Operative Repair Of Acute Achilles Tendon Ruptures: Evaluating Efficiency And Complications

Objective To investigate the efficiency and complication of operative repair of acute Achilles tendon ruptures.Methods Of 112 cases of acute Achilles tendon ruptures,89 cases were repaired with simple end-to-end suture and 23 cases were repaired and then augmented with gastrocnemius-soleus fascia. The ankle function was evaluated according to the AOFAS criteria. The ankle movement range including plantar flexion and dorsal flexion was measured. Complications including wound infection, re-rupture, sural nerve damage and heel ulcer were studied.Results The mean score of AOFAS was 92.2 (74～100), and 63 cases were considered excellent,39 good, and 10 fair. The ankle movement ranges,which was 52.2°±7.10° on the injured side compared to 57.1°±5.8° on the normal side, were not significantly different. Deep wound infection and re-rupture were detected in lcases and 2 cases respectively.Conclusion Operative repair of acute Achilles tendon rupture can obtain satisfactory clinical outcomes.