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Achilles tendon thickening does not affect elasticity and functional outcome after surgical repair of Achilles rupture: A retrospective study

Authors :
Chen-Xi Wu
Chang-Yue Xiong
Lu Bai
Su-Meng Chen
Yu-Xin Yan
Lu Wang
Xin-Tao Zhang
Source :
Chinese Journal of Traumatology, Vol 26, Iss 6, Pp 323-328 (2023)
Publication Year :
2023
Publisher :
Elsevier, 2023.

Abstract

Purpose: Previous studies have confirmed that Achilles tendon occurs Achilles thickening after repair surgery of the rupture. Although this mechanism has been elucidated in the laboratory, there are few reports on its impact on clinical function. We designed a retrospective study to investigate the Achilles thickening after Achilles tendon rupture repair and its correlation between the elasticity and postoperative function. Methods: In this retrospective analysis, patients who underwent surgical treatment for acute Achilles tendon rupture from April 2016 to April 2020 were included. All the patients were regularly followed up at 3 months, 1 year, and 2 years after surgery. American Orthopaedic Foot Ankle Surgeon (AOFAS) scale and Leppilahti score were used to evaluate functional outcomes. Achilles elasticity was measured by ultrasound shear wave of elasticity. Achilles thickening was calculated as maximal transverse and longitudinal diameter in cross-sectional plane of magnetic resonance scan. Sample t-tests was used for different follow-up periods. Correlation between Achilles thickening and other factors were analyzed using Pearson's method. p 0.05) in every follow-up period. Conclusion: Achilles tendon thickens after surgery in the 1st year, but begins to gradually return to thinning about 2 years after surgery. There was no significant correlation between the increase and decrease of thickening and the patients' clinical function scores, Achilles elasticity, and bilateral ankle dorsiflexion difference.

Details

Language :
English
ISSN :
10081275
Volume :
26
Issue :
6
Database :
Directory of Open Access Journals
Journal :
Chinese Journal of Traumatology
Publication Type :
Academic Journal
Accession number :
edsdoj.02c1c9502964e80b21a28118e315ddf
Document Type :
article
Full Text :
https://doi.org/10.1016/j.cjtee.2023.10.002