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KMID : 1130920090130010034
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Journal of Korean Foot and Ankle Society
2009 Volume.13 No. 1 p.34 ~ p.39
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Treatment of Acute Achilles Tendon Rupture Using Krackow Suture Technique
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Kim Hyong-Nyun
Park Ki-Hoon
Park Yong-Wook
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Abstract
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Purpose: We try to evaluate the clinical results of the acute Achilles tendon rupture treated with Krackow suture technique.
Materials and Methods: We reviewed 27 patients with acute Achilles tendon rupture treated between October 2005 and September 2007. There were 26 complete ruptures and 1 incomplete rupture. All were ruptured at tendinous area. There were 21 men and 6 women, and mean age was 38 years. We repaired ruptured Achilles tendon with Krackow suture technique. The results were evaluated with Arner-Lindholm scale for patients’ satisfaction, strength of calf muscle power, calf circumference, and ankle motion. The average follow-up was 29 months.
Results: The patients’ subjective clinical results was excellent in 25 cases and good in 2 cases. There were 15 cases of less than 1 cm, 6 cases of 13 cm, and 1 case of more than 3 cm in the calf circumference difference between the normal and affected leg. There were 20 cases of less than 5 degrees, and 2 cases of more 5 degrees in the difference of range of motion between the normal and affected ankle. We had an experience of postoperative deep infection in one diabetic patient.
Conclusion: We had a good clinical result for acute Achilles tendon rupture treated with Krackow suture method. So we recommand Krackow suture technique for acute Achilles tendon rupture.
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KEYWORD
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Achilles tendon, Acute rupture, Krackow suture
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