Repair of acute rupture of the Achilles tendon: a new technique using polyester tape without external splintage.
BACKGROUND
A new method of treating acute rupture of the Achilles tendon using polyester tape is reported. This requires no postoperative splintage, allows earlier mobilisation and prompt return to work and sport.


METHODS
Thirty patients were reviewed prospectively and at a mean of 3 years from surgery.


RESULTS
The average time of return to work, full weight-bearing and to driving was 40 days, 45 days and 49 days, respectively. The average time for return to sport was 122 days. Three patients required further surgery, two for infected wounds and one for scar release. There was one sural nerve injury. Twenty-two patients regained a normal range of ankle and subtalar movement, with the mean power of plantar flexion 84% of the opposite side. Of the 22 patients who played sport, 14 were still performing at the same or a higher level. There were no re-ruptures over this period.


CONCLUSIONS
The technique is straightforward and avoids splintage. It also conveys other short- and long-term advantages over more established methods.
Jennings
A G
AG
Department of Orthopaedic Surgery, Harrogate District Hospital, Harrogate, UK.
Sefton
G K
GK
Newman
R J
RJ
D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011091:Polyesters / Q000627:therapeutic use*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012421:Rupture; D013708:Tendon Injuries / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D016474:Weight-Bearing
D011091:Polyesters