Comparison between Percutaneous and Open Repair in AcuteTendon Achilles Rupture in Active Young Patients

Abstract

Background; The Achilles tendon is the strongest and most often torn tendon in the human body and it is known that this rupture rate is rising in the third or fourth decade of life and it affects males more frequently. The majority of ruptures happen when doing sports. Aim and objectives; to compare between percutaneous and open repair of acute Achilles tendon rupture in active young patients who want to go back to resume activity following the repair. Patients and methods:30 participants were included in this prospective comparative research and randomly assigned to groups A and B. (each consists of 15 patients). While group A got percutaneous repair, group B had open repair. Hospitals affiliated with Al-Azhar University were the study's site (Al-Hussien University Hospital) as well as Zagazig General Hospital. The duration of the study was eighteen months. Result; No statistically substantial variation was detected between the two techniques as regard functional results (full weight-bearing, return to activity, muscle strength, and AOFAS score) at last follow-up. However, patients in the percutaneous group were able to achieve significantly larger degrees of ankle plantar flexion compared to the open group. Conclusion; at the long-term checkup, there is no variation between percutaneous and open Achilles tendon repairs. Although both groups had functionally equivalent results, open surgery of the Achilles tendon was linked with more wound problems.