Comparison of Clinical Outcomes of Conservative Treatment, Percutaneous, and Open Surgery in Acute Achilles Tendon Ruptures.

Umut Öktem; Muhammed Cihan Daştan; Ahmet Muhammed Harmankaya; İbrahim Bozkurt; Mehmet Orçun Akkurt

Makale detayları

Comparison of Clinical Outcomes of Conservative Treatment, Percutaneous, and Open Surgery in Acute Achilles Tendon Ruptures.

Yazarlar:

Umut Öktem | Muhammed Cihan Daştan | Ahmet Muhammed Harmankaya | İbrahim Bozkurt | Mehmet Orçun Akkurt

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Ortopedi

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 3, pp.354-359

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001358221

pISSN:

2146-4006

Anahtar kelimeler:

Özet:

 Objective: This study aims to compare the clinical outcomes of conservative, percutaneous, and open surgical approaches in the treatment of acute Achilles tendon ruptures. Material and Methods: This retrospective study included 50 patients diagnosed with Kuwada Type 2 acute Achilles tendon rupture between 2019 and 2023 at the Orthopedics and Traumatology Clinic of Ankara Bilkent City Hospital. Patients were divided into three groups according to the treatment method: conservative n  14, percutaneous repair n  21, and open surgical repair n  15. Functional outcomes were evaluated at 3, 6, and 12 months after treatment using the American Orthopaedic Foot  Ankle Society AOFAS score and the Visual Analog Scale VAS score. Statistical analyses were performed using Kruskal-Wallis tests. Results: At the 3rd month, VAS scores were found to be significantly higher in the open surgery group compared to the conservative and percutaneous groups p  0.038. However, no significant differences were observed among the groups in VAS scores at 6 and 12 months. AOFAS scores showed no statistically significant differences among the groups at 3, 6, and 12 months. Complications were observed in two patients wound problems in the open surgery group and in one patient re-rupture in the conservative group. Conclusion: In patients with Kuwada Type 2 acute Achilles tendon rupture, conservative treatment, percutaneous repair, and open surgery show no superiority over one another in terms of clinical outcomes. However, open surgical treatment appears to be disadvantageous regarding postoperative early pain scores. Open surgical repair remains a reliable option, particularly for active individuals.

 Objective: This study aims to compare the clinical outcomes of conservative, percutaneous, and open surgical approaches in the treatment of acute Achilles tendon ruptures. Material and Methods: This retrospective study included 50 patients diagnosed with Kuwada Type 2 acute Achilles tendon rupture between 2019 and 2023 at the Orthopedics and Traumatology Clinic of Ankara Bilkent City Hospital. Patients were divided into three groups according to the treatment method: conservative n  14, percutaneous repair n  21, and open surgical repair n  15. Functional outcomes were evaluated at 3, 6, and 12 months after treatment using the American Orthopaedic Foot  Ankle Society AOFAS score and the Visual Analog Scale VAS score. Statistical analyses were performed using Kruskal-Wallis tests. Results: At the 3rd month, VAS scores were found to be significantly higher in the open surgery group compared to the conservative and percutaneous groups p  0.038. However, no significant differences were observed among the groups in VAS scores at 6 and 12 months. AOFAS scores showed no statistically significant differences among the groups at 3, 6, and 12 months. Complications were observed in two patients wound problems in the open surgery group and in one patient re-rupture in the conservative group. Conclusion: In patients with Kuwada Type 2 acute Achilles tendon rupture, conservative treatment, percutaneous repair, and open surgery show no superiority over one another in terms of clinical outcomes. However, open surgical treatment appears to be disadvantageous regarding postoperative early pain scores. Open surgical repair remains a reliable option, particularly for active individuals.

 Objective: This study aims to compare the clinical outcomes of conservative, percutaneous, and open surgical approaches in the treatment of acute Achilles tendon ruptures. Material and Methods: This retrospective study included 50 patients diagnosed with Kuwada Type 2 acute Achilles tendon rupture between 2019 and 2023 at the Orthopedics and Traumatology Clinic of Ankara Bilkent City Hospital. Patients were divided into three groups according to the treatment method: conservative n  14, percutaneous repair n  21, and open surgical repair n  15. Functional outcomes were evaluated at 3, 6, and 12 months after treatment using the American Orthopaedic Foot  Ankle Society AOFAS score and the Visual Analog Scale VAS score. Statistical analyses were performed using Kruskal-Wallis tests. Results: At the 3rd month, VAS scores were found to be significantly higher in the open surgery group compared to the conservative and percutaneous groups p  0.038. However, no significant differences were observed among the groups in VAS scores at 6 and 12 months. AOFAS scores showed no statistically significant differences among the groups at 3, 6, and 12 months. Complications were observed in two patients wound problems in the open surgery group and in one patient re-rupture in the conservative group. Conclusion: In patients with Kuwada Type 2 acute Achilles tendon rupture, conservative treatment, percutaneous repair, and open surgery show no superiority over one another in terms of clinical outcomes. However, open surgical treatment appears to be disadvantageous regarding postoperative early pain scores. Open surgical repair remains a reliable option, particularly for active individuals.

 Amaç: Bu çalışma, akut Aşil tendonu rüpütürlerinin tedavisinde konservatif, perkütan ve açık cerrahi yaklaşımların klinik sonuçlarını karşılaştırmayı amaçlamaktadır. Gereç ve Yöntemler: Bu retrospektif çalışma, 2019 ve 2023 yılları arasında Ankara Bilkent Şehir Hastanesi Ortopedi ve Travmatoloji Kliniğinde Kuwada Tip 2 akut Aşil tendonu rüpütürü tanısı alan 50 hastayı içermektedir. Hastalar tedavi yöntemine göre üç gruba ayrılmıştır: konservatif n  14, perkütan tamir n  21 ve açık cerrahi tamir n  15. Fonksiyonel sonuçlar, Amerikan Ortopedik Ayak ve Ayak Bileği Derneği AOFAS skoru ve Görsel Analog Skala VAS skorları kullanılarak tedavi sonrası 3., 6. ve 12. aylarda değerlendirilmiştir. İstatistiksel analizler Kruskal-Wallis testleri kullanılarak yapılmıştır. Bulgular: 3. ay VAS skorları, konservatif ve perkütan gruplara kıyasla açık cerrahi grubunda anlamlı olarak daha yüksek bulunmuştur p  0,038. Ancak, 6. ve 12. ay VAS skorları arasında gruplar arasında anlamlı bir fark bulunmamıştır. AOFAS skorlarının 3., 6. ve 12. aylarda gruplar arasında istatistiksel olarak anlamlı bir fark göstermediği görülmüştür. Komplikasyonlar, açık cerrahi grubunda iki hastada yara problemleri ve konservatif grupta bir hastada yeniden rüpütür gözlemlenmiştir. Sonuç: Kuwada tip 2 akut aşil tendon rüptürü olan hastalarda uygulanan konservatif tedavi, perkütan tamir ve açık cerrahinin klinik sonuçlar açısından birbirlerine üstünlüğü yoktur ancak açık cerrahi tedavinin postoperatif erken dönem ağrı skorları açısından dezavantajlı olduğu görülmüştür. Açık cerrahi tamir, özellikle aktif bireyler için güvenilir bir yöntem olarak kalmaya devam etmektedir.

Makale detayları

Comparison of Clinical Outcomes of Conservative Treatment, Percutaneous, and Open Surgery in Acute Achilles Tendon Ruptures.

Yazarlar:

Umut Öktem | Muhammed Cihan Daştan | Ahmet Muhammed Harmankaya | İbrahim Bozkurt | Mehmet Orçun Akkurt

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Ortopedi

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 3, pp.354-359

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001358221

pISSN:

2146-4006

achilles tendon

tendon injuries

minimally invasive surgical proceduresaşil tendonu

tendon yaralanmaları

minimal invaziv cerrahi işlemler

Sayı

Makale detayları

Comparison of Clinical Outcomes of Conservative Treatment, Percutaneous, and Open Surgery in Acute Achilles Tendon Ruptures.

Yazarlar: Umut Öktem | Muhammed Cihan Daştan | Ahmet Muhammed Harmankaya | İbrahim Bozkurt | Mehmet Orçun Akkurt

Yayıncı: Yozgat Bozok University

Ana Başlıklar: Ortopedi

Dergi: Bozok Tıp Dergisi Vol.15 Issue 3, pp.354-359

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: Türkçe

Document ID (Org No.): 2001358221

pISSN: 2146-4006

achilles tendon

tendon injuries

minimally invasive surgical proceduresaşil tendonu

tendon yaralanmaları

minimal invaziv cerrahi işlemler

Sayı

Yazarlar:

Umut Öktem | Muhammed Cihan Daştan | Ahmet Muhammed Harmankaya | İbrahim Bozkurt | Mehmet Orçun Akkurt

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Ortopedi

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 3, pp.354-359

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001358221

pISSN:

2146-4006