Clinical and therapeutic aspects of Achilles tendon ruptures at Kara University Hospital (Togo)

Abstract

The Aim of this study was to évaluâtes the results of surgical treatment of Achille tendon ruptures, treated in Our center. Methods:The study was prospective. It took place from September 2018 to August 2022 at Kara University Hospital. It involved 17 patients who were at least 18 years old, and who had been operated on and followed up for rupture of the Achilles tendon. Functional assessment of the ankle after surgery was made after an average follow-up of 22 months by the Satisfaction score, and Achille Tendon Total Rupture Score (ATRS). Results: The average age was 46 years. Men predominated with 13 cases, the sex ratio M/F=3.23. There were two etiological groups. The first group, whose age interval was [29-52 years], was composed of soldiers and young workers who were victims of sports accidents. The second group, whose age range was [58-65 years], consisted of women who presented spontaneous rupture of their Achilles tendon while walking. Surgical management was done by the Bosworth technique in 11 cases, followed by Abraham VY plasty associated or not with the Chigot technique in four cases, then simple suture by Kessler stitches in two cases. Functionally, the average ATRS score was 83.18 and 15 patients were satisfied with the treatment. Conclusion: Despite the high risk of skin necrosis and infection, conventional surgical treatment of Achilles tendon ruptures achieves good results.