Bilge Kagan Yılmaz, Caglar Tuna Issı, Murat Yesıl, Furkan Kaya, Ozal Ozcan
{"title":"急性跟腱断裂开放性修复术后跟腱厚度和Kager脂肪垫厚度对临床和功能的影响","authors":"Bilge Kagan Yılmaz, Caglar Tuna Issı, Murat Yesıl, Furkan Kaya, Ozal Ozcan","doi":"10.14744/tjtes.2025.92998","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Acute Achilles tendon ruptures (ATR) are among the most common sports-related injuries. The aim of this study was to evaluate the correlation between Achilles tendon (AT) and Kager's fat pad (KFP) thickness with clinical and functional outcomes, measured using the Achilles Tendon Rupture Score (ATRS) and the Foot and Ankle Outcome Score (FAOS), in patients treated with open surgical repair for acute ATR.</p><p><strong>Methods: </strong>This retrospective study included 42 patients who underwent surgery for ATR at our institution between January 2017 and December 2021. All patients were treated using the open surgical Krackow suture technique. ATRS, FAOS, and Visual Analogue Scale (VAS) scores were recorded one year postoperatively. AT and KFP thicknesses were measured via ultrasonography by an independent radiologist at one-year follow-up.</p><p><strong>Results: </strong>The mean age of the patients was 45.38+-9.68 years, with 22 male patients (52.4%). The mean ATRS was 65.17+-24.46, the mean FAOS was 76.14+-16.75, and the mean VAS score was 3.02+-1.44. The mean AT thickness on the operated side was 15.54+-2.89 mm, compared to 14.58+-2.28 mm on the contralateral side (p=0.009). The mean KFP thickness on the operated side was 8.42+-2.99 mm, compared to 6.32+-2.67 mm on the contralateral side (p=0.005). A strong correlation was found between ATRS and FAOS (r=0.742, p<0.001). For AT thickness, there were moderate negative correlations with both ATRS and FAOS (r=-0.544, p=0.013; r=-0.451, p=0.003, respectively). For KFP thickness, a moderate negative correlation was found with ATRS (r=-0.506, p=0.001).</p><p><strong>Conclusion: </strong>AT and KFP thicknesses had no significant direct effect on ATRS and FAOS. However, ATRS and FAOS scores following open surgical repair of acute ATR were correlated with each other and with functional outcomes. Despite its specific complications, open surgical repair of acute ATR is an effective option for patients eligible for surgery.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 6","pages":"587-595"},"PeriodicalIF":1.0000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12183480/pdf/","citationCount":"0","resultStr":"{\"title\":\"The impact of Achilles tendon thickness and Kager's fat pad thickness on clinical and functional outcomes following open surgical repair of acute Achilles tendon rupture.\",\"authors\":\"Bilge Kagan Yılmaz, Caglar Tuna Issı, Murat Yesıl, Furkan Kaya, Ozal Ozcan\",\"doi\":\"10.14744/tjtes.2025.92998\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Acute Achilles tendon ruptures (ATR) are among the most common sports-related injuries. The aim of this study was to evaluate the correlation between Achilles tendon (AT) and Kager's fat pad (KFP) thickness with clinical and functional outcomes, measured using the Achilles Tendon Rupture Score (ATRS) and the Foot and Ankle Outcome Score (FAOS), in patients treated with open surgical repair for acute ATR.</p><p><strong>Methods: </strong>This retrospective study included 42 patients who underwent surgery for ATR at our institution between January 2017 and December 2021. All patients were treated using the open surgical Krackow suture technique. ATRS, FAOS, and Visual Analogue Scale (VAS) scores were recorded one year postoperatively. AT and KFP thicknesses were measured via ultrasonography by an independent radiologist at one-year follow-up.</p><p><strong>Results: </strong>The mean age of the patients was 45.38+-9.68 years, with 22 male patients (52.4%). The mean ATRS was 65.17+-24.46, the mean FAOS was 76.14+-16.75, and the mean VAS score was 3.02+-1.44. The mean AT thickness on the operated side was 15.54+-2.89 mm, compared to 14.58+-2.28 mm on the contralateral side (p=0.009). The mean KFP thickness on the operated side was 8.42+-2.99 mm, compared to 6.32+-2.67 mm on the contralateral side (p=0.005). A strong correlation was found between ATRS and FAOS (r=0.742, p<0.001). For AT thickness, there were moderate negative correlations with both ATRS and FAOS (r=-0.544, p=0.013; r=-0.451, p=0.003, respectively). For KFP thickness, a moderate negative correlation was found with ATRS (r=-0.506, p=0.001).</p><p><strong>Conclusion: </strong>AT and KFP thicknesses had no significant direct effect on ATRS and FAOS. However, ATRS and FAOS scores following open surgical repair of acute ATR were correlated with each other and with functional outcomes. 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引用次数: 0
摘要
背景：急性跟腱断裂（ATR）是最常见的运动相关损伤。本研究的目的是评估跟腱（AT）和Kager脂肪垫（KFP）厚度与临床和功能结局的相关性，使用跟腱断裂评分（ATRS）和足踝结局评分（FAOS）来测量急性ATR开放性手术修复患者的跟腱（AT）和KFP厚度。方法：本回顾性研究纳入了2017年1月至2021年12月在我院接受ATR手术的42例患者。所有患者均采用开放手术Krackow缝合技术进行治疗。术后1年记录ATRS、FAOS和视觉模拟评分（VAS）。在一年的随访中，由独立放射科医生通过超声检查测量AT和KFP厚度。结果：患者平均年龄45.38±9.68岁，男性22例（52.4%）。平均ATRS为65.17+-24.46，平均FAOS为76.14+-16.75，平均VAS评分为3.02+-1.44。手术侧AT平均厚度为15.54+-2.89 mm，对侧AT平均厚度为14.58+-2.28 mm （p=0.009）。手术侧KFP平均厚度为8.42+-2.99 mm，对侧为6.32+-2.67 mm （p=0.005）。ATRS与FAOS有较强的相关性（r=0.742, p）。结论：AT和KFP厚度对ATRS和FAOS无显著的直接影响。然而，急性ATR开放性手术修复后的ATRS和FAOS评分彼此相关，并与功能结局相关。尽管有特殊的并发症，开放手术修复急性ATR是符合手术条件的患者的有效选择。
The impact of Achilles tendon thickness and Kager's fat pad thickness on clinical and functional outcomes following open surgical repair of acute Achilles tendon rupture.
Background: Acute Achilles tendon ruptures (ATR) are among the most common sports-related injuries. The aim of this study was to evaluate the correlation between Achilles tendon (AT) and Kager's fat pad (KFP) thickness with clinical and functional outcomes, measured using the Achilles Tendon Rupture Score (ATRS) and the Foot and Ankle Outcome Score (FAOS), in patients treated with open surgical repair for acute ATR.
Methods: This retrospective study included 42 patients who underwent surgery for ATR at our institution between January 2017 and December 2021. All patients were treated using the open surgical Krackow suture technique. ATRS, FAOS, and Visual Analogue Scale (VAS) scores were recorded one year postoperatively. AT and KFP thicknesses were measured via ultrasonography by an independent radiologist at one-year follow-up.
Results: The mean age of the patients was 45.38+-9.68 years, with 22 male patients (52.4%). The mean ATRS was 65.17+-24.46, the mean FAOS was 76.14+-16.75, and the mean VAS score was 3.02+-1.44. The mean AT thickness on the operated side was 15.54+-2.89 mm, compared to 14.58+-2.28 mm on the contralateral side (p=0.009). The mean KFP thickness on the operated side was 8.42+-2.99 mm, compared to 6.32+-2.67 mm on the contralateral side (p=0.005). A strong correlation was found between ATRS and FAOS (r=0.742, p<0.001). For AT thickness, there were moderate negative correlations with both ATRS and FAOS (r=-0.544, p=0.013; r=-0.451, p=0.003, respectively). For KFP thickness, a moderate negative correlation was found with ATRS (r=-0.506, p=0.001).
Conclusion: AT and KFP thicknesses had no significant direct effect on ATRS and FAOS. However, ATRS and FAOS scores following open surgical repair of acute ATR were correlated with each other and with functional outcomes. Despite its specific complications, open surgical repair of acute ATR is an effective option for patients eligible for surgery.
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