Wound Healing Clinical Trial
Official title:
Clinical Effect of Endoscopic Surgery for Delayed Wound Healing After Achilles Tendon Suture
This study proposes endoscopic surgery for delayed wound healing after Achilles tendon suture which is a brand new treatment，and retrospectively analyzed the clinical data of 4 cases treated with this treatment. The analysis results of the clinical efficacy of the method can serve as a reference for clinical and surgical decision-making and prognosis assessment.
Background: Delayed wound healing is a kind of postoperative complication of Achilles tendon
suture. Conventional surgical approach is open surgery in order to clean the wound, which
requires multiple dressing changes and involves a longer recovery period. We recently
developed arthroscopic surgery for delayed wound healing after Achilles tendon suture. This
therapy may be an alternative approach to open surgery.
Purposes: In this paper we evaluate the long-term efficacy of endoscopic surgery for delayed
wound healing after Achilles tendon suture.
Patients and Methods: Clinical data of 4 patients with delayed wound healing after Achilles
tendon suture who underwent endoscopic surgery from April 2008 to October 2017 at our
institute were retrospectively analyzed. There were 3 males and 1 females with age of 39-60
years, the follow‐up period was 8-43 months). All the patients had unilateral tendon rupture
with 3 cases on the left and 1 cases on the right. Scores on Visual analogue scale(VAS) and
the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale were used. The
postoperative outcome was evaluated on the basis of Victorian Institute of Sport
Assessment—Achilles score and Achilles tendon total rupture score (ATRS).
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