Treatment of acute Achilles tendon ruptures with Achillon device: Clinical outcomes and kinetic gait analysis

Abstract Background We reviewed the outcomes of the Achillon minimally invasive suture system and an early semi-functional rehabilitation program for the treatment of acute Achilles tendon ruptures. Methods From December 2006 to April 2008, 18 consecutive patients with acute Achilles tendon ruptures...

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Bibliographic Details
Published in:Foot and ankle surgery 2010-12, Vol.16 (4), p.189-194
Main Authors: Garrido, Ignacio Martínez, MD, Deval, Juan Cervera, MD, Bosch, Marta Navarro, MD, Mediavilla, Daniel Herrero, MD, Garcia, Vicente Pellicer, MD, González, María Sánchez, MD
Format: Article
Language:English
Subjects:
Achilles Tendon - injuries
Achilles Tendon - surgery
Achilles tendon rupture
Achillon
Adult
Biological and medical sciences
Diseases of the osteoarticular system
Female
Follow-Up Studies
Gait
Humans
Juxtaarticular diseases. Extraarticular rhumatism
Kinetic gait analysis
Male
Medical sciences
Middle Aged
Minimally invasive repair
Orthopedic Procedures
Orthopedics
Physical Therapy Modalities
Range of Motion, Articular
Retrospective Studies
Rupture - surgery
Splints
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Summary:Abstract Background We reviewed the outcomes of the Achillon minimally invasive suture system and an early semi-functional rehabilitation program for the treatment of acute Achilles tendon ruptures. Methods From December 2006 to April 2008, 18 consecutive patients with acute Achilles tendon ruptures were retrospectively reviewed with an average follow-up of 22 months. Clinical data were assessed with the patient satisfaction and the AOFAS hindfoot score. Biomechanical gait parameters were obtained using the NedAMH/IBV dynamometric platform. Results At last follow-up the AOFAS score was 98 (range, 89–100) and correlated well with kinetic gait analysis. All patients regained normal range of motion and were able to resume their previous activities after six months, with a high rate of satisfaction. Three patients had scar adhesions. There were no cases of recurrent rupture or nerve injury. Conclusions The Achillon device allows semi-functional rehabilitation and provides satisfactory results with a low rate of complication.
ISSN:1268-7731
1460-9584
DOI:10.1016/j.fas.2009.10.014