Treatment of Acute Achilles Tendon Rupture

Tae Hoon Lee; Hak Jun Kim; Young Sik Jeon

doi:10.14193/jkfas.2015.19.3.77

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Lee, Kim, and Jeon: Treatment of Acute Achilles Tendon Rupture

Review Article

J Korean Foot Ankle Soc 2015;19(3):77-80.

Published online: 10 September 2015

DOI: https://doi.org/10.14193/jkfas.2015.19.3.77

Treatment of Acute Achilles Tendon Rupture

Tae Hoon Lee, Hak Jun Kim, Young Sik Jeon

Department of Orthopaedic Surgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea

Corresponding Author: Hak Jun Kim Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, Korea Tel: 82-2-2626-3090, Fax: 82-2-2626-1163, E-mail: dakjul@hanmail.net

Received 5 July 2015 Revised 13 July 2015 Accepted 24 July 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acute Achilles tendon rupture is a frequent injury during sports and recreational activities. Treatments for Achilles tendon rupture have been controversial in recent decades. Traditionally the surgical treatment had benefit over nonsurgical treatment in terms of low rerupture rate and early functional restoration. Recently, nonsurgical treatment was found to show no statistically significant inferiority in rerupture rate, functional outcome, and calf strength. Whereas, surgical treatment had some complications including adhesion, nerve injury, and infection. Nonsurgical treatment has been increasing due to functional rehabilitation with early weight bearing and restricted early motion. It focuses more attention on the course of caring for patients with deep discussion. There are open repair and minimally invasive repair in terms of surgical treatment. There are various techniques for minimally invasive repair of Achilles tendon, which has some advantages over the open repair. However, the optimal technique for minimally invasive repair has not been established. The number of suture strands is important regardless of suture technique.

Keywords: Achilles tendon, Rupture, Treatment, Surgical, Nonsurgical

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Figure 1.

Radiographic findings of Achilles tendon rupture. (A) Loss of Kager's triangle was seen in simple radiograph (arrow). (B) Loss of fibercon-tinuation and hypoechogenicity were seen in ultrasonography (arrow). (C) Achilles tendon rupture was seen in magnetic resonance image (arrow).

Figure 2.

Functional hinged brace was applied to a patient with Achilles tendon rupture for early weight bearing and restricted ankle motion.

Figure 3.

(A) This is a schematic drawing showing Krackow suture technique for Achilles tendon repair. (B) This is a schematic drawing showing Bunnell suture technique for Achilles tendon repair. (C) This is a schematic drawing showing Kessler suture technique for Achilles tendon repair.

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