Cargando…

Outcomes of Open Repair Treatment for Acute Versus Chronic Achilles Tendon Ruptures: Long-Term Retrospective Follow-Up of a Minimum 10 Years—A Pilot Study

The aim of the present study was to compare repaired Achilles tendon (AT) remodelling, whether its function was restored and what effects the surgery had on our patients’ gait cycle in a long-term follow-up study. The study population comprised 30 human subjects treated acutely and chronically for A...

Descripción completa

Detalles Bibliográficos
Autores principales: Tarczyńska, Marta, Szubstarski, Mateusz, Gawęda, Krzysztof, Przybylski, Piotr, Czekajska-Chehab, Elżbieta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10123621/
https://www.ncbi.nlm.nih.gov/pubmed/37092494
http://dx.doi.org/10.3390/medsci11020025
_version_ 1785029695161499648
author Tarczyńska, Marta
Szubstarski, Mateusz
Gawęda, Krzysztof
Przybylski, Piotr
Czekajska-Chehab, Elżbieta
author_facet Tarczyńska, Marta
Szubstarski, Mateusz
Gawęda, Krzysztof
Przybylski, Piotr
Czekajska-Chehab, Elżbieta
author_sort Tarczyńska, Marta
collection PubMed
description The aim of the present study was to compare repaired Achilles tendon (AT) remodelling, whether its function was restored and what effects the surgery had on our patients’ gait cycle in a long-term follow-up study. The study population comprised 30 human subjects treated acutely and chronically for AT ruptures, using the same surgical technique in all cases. The study group was divided into two subgroups regarding the age of their AT injury, i.e., how much time elapsed between the injury and when a correct diagnosis was made and when adequate treatment was applied. Following these criteria, persons presenting at less than 4 weeks postinjury were classified as acute rupture (AR) patients and those presenting at more than 4 weeks after injury were grouped as chronic rupture (CR) patients. Both patient groups were operated on using a surgical method favoured at least a decade ago, i.e., open repair through a posteromedial approach. The AT was augmented with a plantaris longus tendon autograft, followed by suturing using the pull-out suture technique. The results were measured using clinical, ultrasonographic (US) and pedobarographic methods. Our ultrasonographic and pedobarographic findings revealed differences between both patient groups, thus indicating that delayed surgery had negative impacts on treatment success, however, with good long-term functional score outcomes in both patient groups. Nevertheless, delayed treatment of AT ruptures did not leave individual gait phases unaffected, as it also affected the plantar surface and balance performance of the affected limb. As per the results, the Achilles tendon manifested decreased capacity following delayed treatment; however, its long-term functional outcomes were favourable, irrespective of whether it was for acute or chronic patients.
format Online
Article
Text
id pubmed-10123621
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-101236212023-04-25 Outcomes of Open Repair Treatment for Acute Versus Chronic Achilles Tendon Ruptures: Long-Term Retrospective Follow-Up of a Minimum 10 Years—A Pilot Study Tarczyńska, Marta Szubstarski, Mateusz Gawęda, Krzysztof Przybylski, Piotr Czekajska-Chehab, Elżbieta Med Sci (Basel) Article The aim of the present study was to compare repaired Achilles tendon (AT) remodelling, whether its function was restored and what effects the surgery had on our patients’ gait cycle in a long-term follow-up study. The study population comprised 30 human subjects treated acutely and chronically for AT ruptures, using the same surgical technique in all cases. The study group was divided into two subgroups regarding the age of their AT injury, i.e., how much time elapsed between the injury and when a correct diagnosis was made and when adequate treatment was applied. Following these criteria, persons presenting at less than 4 weeks postinjury were classified as acute rupture (AR) patients and those presenting at more than 4 weeks after injury were grouped as chronic rupture (CR) patients. Both patient groups were operated on using a surgical method favoured at least a decade ago, i.e., open repair through a posteromedial approach. The AT was augmented with a plantaris longus tendon autograft, followed by suturing using the pull-out suture technique. The results were measured using clinical, ultrasonographic (US) and pedobarographic methods. Our ultrasonographic and pedobarographic findings revealed differences between both patient groups, thus indicating that delayed surgery had negative impacts on treatment success, however, with good long-term functional score outcomes in both patient groups. Nevertheless, delayed treatment of AT ruptures did not leave individual gait phases unaffected, as it also affected the plantar surface and balance performance of the affected limb. As per the results, the Achilles tendon manifested decreased capacity following delayed treatment; however, its long-term functional outcomes were favourable, irrespective of whether it was for acute or chronic patients. MDPI 2023-03-24 /pmc/articles/PMC10123621/ /pubmed/37092494 http://dx.doi.org/10.3390/medsci11020025 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tarczyńska, Marta
Szubstarski, Mateusz
Gawęda, Krzysztof
Przybylski, Piotr
Czekajska-Chehab, Elżbieta
Outcomes of Open Repair Treatment for Acute Versus Chronic Achilles Tendon Ruptures: Long-Term Retrospective Follow-Up of a Minimum 10 Years—A Pilot Study
title Outcomes of Open Repair Treatment for Acute Versus Chronic Achilles Tendon Ruptures: Long-Term Retrospective Follow-Up of a Minimum 10 Years—A Pilot Study
title_full Outcomes of Open Repair Treatment for Acute Versus Chronic Achilles Tendon Ruptures: Long-Term Retrospective Follow-Up of a Minimum 10 Years—A Pilot Study
title_fullStr Outcomes of Open Repair Treatment for Acute Versus Chronic Achilles Tendon Ruptures: Long-Term Retrospective Follow-Up of a Minimum 10 Years—A Pilot Study
title_full_unstemmed Outcomes of Open Repair Treatment for Acute Versus Chronic Achilles Tendon Ruptures: Long-Term Retrospective Follow-Up of a Minimum 10 Years—A Pilot Study
title_short Outcomes of Open Repair Treatment for Acute Versus Chronic Achilles Tendon Ruptures: Long-Term Retrospective Follow-Up of a Minimum 10 Years—A Pilot Study
title_sort outcomes of open repair treatment for acute versus chronic achilles tendon ruptures: long-term retrospective follow-up of a minimum 10 years—a pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10123621/
https://www.ncbi.nlm.nih.gov/pubmed/37092494
http://dx.doi.org/10.3390/medsci11020025
work_keys_str_mv AT tarczynskamarta outcomesofopenrepairtreatmentforacuteversuschronicachillestendonruptureslongtermretrospectivefollowupofaminimum10yearsapilotstudy
AT szubstarskimateusz outcomesofopenrepairtreatmentforacuteversuschronicachillestendonruptureslongtermretrospectivefollowupofaminimum10yearsapilotstudy
AT gawedakrzysztof outcomesofopenrepairtreatmentforacuteversuschronicachillestendonruptureslongtermretrospectivefollowupofaminimum10yearsapilotstudy
AT przybylskipiotr outcomesofopenrepairtreatmentforacuteversuschronicachillestendonruptureslongtermretrospectivefollowupofaminimum10yearsapilotstudy
AT czekajskachehabelzbieta outcomesofopenrepairtreatmentforacuteversuschronicachillestendonruptureslongtermretrospectivefollowupofaminimum10yearsapilotstudy