| Objective: People’s living standard is improving obviously in recent years. More and more people engage in recreational activities such as playing sports,joining a health club, taking part in outdoor activities.And, at the same time,the incidence of the acute achilles tendon rupture appeared rising trend.There are many articles have been published in recent years.However, you will find that many of these articles debate focused primarily on operating or not,minimal invasive or traditional open surgery,early or late functional exercise.The opinion of foreign studies is that traditional open surgery could reduce the incidence of palindromic rapture of heel tendon and increase the rate of complications.The minimal invasive can significantly redece the rate of complications,it was not associated with any increased risk of palindromic rapture of heel tendon.At present,there are very few retrospective studies on the efficacy of different surgical procedures in domestic,so we designed a retrospective study that compare modified Kessler with Achillon treatment acute Achilles tendon rupture, to provide the basis for the choice of treatment.Method: A retrospective analysis was performed between July 2012 and July 2014,33 patients with Achilles tendon ruptures were treated with modified Kessler and Achillon methods.12 cases of Achillon treatment, 19 cases of modified Kessler method of treatment. Achillon group:11 males, 1 female; aged 27 to 46 years, mean35.5±6.7 years; modified Kessler group: 18 males and 3 females; aged 25 to 73 years,mean 37.4±11.4 years.Postoperative rehabilitation exercises under the guidance of doctors,recording two operative time, hospital stay, wound healing, sural nerve area feel the situation.Then they were followed up postoperative effect,postoperativecomplications and satisfaction degree of the operation through out-patient review or telephone follow-up at 6 weeks,12 weeks,6 months,1year after operation.We will evaluate the effect by AOFAS.After the year,we can evaluate the effect by Arner-Lindholm score.SPSS20 statistical software for statistical analysis.Result:33 patients were followed up for at least 6 months, up to 1.5 year.According to the results statistical test the hours of operation of modified Kessler are 62.6±23min,the hours of operation of Achillon are 86.6±34 min.There was statistically significant(P<0.05).The hospital stays of modified Kessler is 7.6±3.2 days.The hospital stays of modified Kessler is 9.1±1.8 days.There was no significant difference(P> 0.05) in the hospital stays.And there was no significant difference in two groups of complications. After operation,the AOFAS scores of Achillon is better then the scores of modified Kessler in 6 to 12 weeks,there was no significant difference after12 weeks.According to the standard of Arner-Lindholm,the curative rate of modified Kessler was 90.5%,the curative rate of Achillon was 91.6% after 1 year.There was no significant difference(P> 0.05).Conclusion:To compare the clinical effect of two methods in treating acute achilles tendon rupture, the results showed that there was no significant difference in the hospital stays.The hours of operation of Achillon are longer than modified Kessler. It is illustrated that Achillon is more complex than modified Kessler.We have to learn to use them and practice it.And there was no significant difference in two groups of complications. After operation,the AOFAS scores of Achillon is better then the scores of modified Kessler in 6 to 12 weeks,there was no significant difference after 12 weeks.We can get the same functional results compare Achillon with modified Kessler treatment acute Achilles tendon rupture. |
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