This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
The Outcomes Between Acute and Delayed Repair After Achilles Tendon Rupture
Qiang Wang
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: To assess the outcomes of patients with delayed presentation, who had received no treatment until 14 days later following injury of Achilles tendon rupture repaired with open reconstruction surgery and were compared with a group of patients who received surgery within 14 days.
Methods: A total of twenty-four patients with Achilles tendon rupture who were treated with uniform surgical techniques were retrospectively assessed. The cohort was divided into two groups according to the time from injury to surgery (TTS): acute repair (TTS≤14days) and delayed repair (TTS>14days).Function was evaluated by the Tegner activity level. Score evaluation included Achilles tendon Total Rupture Score (ATRS) and Visual analogue score (VAS).
Results: At least 12 months following repair, patients with delayed repair (TTS: 14-28days) had mean (SD) ATRS score of 88.4(7.8) compared with 89.2(6.3) in patients treated acutely. There were no significant differences between groups: Tegner [mean (SD) delayed: 4.3(1.6), acute: 4.4(1.5)], VAS score [mean (SD) delayed: 1.8(0.7), acute: 1.6(0.9)]. There were also no significant differences in complications between the two groups.
Conclusions: For those patients with delayed presentation of 14 to 28 days，even though the local medical departments don't have minimally invasive incision techniques or Achilles tendon repair equipment, open repair is also a better choice.
Keywords
Achilles tendon, delayed repair, acute repair, open reconstruction
Figure 1
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 05 Jun, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
Learn more about our company.
This is a preprint. It has not completed peer review.
Research article
The Outcomes Between Acute and Delayed Repair After Achilles Tendon Rupture
Qiang Wang
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 05 Jun, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: To assess the outcomes of patients with delayed presentation, who had received no treatment until 14 days later following injury of Achilles tendon rupture repaired with open reconstruction surgery and were compared with a group of patients who received surgery within 14 days.
Methods: A total of twenty-four patients with Achilles tendon rupture who were treated with uniform surgical techniques were retrospectively assessed. The cohort was divided into two groups according to the time from injury to surgery (TTS): acute repair (TTS≤14days) and delayed repair (TTS>14days).Function was evaluated by the Tegner activity level. Score evaluation included Achilles tendon Total Rupture Score (ATRS) and Visual analogue score (VAS).
Results: At least 12 months following repair, patients with delayed repair (TTS: 14-28days) had mean (SD) ATRS score of 88.4(7.8) compared with 89.2(6.3) in patients treated acutely. There were no significant differences between groups: Tegner [mean (SD) delayed: 4.3(1.6), acute: 4.4(1.5)], VAS score [mean (SD) delayed: 1.8(0.7), acute: 1.6(0.9)]. There were also no significant differences in complications between the two groups.
Conclusions: For those patients with delayed presentation of 14 to 28 days，even though the local medical departments don't have minimally invasive incision techniques or Achilles tendon repair equipment, open repair is also a better choice.
Figure 1