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


Questions

Non-operative protocol

Open vs Percutaneous vs Non operative

Suture technique

Post operative protocol

Outcomes - Complications, re-rupture, return to work, return to sport


Complications

Major - Death, PE, DVT, skin slough, sinus, fistula, 2 nd op

Moderate - Delayed healing, granuloma, infection, sural n. injury

Minor - Adhesions

Review Summary

 

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



This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.


© 2005-2007 Orthoteers.co.uk - last updated by Dushan Atkinson on 12 March 2007Medical Marketing by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Ankle
Calcaneum
Hallux Valgus
Talus
Osteochondritides of the Foot - Luc...
Tendo Achilles TA Rupture - David G...
OWLS Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search
Hide Menu