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IntroductionAchilles tendon is the strongest and thickest tendon in the human body 1 .Rupture of the Achilles tendon is a relatively common injury, with a reported incidence of 6 to 18 per 100000 population 2-4 .These injuries usually occur in middle aged population and account for approximately 40% of all operative tendon repairs 567 .The most common injury mechanism involves sudden forced dorsiflexion on a plantarflexed ankle.Other injury mechanisms include pushing off a planted foot with an extended knee or fall from height.Sudden violence during exercise is the most common cause of Acute Achilles tendon rupture out of the various etiological factors 8 .In addition, patients with degeneration of the Achilles tendon 9 , long-term steroid use 10,11 , or use of quinolone antibiotics 12 are at higher risk of rupture.In Indian population, acute injuries to Achilles tendon are more common because most people of the country use Indian toilets which are a common cause of open injuries to Achilles tendon due to the foot getting stuck in lavatory Abstract Objectives: Acute rupture of achilles tendon is a commonly occurring injury affecting mostly the young individuals involved in sports activities.Operative management is most often employed to treat such injuries.This study was aimed to evaluate the functional outcome in patients with acute tendo achilles tear managed by open repair using a suture anchor.Methods: This was a prospective study conducted between September 2018 to August 2020 on patients who underwent suture anchor repair for acute tendo achilles tear.All patients were followed up for at least 9 months.The patients were clinically evaluated and AOFAS score was used to assess their functional outcome.Results: In a total of 38 patients, 28 (73.7%)patients showed Excellent and 7 (18.4%)patients had Good results whereas 1 (2.6%) had Fair and 2 (5.3%) patients demonstrated Poor surgical result at the final follow-up.89.5% patients did not have any complication.The average AOFAS score was 90.97 ± 10.24.Conclusion: Operative treatment with suture anchor in acute tendo achilles tear has a high success rate, quick recovery after surgery, lower rate of complications, faster return to daily activities, excellent aesthetic and comparable functional results and is also a safe, simple and accepted surgical technique.
Mishra et al. (Wed,) studied this question.