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KMID : 0896720020060020181
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Journal of the Korean Society of Foot Surgery
2002 Volume.6 No. 2 p.181 ~ p.189
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Acute Achilles Tendon Rupture : - Isokinetic plantarflexion torque evaluation after Krackow suture technique -
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Jung Hong-Geun
Park Hee-Gon
Kim Myung-Ho
Lee Sung-Churl
Kim Ki-Young
Yoo Suk-ju
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Abstract
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Purpose:We try to evaluate for functional outcomes of the ankle with isokinetic plantaflexion torpue for acute achilles tendon rupture cases those treated by primary repair with the Krackow suture technique and early rehabilization.
Material and Methods :The authors studied retrospectively, 15 patients of acute Achilles tendon rupture treated and followed over six months, from July 1997 to May 2001. There were 12 men and 3 women, and mean age was 39.6 year. The repair method of ruptured tendon was single or double Krackow suture technique. One week(5days-2weeks) after operation, early ROM with ankle-foot orthosis was started. We used Amer-Lindholm Scale for the clinical evaluation and analyzed patient’s satisfaction and subjective strength deficit. We analyzed the dorsiflexion peak torque and plantarflexion peak torque of the ankle statistically with strength test with Cybex dynamometer.
Results: In clinical results, we had 11 excellent cases(73%) and 3 good cases(20%). In patients satisfaction degree, 11 excellent cases(66.6%), 3 good cases(20%) and 2 fair cases(13.4%). And in strength deficit, 3 none deficit (20%), 9 minimal deficit(60%). We evaluated the isokinetic plantar flexion torque in 3months or 6months after operation. After 3 months, isokinetic test showed the mean functional deficits, 32% and 25% at 30° and 120°/sec, in 7 cases(46.6%) of 15 cases respectively. After 6 months, the mean deficits were in 21%, 24% at 30° and 120°/sec, respectively. At 3 and 6 months’ follow up, absolute value of isokinetic test showed increase of 25.3lbs to 42lbs and 19.6lbs to 27lbs at 30° and 120°/sec, respectively.
Conclusions: We had good result for acute achilles tendon rupture treated by Krakow suture technique and early range of motion exercise of the ankle. After 6 months, strength deficit was 21% in all cases gut were able to return pre-injured state. This study shows Krakow suture technique was recommended method for primary repair and early rehabilization of achilles tendon ruptue.
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KEYWORD
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Acute achilles tendon rupture, Krackow suture technique, early rehabilization, isokinetic plantar flexion
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