Achilles Tendon Rupture
Conditions
Keywords
surgery, suture method, blood supply
Brief summary
The purpose of this study is to estimate the effective of two suture methods in the treatment of Achilles rupture.
Detailed description
Achilles tendon rupture is one of the most common tendon injuries in the adult population. The incidence of this injury is increasing as aging adults continue their participation in high-demand sports. Although the impact of an Achilles tendon rupture is substantial, often resulting in prolonged disability and rehabilitation. Studies have showed that the operation treatment of acute Achilles tendon ruptures had some advantages. But the rebuild of blood supply was not involved in previous studies. And the epitenon of tendon is the interior layer, closest to the endotenons which contains the vascular supply. Main difference of two suture methods were if the epitenon was repaired and sewed indirectly or unrepaired and sewed directly.
Interventions
PROCEDUREsewed indirectly
The epitenon was repaired and sewed indirectly.
PROCEDUREsewed directly
The epitenon was unrepaired and sewed directly.
Sponsors
Peifu Tang
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Adult men or women between 18 and 60 years of age. * Closed rupture confirmed with ultrasound or magnetic resonance imaging (MRI). * Operative within 14 days after injury. * Willing and able to comply with and carry out the prescribed rehabilitation protocol. * Providing informed consent. * No other major trauma.
Exclusion criteria
* Refuse to participate. * Refuse to participate. * Additional ipsilateral injury. * Open injury. * Patients not suitable for surgery (i.e., mellitus diabetes, immunocompromised states, obesity (BMI.30), peripheral vascular disease or local/systemic dermatologic disorders) or have other surgical contraindications. * Fluoroquinolone-associated rupture (i.e., rupture within 2 weeks after taking this medication). * Achilles avulsion from the calcaneus or with bone fracture. * Neurological or vascular disease requiring medications recognized to impair tendon healing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood supply condition | six weeks | Blood supply was estimated by ultrasonic contrast at six weeks after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Calf circumference | six weeks | Calf circumference was measured at six weeks after surgery. |
| Complications | six months | Infection and rerupture at six month after surgery. |
Countries
China
Contacts
Primary ContactTang P Fu, Dr.
Backup ContactZhang L Hai, Dr.
Outcome results
None listed