족저건 보강법을 이용한 아킬레스건 파열의 치료 = Treatment of Ruptured Achilles Tendon Using Plantaris Tendon Augmentation

다국어 초록 (Multilingual Abstract)

Background and Objectives : We try to evaluate the result of the operative treatment ofAchilles tendon rupture using plantaris tendon augmentation and the functional outcomes related to the cause of injury and rehabilitation methods. Materials and Methods : We studied retrospectively, 28 patients of Achilles tendon rupture treated and followed over l-year, from Januaiy 1995 to August 2001. There were 24 men and 4 women, mean age was 38 years. The repair method of ruptured tendon was pirmary repair with plantahs tendon augmentation. We used Leppilahti method for the clinical evaluation and analyzed patient's satisfaction and subjective strength deficit. Results : In clinical results, we had 11 excellent cases(39%), 10 good cases(36%), 4 fair cases(14%) and 3 poor cases(11%). Nonsports-related rupture had worse result than sports related rupture due to old age and degenerative changes of tendon. The result of short leg cast was similar to that of long leg cast in rehabilitation method, especially, the group starting the weight bearing ambulation within 8 weeks obtained excellent results. Conclusion : We had good result for Achilles tendon rupture treated by primary repair with planths tendon augmentation. This study shows plantahs tendon augmentation was recommended method for primary repair and early rehabilization of Achilles tendon rupture.