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공학 일반 건축공학 기계공학 산업공학 재료·에너지공학 전기전자공학 조선해양공학 화학공학 컴퓨터학 기타공학
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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한족부족관절학회 대한족부족관절학회지 대한족부족관절학회지 제22권 제1호
발행연도
2018.1
수록면
21 - 25 (5page)

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초록· 키워드

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Purpose: To analyze the correlation between a rupture of the hypovascular zone and early single heel raising after Achilles tendon repair. Materials and Methods: From January 2012 to August 2015, 68 patients, who underwent surgical treatment for a Achilles tendon rup- ture using Krackow method, were analyzed retrospectively. The patients were divided into two groups according to possibility of single heel raises within 3 months postoperatively. During the periodic outpatient observations, the visual analogue scale, Achilles tendon total rupture score (ATRS), and timing capable single heel raises were evaluated. In addition, the preoperative defect size and distance be- tween the calcaneal osteotendinous junction and the rupture site were measured by ultrasound in all cases. Results: Twenty-three patients could perform a single heel raise within 3 months after surgery (early single heel raise group), and forty- five patients could perform a single heel raise after 3 month postoperatively. The age, gender, body mass index, smoking, and operation delay were similar in the two groups. In addition, the defect size and distance between the calcaneal osteotendinous junction and rupture site as measured by preoperative ultrasound were similar (p=0.379 and p=0.631, respectively). On the other hand, when the rupture site was divided into the hypovascular zone (4 ∼ 7 cm from calcaneal osteotendinous junction) and non-hypovascular zone, the hypovascular zone rupture rate was significantly lower in the early single heel raise group (60.9%, 14/23; 91.1%, 41/45; p=0.003). In logistic regression analysis, the odds of the hypovascular zone rupture group being capable of early single heel raise were 0.189 (p=0.017). The ATRS score at 3 months and 1 year after surgery were significantly higher in the early single heel raise group (p<0.001). Conclusion: Achilles tendon rupture at the hypovascular zone is a poor prognostic factor for early single heel raise and might affect the prognosis significantly after an Achilles tendon rupture operation.

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참고문헌 (17)

참고문헌 신청
Ganestam A / 2016 / Increasing incidence of acute Achilles tendon rupture and a noticeable decline in surgical treatment from 1994 to 2013. A nationwide registry study of 33,160 patients / Knee Surg Sports Traumatol Arthrosc 24:3730~3737 Crossref Maffulli N / 2003 / Early weightbearing and ankle mobilization after open repair of acute midsubstance tears of the achilles tendon / Am J Sports Med 31:692~700 Crossref Suchak AA / 2008 / The influence of early weight-bearing compared with nonweight-bearing after surgical repair of the Achilles tendon / J Bone Joint Surg Am 90:1876~1883 Crossref Olsson N / 2014 / Ability to perform a single heel-rise is significantly related to patient-reported outcome after Achilles tendon rupture / Scand J Med Sci Sports 24:152~158 Crossref Nilsson-Helander K / 2007 / The Achilles tendon Total Rupture Score (ATRS): development and validation / Am J Sports Med 35:421~426 Crossref

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