Medium-long Term Effects Of Minimally Invasive Surgery In Treating Acute Closed Achilles Tendon Rupture

Objective: To evaluate the clinical efficacy and value of percutaneous minimally invasive suture in treating acute closed Achilles tendon rupture through medium to long term follow up.Method: we retrospectively followed 33 patients diagnosed with acute closed Achilles tendon rupture,who were admitted from 2012.9-2017.1.mean time follow up2.02(3months-5years),we followed them both with outpatient and telephon,we observed the conditons of incision,function,re-rupture,evaluating postoperative effects through AOFAS scale.Results: we lost 4 follow ups,follow up time3months-5years,meantime2.02 years.no symptoms of DVT were occurred to all patients,no sensation abnormality in gastrocnemius nerve area,no complications of abnormal incision healing,infection,necrosis etc,occurred.No re-rupture of the Achilles tendon occurred during follow up.with medium to long follow up,patients were treated with nice ankle shape,nice function recovery,efficacy were assessed as : 11 patients with follow up time of 3months to 1 year,mean AOFAS scale:92.63,4patients with good efficacy,4with moderate efficacy,the qualified rate is72.7%.22 patients were followed more than 1 year,mean AOFAS scale:96.33%.19 patients with good efficacy,2with moderate efficacy,the qualified rate is95.5%.Conclusion: percutaneous minimally invasive suture is comparatively a good way in treating acute closed Achilles tendon rupture,with less medium to long term complication rate,good shape reconstruction,good function recovery.