We think that the results of this study could be the start of other studies and eventually lead to international standards for treatment of Achilles tendon ruptures.
ID
Source
Brief title
Condition
- Bone and joint injuries
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Rerupure rates, complications and active range of motion of the anke of
patients surgically treated for a Achilles tendon rupture.
Secondary outcome
Patient satisfaction scores and subjective and objective function scores for
patients surgically treated for Achilles tendon rupture using the following
scoring systems: VISA-A,VAS, ATTRS, Leppilathi, SF12.
Other parameters:
The following baseline values will be collected:
- DVT
- pulmonary embolism
- fluorquinolones/steroid use
- diabetes, cardiovascular disease, smoking
- sport and level of practice
- age
- gender
- weight/height
The following injury related values will be collected:
- affected side
- pre-existent achillotendinopathie
- wound infection (superficial/deep)
- nerve damage (n.suralis)
- calf circumference
- active range of motion
- muscle strength
- time until OK
Background summary
Rupture of the Achilles tendon is one of the most common tendon injuries in the
adult population.[1] In the past few decades, the incidence of Achilles tendon
rupture has increased in parallel with increased sports participation.
Seventy-five percent of Achilles tendon rupture cases described in published
studies are sports-related.[2]
Treatment options for acute Achilles tendon rupture include nonsurgical and
surgical management. If the treating physician opts for nonsurgical treatment,
the patient is treated non-operatively in a cast, cast-boot, or splint with the
foot placed in plantar flexion, with or without early physiotherapy. Surgical
options include open, minimally invasive, and percutaneous repair of the
tendon.[3] Although the optimal treatment remains controversial[4], there is a
trend towards surgical treatment in athletes.[2,5]
Various open an minimally-invasive surgical techniques have been described, but
there is no consensus as to which technique has the best results regarding
incidence of rerupture, sural nerve injury and strength.[6]
The objective of this study is to assess the rerupture rate, Achilles tendon
function and patient satisfaction after treatment of a Achilles tendon rupture
with a open surgical reconstruction or a percutaneous reconstruction of the
Achilles tendon.
Study objective
We think that the results of this study could be the start of other studies and
eventually lead to international standards for treatment of Achilles tendon
ruptures.
Study design
Retrospective case series study. Patients will be asked to fill out forms
(VISA-A, VAS, ATTRS,SF12). Physical examination will be performed in the OLVG
by the examinator in order to complete the Leppilathi score
Study burden and risks
Patients will have to visit the OLVG hospital one time for physical examination
(aprox. 20 minutes). Expence allowance will be offered. Patients will also be
asked to fill out four questionnaires by them selves at home (aprox. 20
minutes). There are no risks associated with participation.
Burden en risk are nill, therefore this research is justified.
Oosterpark 9
Amsterdam 1091 AC
NL
Oosterpark 9
Amsterdam 1091 AC
NL
Listed location countries
Age
Inclusion criteria
Patients treated in the period 2002-2012 for a complete rupture of the achilles tendon at the OLVG.
Age : 18-65 Years
Treatment initiated <72h after rupture
Diagnosis through palpable gap and positive Thompson test
Informed consent
Exclusion criteria
- rerupture/ bilateral rupture/ open rupture
- combination of rupture with a fracture of the foot/ankle
- previous treatment with local anestethics
- fysical/mental handicaps that may possibly interfer with follow-up
- APR treated with conservative treatement
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL47098.100.13 |