Isokinetic functional outcomes of open versus percutaneous repair following Achilles tendon tears. Issue 4 (August 2019)

• Record Type: Journal Article
• Authors: Baumfeld, Daniel; Baumfeld, Tiago; Spiezia, Filippo; Nery, Caio; Zambelli, Roberto; Maffulli, Nicola
• Is Part Of: Foot and ankle surgery. Volume 25:Issue 4(2019)
• Page Start: 503
• Page End: 506
• Publication Date: 2019-08
• Subjects: Achilles tendon rupture -- Open approach -- Minimally invasive surgery -- Percutaneous repair -- Isokinetic assessment; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2018.03.003
• Languages: English
• ISSNs: 1268-7731

Abstract

Highlights: A retrospective comparative study, compares open and percutaneous techniques to manage Achilles tendon ruptures. Functional assessment and Isokinetic testing has been also performed in patients. Open and percutaneous repair of a torn Achilles tendon produced similar functional outcomes. Abstract: Background: Rupture of the Achilles tendon (AT) is frequent in young recreational athletes. Conservative management, open surgery and percutaneous/minimally invasive approaches are all advocated, and conflicting data are available. This study compared functional and anthropometric outcomes of patients who underwent open or percutaneous repair. Methods: A retrospective comparative study, in which 38 patients underwent open and percutaneous techniques to manage AT ruptures. For functional assessment, the calf circumference of both injured and uninjured legs was evaluated. Isokinetic testing included total plantar flexion work, peak plantar flexion torque, total dorsiflexion work peak and dorsiflexion torque. The Achilles Tendon Rupture Score (ATRS) and the American Orthopedic Foot and Ankle Score (AOFAS) were evaluated at a final minimum follow-up of 12 months. Results: No major complications were observed. The average time to return to sport was 9 months. AOFAS and ATRS values did not differ statistically between groups. Isokinetic variables and circumference were similar in the operated and non-operated limb in both groups, and did not differ either when comparing open and percutaneous repair. Conclusions: Open and percutaneous repair of a torn Achilles tendon produced similar functional outcomes.