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Abstract
Rupture of Achilles tendon may result from varinos canses (direct and indirect injury), especi al y by trauma.
It was first reported by Paré (1575) and therafter the various canses, diagnostic & therapeutic methods of the ruptured tendon have been described by many workers.
Almost all the workers agreed that the prognosis was good by early diagnosis and early treatment. In this report, 31 cases (19 in male & 12 in female) of injured Achilles tendon had been treated and follow-up study of 22 cases had been made during 13 years from Aug. I960 to June 1973. The results are summarized as follows;
1. Rupture of the Achilles tendon occurred most commonly in men of the early 3rd decade(61%).
2. Rupture by direct injury was mommon than by indirect injury.
3. Rupture of the left side was more common than that of the right side.
4. The most frequent site of rupture was 2-6 cm above the the insertion of the tendon(80%).
5. The result of end-to-end repair and Lynn method within 10 days of injury and of reconstructive surgery after more than 10 days were good or satisfactory.
6. The results by conservative treative treatment with cast immobilization were satisfactory (4 cases).
7. The normal function of Achilles tendon can be regained abgnt 5 months after treatment.
REFERENCES
1.Amer O.., Lindholm A.Subcutaneous Rupture of the Achilles Tendon, A study of Cases, Acta Chir. Scandinav. Supplement. 239:7–51. 1959.
2.Arner O.., Lindholm A.., Lindvall N.Roentgen Changes in Subcutaneous Rupture of the Achilles Te?idon, Acsa Chir. Scandinav. 116:496–500. 1959.
3.Arner O.., Lindholm A.., Orell S.Histologic Changes in Subcutaneous Rupture of the Achilles Tendon, Acta Chir. Scandinav. 116-484:1959.
4.Blümel & Piza. Quoted by Arner, O., and Lindholm, A.: Subcutaneous Rupture of the Achilles tendon, A study of 92 cases, Acta Chir. Scandinav. 239:7–51. 1959.
5.Bëehler L.Rupture of the Achilles Tendon. The Treatment of Fracture 5th. Ed-1887, Grume and Straffon, New York and London. 1958.
6.Bosworth D. M.Repair of Defects in the Tendo-Achi11es,. J.B.J.S. 38-A:111–112. 1956.
7.Bugg E. I.., Boyd B. M.Repair of neglected rupture or laceration of the Achilles tendon, Clinical Orth, and related Research. 56:73–75. 1968.
8.Christensen I.Rupture of the Achilles Tendon, Analysis of 57 cases, Acta Chir Scandinav. 106(50):1953–1954.
9.Conway A. M.., Dorner R. W.., Zuckner J.Regeneration of Resected Calcaneal Tendon of the Rabbit, Anat. Ree. 158:43–49. 1967.
10.Crenshaw A. H.Campbell's Op. Orth., 1464. The C. V. Mosby Comp. Saint Louis. 1971.
11.Forste R. L.., Ritter M. A.Rerupture of a Conservatively Treated Achilles Tendon Rupture, A case report of the operative findings. J. J. B. J. S. 56-A:174–175. 1974.
12.Gilles H.., Chalmers J.The Management of Fresh Rupture of the Tendo Achilles,. J. B. J. S. 52-A:337. 1970.
13.Gillespie H. S.., George E. A.Results of surgical repair of Spontaneous Rupture of the Achilles tendon,. J. Trauma. 9:247–249. 1969.
14.Goldman S.., Linscheid R. L.., Bickel W. H.Disruption of the Tendo-Achill es. Mayo Clinic proc. 44:28–35. 1969.
15.Hooker C. H.Rupture of Tendo-Calcaneus,. J.B.J.S. 45-B:360–363. 1963.
16.Kager H.Quoted by Arner, O., Lindholm, A., and Lindvall, N.: Roentgen changes in subcutaneous rupture of the Achilles Tendon, Acta Chir. Scandinav. 116:496. 1959.
17.Käufer H.Discussion on Repair of the Ruptured Achilles tendon by E. L. Ralston and E. R. Schidt. Jr. J. J. Trauma. 11:20–21. 1971.
18.Kullmann L.., Wouters H. W.Muscle Hemanangiosndo thelioma causing Rupture of the Achilles Tendon, Clin. Orth, and related Research. 84:154. 1972.
19.Lagergen C.., Lindholm A.Vascular distribution in the Achilles tendon, Acta Chir. Scandinav. 116:491–495. 1959.
20.Lavine L.S.., Kanras S.., Warren R.F.Too pin technic, for Achilles tendon repair, Clin. Orth, and related Research. 40:137–138. 1965.
21.Lawrence G. H.., Cave E. F.., O'Conner H.Injury to the Achilles tendon, Experience at the Masschusetts General Hospital, 1900-1954. Am. J. Surg. 89:795–800. 1955.
22.Lea R. B.., Smith L.Non Surgical Treatment of Tendo Achilles Rupture,. J. B. J. S. 54-A:1398–1320. 1972.
23.Lindholm A.A new method of operation in subcutaneous rupture of the Achilles tendon, Acta Chir. Scandinav. 117:261–270. 1959.
24.Lipscomb P.R.., Wakim K.G.Regeneration of Severed Tendons, An Experimental study. Proc. Staff Meet. Mayo Clin. 36:271–276. 1961.
25.Lipscomb P. R.., Wakim K.G.Furthure observations in the Healing of Severed Tendons, An Experimental Study. Proc. Staff Meet Mayo Clinic. 36:277–282. 1962.
26.Ljungquist H.Subcutaneous Partial Rupture of the Achilles Tendon, Acta Orth. Scandinav. Supp., 113. 1958.
27.Lynn T. A.Repair of the Torn Achilles Tendon, using the Plantalis Tendon as a Reinforcing Membrane,. J.B.J.S. 48-A:268–272. 1966.
28.Melmed E. P.Spontneous Bilateral rupture of the calcaneal tendon during Steroid therapy,. J.B.J.S. 50-A:1069. 1968.
29.Oden R. R.., Swearingen R.Tendo Calcaneous rupture in sking. J.B.J.S. 50-A:1067. 1968.
30.Reveno P. M.., Kittleson A. C.Spontaneous Achilles Tendo Rupture. Radiology. 93:1341–1344. 1969.
31.Snorf C. R.., Stein J. L.Repair of Tendo Calcaneous Rupture,. J. B. J. S. 47-A:852. 1965.
32.Thompson T. C.A test for rupture of the Tendo Achilles, Acta Orth. Scandinav. 32:461–463. 1962.
33.Toygar 0.Quoted by Lindholm, A.: A new method of operation in subcutneous rupture of the Achilles tendon, Acta Chir. Scandina. 117:261. 1959.
34.White R. K.., Kraynick B. M.Surgical uses of the Peroneous Brevis Tendon Surg. Gynec. Obstet. 108:117–121. 1959.
35.정인희» 김광희. AChilles tendon rupture 임상적고찰. 대한정형외과지, 제7권제J호273-288. 1972. ,.
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| 㨐 䟇 |
㻏 䌼 㤰㢈䌼 |
⦨ | 㡰 | 㷨 | ||
|---|---|---|---|---|---|---|
| 佘 | 㡰 | 㨔 | 㡰 | ㋣匼 | ||
| 㘿㟯 | 叼㟯 | 㘿㟯 | 叼㟯 | |||
| 0—9 | 1 | 0 | 0 | 0 | 1 | |
| 10—19 | 2 | 0 | 3 | 1 | 6 | |
| 20—29 | 3 | 1 | 3 | 0 | 7 | |
| 30—39 | 5 | 3 | 2 | 0 | 10 | |
| 40—49 | 1 | 1 | 2 | 1 | 5 | |
| 50—59 | 0 | 1 | 0 | 0 | 1 | |
| 60— | 0 | 1 | 0 | 0 | 1 | |
| ㋣ | 匼 | 12 | 7 | 10 | 2 | 31 |
| 19(61%) | 12(39%) | |||||
㟤 3⮤
㨌 㤰 㢈
| 㤰 㢈 | 㹰· | 㼿 䰧 | 凐 | 㧸㷨 ㋣ |
| 㣠 | 䙔 | 4 | ||
| 叼㟯㹰㼿 | 㧸䙔⪤䓄㍌(何ô | ㆄ) | 11 | 22(72%) |
| 䮬 | ⪤ 㦈㼿 | 7 | ||
| 㥌 | 䰧 (劔 凐 | 䬏) | 5 | |
| 叼㟯㹰㼿 | ㉬ | 䢃 䏱 㟼㣼 | 3 | 9(28%) |
| 㜄 | ⩷ (劔䌌) | 1 |
㟤 4⮤
㟤 4⮤ 㷨㼿⤼ 㷨㷠 ⧇㣀 䌌㞌ㆨ䜴冴㙀㢨 凐叼
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|---|---|---|
| 10㢄㢌佌 | 7 | 4 |
| 10 㢄ᅳ1古㤬䐈䘴 | 3 | 0 |
| 1古㤬·ᅳ 3古㤬䐈䘴 | 4 | 0 |
| 3古㤬ᅳ6古㤬 | 4 | 0 |
| ㋣ 匼 | 18 | 4 |
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ㆨ䜴䏗䍫 䏱 㷨㼿⤼ 吀䜴冴㙀㢨 凐叼
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㷨㼿⤼ 吀䜴冴㙀㢨 凐叼匄 刈 卐匄
| 凐 叼 | 卐 | 匄 | ||
|---|---|---|---|---|
| Excellent | Satisfac | Poor | ㋣ 匼 | |
| 10㢄㢌佌 | 9 | 2 | 0 | 11 |
| 10 㢄ᅳ1古㤬䐈䘴 | 3 | 0 | 0 | 3 |
| 1古㤬ᅳ3古㤬䐈䘴 | 2 | 1 | 1 | 4 |
| 3古㤬ᅳ6 古㤬 | 2 | 2 | 0 | 4 |
| ㋣ 匼 | 16 | 5 | 1 | 22 |
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