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Severe Functional Debilitations After Complications Associated With Acute Achilles Tendon Rupture With 9 Years of Follow-Up.
- Source :
-
The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2017 May - Jun; Vol. 56 (3), pp. 440-444. Date of Electronic Publication: 2017 Feb 20. - Publication Year :
- 2017
-
Abstract
- The purpose of the present study was to investigate the long-term effect of deep infection, sural nerve injury, and repeat rupture in the treatment of acute Achilles tendon rupture. A total of 324 patients had made a claim to the Danish Patient Insurance Association from 1992 to 2010 for a complication after acute Achilles tendon rupture. Of the 324 patients, 119 (36.7%) (77 [64.7%] males and 42 [35.3%] females) returned the Achilles tendon total rupture score and the 36-item short-form survey questionnaires. Patients with deep infection (n = 10), sural nerve injury (n = 10), and repeat rupture (n = 16) participated in a follow-up investigation. The mean follow-up period was 8.9 (range 3 to 21) years. The mean Achilles tendon total rupture score was 49 ± 27. The summary scores of the physical component and mental components scales of the 36-item Short Form Survey were 43 ± 11 and 52 ± 11, respectively. No significant differences were found among the subpopulations with deep infection, injury to the sural nerve, or repeat rupture. The physical evaluation investigating tendon length and heel rise work revealed a statistically significant difference between the affected and unaffected limb after repeat rupture (p < .01) but not after injury to the sural nerve (p > .05) or deep infection (p > .05). In conclusion, patients with from a complication after acute Achilles tendon rupture had a remarkable reduction of the Achilles tendon total rupture score and physical component scale score at mean follow-up point of 9 years. Patients with repeat rupture had a significant elongation of the tendon and reduction of strength in the affected limb.<br /> (Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Acute Disease
Adult
Female
Follow-Up Studies
Humans
Male
Middle Aged
Recurrence
Retrospective Studies
Rupture
Sural Nerve injuries
Surveys and Questionnaires
Tendon Injuries physiopathology
Trauma Severity Indices
Wound Infection etiology
Achilles Tendon injuries
Recovery of Function
Tendon Injuries complications
Subjects
Details
- Language :
- English
- ISSN :
- 1542-2224
- Volume :
- 56
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
- Publication Type :
- Academic Journal
- Accession number :
- 28216305
- Full Text :
- https://doi.org/10.1053/j.jfas.2017.01.004