Tendo Achilles TA Rupture - David Gordon July 2006
Management
Non-operative protocol
Cast immobilization, 'Functional' treatment
Operative
- Open - Kessler, Bunnel, box suture techniques
- Percutaneous - Ma and Griffith
8
(6 incisions), Webb & Bannister
7
(3 incisions)
Post-operative protocol
Cast Immobilization, functional treatment
|
|
Management
|
Re-rupture
|
Wound Infection
|
Overall Comps
|
|
Open
|
1.4%
1
3%
2
4.3%
3
2.8%
5
|
14.6%
1
5%
2
19.6%
3
5.6%
6
|
6.7%
1
26.1%
3
30%
5
21%
6
|
|
Percutaneous
|
2.1%
3
3.7%
6
|
0%
3
0%
6
|
15.6
1
8.3%
3
9.7%
6
|
|
Non-op
|
10.7%
1
13%
2
11.7%
5
|
0.5%
1
|
4.0%
5
|
Non Operative & Post Operative Protocol
- ‘Functional’ treatment, not conclusive, but a well established regime
3
:
Aircast FWB with 3 (1.5cm high) heel raises, removing 1 every 2/52
9
Rehabilitation Guide
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