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Results of surgical treatment of acute Achilles tendon ruptures

Year 1999, Volume: 33 Issue: 4, 313 - 316, 11.09.2006

Mustafa Yel Recep Memik Mehmet Arazi T. Ogun

Abstract

Thirty eight patients with the acute rupture of the achilles tendon were included in a retrospective study. Twenty five patients had a closed rupture, and 13 patients had open achilles tendon rupture with different sharp agent injury. All patients had unilateral and traumatic rupture of the achilles tendon. All of the patients were operated and cast applied urgently. Patients were followed average 29 months. According to Percy/Conochie criteria patients were evaluated: 17(45%) patients were excellent, 12(31%) patients were good, and 9(24%) patients were fair. There were no rerupture and no severe limp. Two patients had pain while walking, 2 patients had tendon elongation, 9 patients had skin necrosis, 1 deep infection, 11 patients had muscle atrophy, 7 patients had weakness in plantar flexion, 5 patients had more than 10 degree dorsiflexion loss. This surgical treatment in achilles tendon rupture offers satisfactory results , but the fact that thirteen patients (34%) had open rupture of the achilles tendon affecting wound problem and infection rate which were higher than some other series.

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Akut asil tendon rüptürlerinin cerrahi tedavi sonuçları

Year 1999, Volume: 33 Issue: 4, 313 - 316, 11.09.2006

Mustafa Yel Recep Memik Mehmet Arazi T. Ogun

Abstract

Kliniğimizde akut aşil tendon rüptürü (ATR) nedeniyle cerrahi tedavi yapılan 38 hastanın sonuçları bu Çalışmada incelenmiştir. Yirmibeş hastada kapalı ATR, 13 hastada ise çeşitli kesici aletlerle oluşan yaralanmalar sonuçla açık ATR hulunmaktaydı. Tüm hastalarda tek tarafta rüptür vardı. Hastalara acilen tendon ta-miri ve uzun bacak alçısı uygulandı. Hastalar ortalama 29 ay takip edildiler. Percy/Conochie kriterlerine göre 17 (%45) hasta çok iyi, 12 (%31) hasta iyi, 9 (%24) hasta orta olarak değerlendirildi. Hiçbir hastada topallama ve tekrar rüptür görülmezken, yürümekle ağrı 2 hastada, tendon elongasyonu 2 hastada, değişik derecelerde cilt nekrozu ve yüzeyel enfeksiyon 9 hastada, derin enfeksiyon l hastada, bacak adelelerinde atrofi 11 hastada, güç kaybı 7 hastada, dorsofleksiyon kaybı 5 hastada tespit edilmiştir. Kliniğimizde ATR'de uygulanan cerrahi tedavi ile başarılı sonuçlar elde edilmiştir. Fakat hastaların %34'ünde açık ATR bulunması, yara problemi ve enfeksiyon oranlarının yüksek oluşunda etkili olmuş, uzun immobilizasyon süresi eklem hareketleri ve atrofi yönünden sonuçları etkilemiştir.

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Details

Primary Language English
Journal Section Original Article
Authors

Mustafa Yel This is me

Recep Memik This is me

Mehmet Arazi This is me

T. Ogun This is me

Publication Date September 11, 2006
Published in Issue Year 1999 Volume: 33 Issue: 4

Cite

APA Yel, M., Memik, R., Arazi, M., Ogun, T. (2006). Results of surgical treatment of acute Achilles tendon ruptures. Acta Orthopaedica Et Traumatologica Turcica, 33(4), 313-316. https://doi.org/10.3944/aott.v33i4.2358
AMA Yel M, Memik R, Arazi M, Ogun T. Results of surgical treatment of acute Achilles tendon ruptures. Acta Orthopaedica et Traumatologica Turcica. September 2006;33(4):313-316. doi:10.3944/aott.v33i4.2358
Chicago Yel, Mustafa, Recep Memik, Mehmet Arazi, and T. Ogun. “Results of Surgical Treatment of Acute Achilles Tendon Ruptures”. Acta Orthopaedica Et Traumatologica Turcica 33, no. 4 (September 2006): 313-16. https://doi.org/10.3944/aott.v33i4.2358.
EndNote Yel M, Memik R, Arazi M, Ogun T (September 1, 2006) Results of surgical treatment of acute Achilles tendon ruptures. Acta Orthopaedica et Traumatologica Turcica 33 4 313–316.
IEEE M. Yel, R. Memik, M. Arazi, and T. Ogun, “Results of surgical treatment of acute Achilles tendon ruptures”, Acta Orthopaedica et Traumatologica Turcica, vol. 33, no. 4, pp. 313–316, 2006, doi: 10.3944/aott.v33i4.2358.
ISNAD Yel, Mustafa et al. “Results of Surgical Treatment of Acute Achilles Tendon Ruptures”. Acta Orthopaedica et Traumatologica Turcica 33/4 (September 2006), 313-316. https://doi.org/10.3944/aott.v33i4.2358.
JAMA Yel M, Memik R, Arazi M, Ogun T. Results of surgical treatment of acute Achilles tendon ruptures. Acta Orthopaedica et Traumatologica Turcica. 2006;33:313–316.
MLA Yel, Mustafa et al. “Results of Surgical Treatment of Acute Achilles Tendon Ruptures”. Acta Orthopaedica Et Traumatologica Turcica, vol. 33, no. 4, 2006, pp. 313-6, doi:10.3944/aott.v33i4.2358.
Vancouver Yel M, Memik R, Arazi M, Ogun T. Results of surgical treatment of acute Achilles tendon ruptures. Acta Orthopaedica et Traumatologica Turcica. 2006;33(4):313-6.