%0 Journal Article
%T Comparison of clinical results after augmented versus direct surgical repair of acute Achilles tendon rupture
%A Federico A. Grassi
%A Francesco Pogliacomi
%A Giuseppe Guzzardi
%A Luca Sempio
%A Massimiliano Leigheb
%J Archive of "Acta Bio Medica : Atenei Parmensis".
%D 2017
%R 10.23750/abm.v88i4-S.6794
%X Background and aim of the work: Achilles tendon rupture is frequent and can result in a disabling condition. The ideal method of management remains a matter of debate. We aimed to compare the clinical outcome of patients who underwent surgical repair of Achilles tendon rupture with Silfverski£¿ld augmentation technique with gastrocnemius fascia flap versus Krackow end-to-end stitching technique. Methods: We retrospectively studied all patients that were surgically treated for Achilles tendon rupture at our institution, between January 2000 and December 2015, using either Silfverski£¿ld or Krackow technique. We excluded all patients deceased or untreaceble, and those refusing the follow up interview. Disability, Quality-of-Life and functional restriction were evaluated using the Achilles-Tendon-total-Rupture-Score (ATRS) and Foot-and-Ankle-Disability-Index (FADI); means were compared by the Mann-Whitney test and correlations by the Spearman coefficient. Results: A total of 90 patients were included, with a mean age of 45.3¡À12.6 years. The augmented repair group-A included 33 patients and the simple repair group-B 57 patients. Follow-up averaged 8 years (1 to 16). FADI was 103.7¡À1.6 for group-A versus 100.3¡À15.6 for group-B. ATRS was 2.0¡À7.1 and 5.7¡À18.8, respecitvely. Differences were not significant. Age showed a low linear correlation with ATRS (R=0.41) and FADI (R=-0.40), indicating that clinical outcomes minimally tend to worsen in older patients. Conclusions: We didn¡¯t find significative differences in the clinical outcomes between the two groups of patients. Acute uncomplicated Achilles tendon ruptures can be successfully treated with a direct suture technique. Augmentation with a fascial flap should be reserved to chronic or neglected cases with severe tendinosis or tissue defect. (www.actabiomedica.it
%K Achilles tendon rupture
%K Achilles tendon repair
%K open surgery
%K augmentation
%K functional outcome
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357657/