Comparison of Primary Repair Versus Gastrocnemius Turn-down Flaps of Acute Achilles Tendon Rupture

Peking University

Status: Completed

Conditions: Acute Rupture of Achilles Tendon (Disorder)

Treatments: Procedure: gastrocnemius turn-down flaps

Study type: Observational

Funder types: Other

Identifiers

NCT04465994

M2019465

Details and patient eligibility

About

This retrospective study includes 74 patients with acute Achilles tendon rupture from March 2012 to September 2018, aiming to compare the mid-term curative effect of primary repair and gastrocnemius turn-down flaps and guide clinical decision.

Full description

Objective: To explore the surgical methods and observe the med-term curative effect of primary repair and gastrocnemius turn-down flaps for acute Achilles tendon rupture, so as to guide clinical decision. Methods: This retrospective study includes 74 patients with acute Achilles tendon rupture from March 2012 to September 2018, whose surgeries was completed by the sponsor with either primary repair or gastrocnemius turn-down flaps. The recovery and motor function of the patients were followed up by outpatient clinic and telephone at 3 months, 6 months, 12 months and 24 months after operation, respectively, so as to statistically analyze the med-term curative effects of two surgeries. Specific indicators include: Visual Analogue Scale, American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Score, The Victorian Institute of Sport Assessment-Achilles, The Achilles tendon Total Rupture Score, the Tegner Activity Score, Biodex isokinetic dynamometer system, Postoperative rehabilitation index and complications.

Enrollment: 74 patients

Sex: All

Ages: Under 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• history of Achilles tendon injury
• within two weeks of injury
• inability to single heel rise
• more than one year of follow-up
• age under 65

Exclusion criteria

• open Achilles tendon rupture
• Achilles tendon terminal disease
• rerupture of Achilles tendon
• history of local corticosteroid injection around the Achilles tendon
• accompanied by fracture, vascular or nerve damage
• not available for regular follow-up

Trial design

74 participants in 2 patient groups

primary repair

Description:

Patients with acute achilles tendon ruptures who received the treatment of primary repair.

gastrocnemius turn-down flaps

Description:

Patients with acute achilles tendon ruptures who received the treatment of gastrocnemius turn-down flaps.

Treatment:

Procedure: gastrocnemius turn-down flaps