ACHILLES TENDON RUPTURE: COMPARATIVE ANALYSIS OF OUTCOMES FROM NON-OPERATIVE AND OPERATIVE TREATMENT MODALITIES
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Abstract
Background: Achilles tendon ruptures are the most common tendon injuries in orthopaedic practice. The tendon plays a key role in all phase of the gait cycle, injuries therefore affect active movement. Non-operative and operative treatment modalities exist with no clear consensus. The aim of this study was to compare operative and non-operative treatment of Achilles tendon injuries in port Harcourt.
Materials and Methods: A prospective cross-sectional analytical study was conducted among consecutive patients who presented with Achilles tendon injuries over a five-year period. The obtained data were analyzed and formed into tables, charts and figures.
Results: thirty-two patients were recruited into the study giving a crude prevalence of 15.8% of all tendon injuries. The 30-50 years age group accounted for more than half of the study population with sports injuries and bicycle spoke injuries being the most implicated. Closed injuries (22) were far more than open injuries (n=10). The conservative group however had better outcomes in terms of length of hospital stay in days (n=1/n=5), wound complications (n=0/n=2) and direct cost of treatment. Time for tendon healing, return to full weight bearing, return to work and re-intervention rate were better for the operative group compared to the non-operative group.
Conclusion: While operative treatment may be ideal for the patient with open injuries, high work demand, complete rupture and desirous of early return to work, non-operative treatment is suitable for the patient with closed incomplete tendon ruptures with low work demands.
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