Limited Open Repair Technique of Achilles Tendon Ruptures: Operative Technique and Early Results

Lee, Keun Bae; Park, Yu Bok; Kim, Byung Soo; Choi, Jin; Jung, Sung Taek

Abstract

PURPOSE: To investigate the early results of limited open repair technique of Achilles tendon ruptures, and to describe the surgical technique.
MATERIALS AND METHODS
From October 2004 to February 2005, a total of 10 patients with Achilles tendon rupture underwent limited open repair. The average age of the patients was 39.3 years, and the average follow-up period was 9 months. The causes of injury were sports injuries in 8 cases, and slip down in 2. The mean interval between the injury and the operation was 9 days. The clinical results were assessed by patient's satisfaction, incision length, hospitalization, the ankle-hindfoot scale of American Foot and Ankle Society (AOFAS), and complications.
RESULTS
Of 10 patients, 8 were very satisfied, and the remaining 2 were satisfied. The mean incision length was 2.0 cm, and the mean hospitalization was 2 days. The mean AOFAS score was 97 points, and there was no complications such as infection, rerupture, or nerve injury. All patients returned to work at approximately 2 months, and resumed light exercise such as jogging at approximately 3 months.
CONCLUSION
Limited open repair technique of Achilles tendon ruptures is provided for better cosmetic results, high patient's satisfaction, and functionally successful results without postoperative complications.