Outcome of surgical management of ruptured Achilles tendon

Balakrishnan M Acharya; Pramod Devkota; Amrit Shrestha; Abhishek Kumar Thakur; Toya Raj Bhatta; Bidur Gyawali

Balakrishnan M Acharya Patan Academy of Health Sciences, Lalitpur, Nepal
Pramod Devkota Patan Academy of Health Sciences, Lalitpur, Nepal
Amrit Shrestha Patan Academy of Health Sciences, Lalitpur, Nepal
Abhishek Kumar Thakur Patan Academy of Health Sciences, Lalitpur, Nepal
Toya Raj Bhatta Patan Academy of Health Sciences, Lalitpur, Nepal
Bidur Gyawali Patan Academy of Health Sciences, Lalitpur, Nepal

Abstract

DOI: https://doi.org/10.3126/jpahs.v5i2.23986

Introductions: The incidence of Achilles tendon rupture has been increasing worldwide. The optimal management of this problem is controversial but the surgical intervention is being applied widely.

Methods: We retrospectively analyzed patients who had Achilles tendon (AT) rupture treated surgically at Patan Academy of Health Sciences from January 2010 to December 2015. Functional outcome assessment of ankle was done by using American Orthopedic foot and Ankle Society Score (AOFAS).

Results: Total 71 patients (male 45, female 26) had surgery for AT, 38 right and 33 left side. The mean age of the patient was 36.14 years (range 18-67 years). The mean AOFAS score was 83.32 (range 75-93) after first year follow up and 90.36 (range 80-99) after second year, difference was statistically significant (p<0.05).

Conclusions: The study showed high AOFAS score for surgical management of ruptured Achilles tendon.

Keywords: Achilles tendon rupture, American Orthopedic foot and Ankle Society Score (AOFAS)