles tendon rupturePercutaneous repairFlexor hallucis longus augmentation |
| spellingShingle | Hüseyin Kürüm Hacı Bayram Tosun Faruk Aydemir Orhan Ayas Kübra Orhan Kürüm Funda İpekten Surgical outcomes in patients with Achilles tendon rupture—a retrospective study PeerJ Achilles tendon rupture Percutaneous repair Flexor hallucis longus augmentation |
| title | Surgical outcomes in patients with Achilles tendon rupture—a retrospective study |
| title_full | Surgical outcomes in patients with Achilles tendon rupture—a retrospective study |
| title_fullStr | Surgical outcomes in patients with Achilles tendon rupture—a retrospective study |
| title_full_unstemmed | Surgical outcomes in patients with Achilles tendon rupture—a retrospective study |
| title_short | Surgical outcomes in patients with Achilles tendon rupture—a retrospective study |
| title_sort | surgical outcomes in patients with achilles tendon rupture a retrospective study |
| topic | Achilles tendon rupture Percutaneous repair Flexor hallucis longus augmentation |
| url | https://peerj.com/articles/18890.pdf |
| work_keys_str_mv | AT huseyinkurum surgicaloutcomesinpatientswithachillestendonrupturearetrospectivestudy AT hacıbayramtosun surgicaloutcomesinpatientswithachillestendonrupturearetrospectivestudy AT farukaydemir surgicaloutcomesinpatientswithachillestendonrupturearetrospectivestudy AT orhanayas surgicaloutcomesinpatientswithachillestendonrupturearetrospectivestudy AT kubraorhankurum surgicaloutcomesinpatientswithachillestendonrupturearetrospectivestudy AT fundaipekten surgicaloutcomesinpatientswithachillestendonrupturearetrospectivestudy |