Effect of complications after minimally invasive surgical repair of acute achilles tendon XXXX : report on 211 cases.

@entity1 @entity397 @entity128 @entity2737
BACKGROUND: Complications of acute @entity397 treatment are considered to negatively influence outcome, but the relevance of these effects is largely unknown. PURPOSE: The Achilles Tendon Total Rupture Score (ATRS) was used to determine level of disability in @entity1 with minimally invasive surgical @entity397 repair with a complicated postoperative course. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: The charts of 340 consecutive @entity1 treated for an acute @entity397 by minimally invasive surgical repair were reviewed. Complications were categorized as rerupture, severe @entity2737 , @entity128 , and other. Level of disability was evaluated by the 10-item ATRS with a sum score of minimum 0 to maximum 100 points. RESULTS: A total of 211 @entity1 returned a completed questionnaire: mean follow-up was 6.2 years (range, 3-10 years). Mean ATRS for all 211 @entity1 was 84 (95% confidence interval: 82, 87). The mean ATRS for the 135 (64%) uncomplicated cases was 89 of 100 points, 71 points for the 17 (8%) @entity1 with a rerupture (95% confidence interval: 63, 79; P < .0001), 79 points for the 41 @entity1 (19%) with a @entity128 (95% confidence interval: 74, 85; P = .0008), and 75 points for the 17 @entity1 (8%) with another complication (95% confidence interval: 67, 83; P = .001). Of these other complications, 13 @entity1 (6%) suffered a wound-healing complication considered minor. Their average ATRS score was 80 points (95% confidence interval: 71, 88.7; P = .0445). One @entity1 suffered a severe @entity2737 as well, scoring 28 of 100 points. Rerupture significantly increased the risk of quitting or changing sport participation on the long term. CONCLUSION: Long-term outcome after minimally invasive @entity397 repair is excellent. Rerupture and severe @entity2737 are the most important complications with lasting negative effect on outcome. It justifies the use of rerupture as a relevant outcome measure in treatment evaluation.
