Reduced Time to Surgery Improves Patient-Reported Outcome After Achilles Tendon Rupture

The American Journal of Sports Medicine
Simon SvedmanPaul W Ackermann

Abstract

Patient outcome after an acute Achilles tendon rupture (ATR) continues to be suboptimal and heterogeneous. Thus, prognostic factors are called for to optimize evidence-based ATR treatment protocols; however, the influence of delayed time from injury to surgery (TTS) on patient outcome after ATR remains largely unknown. To determine whether patient outcomes and adverse events after surgical repair of acute ATR are related to delayed TTS. Cohort study; Level of evidence, 3. Two hundred twenty-eight patients with ATR who were treated with uniform anesthetic and surgical techniques, within 10 days after injury, were retrospectively assessed. TTS depended on availability of the operating theater, and neither surgeon nor patient could influence the TTS. Patients were assigned to 1 of 3 groups: short TTS (<48 hours), intermediate TTS (48-72 hours), and long TTS (>72 hours). Patient-reported outcome at 1 year was assessed with the validated Achilles tendon Total Rupture Score, with scores higher than 80 on a 0- to 100-point scale indicating an overall good outcome. The incidences of adverse events (perioperative and postoperative) and deep venous thrombosis were assessed. Short TTS was significantly associated with increased rate of go...Continue Reading

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Citations

Apr 8, 2020·The American Journal of Sports Medicine·Maria Swennergren HansenKristoffer Weisskirchner Barfod
Sep 30, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Shu-Kun HeFu-Guo Huang
May 24, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Abdulhamit MisirSuheyla Esra Ozkocer
Apr 2, 2020·Orthopaedic Journal of Sports Medicine·Michael R CarmontKarin Grävare Silbernagel
Mar 11, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Daniel FellLasse J Lapidus
Apr 22, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·I A SaarensiltaP W Ackermann
May 16, 2020·International Orthopaedics·Benjamin Tze Keong DingRemesh Kunnasegaran
Apr 22, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Simon SvedmanPaul W Ackermann
Mar 13, 2021·BMC Musculoskeletal Disorders·Nischal NadigJeannie Huh

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