title: A subjective outcome analysis of tendo-Achilles rupture.
abstract: This clinical outcomes study examined factors affecting patient satisfaction after treatment of Achilles tendon rupture. There were 35 patients; 14 treated nonsurgically and 21 treated by open surgical repair. A retrospective chart review was performed to determine the mechanism and type of injury, the time to treatment, any comorbidities, and the length of follow-up. Patients completed a questionnaire that evaluated their pre- and postinjury activity levels, occupation, and overall satisfaction with their function by using a visual analogue scale. The mean follow-up was 2 years. Seventy percent were very satisfied with the outcome of treatment, with a mean visual analogue score of 8.4 of 10. Age, sex, and occupation did not have any significant influence on the satisfaction level. The dissatisfied group showed a significantly reduced postinjury leisure activity level (P =. 003). A delay in initiation of treatment had a significant negative impact on satisfaction (P = .015). Regression analysis showed that physiotherapy after treatment increased the postinjury activity level and the level of satisfaction (P = .034). There was no significant difference in the overall outcome between the surgical and nonsurgical groups.
authors.affiliation: Airedale General Hospital, Keighley, West Yorkshire, England. nikila94@yahoo.co.uk
authors.forename: Kumariah
authors.initials: K
authors.lastname: Rajasekar
authors.forename: Purushottam
authors.initials: P
authors.lastname: Gholve
authors.forename: Adnan A
authors.initials: AA
authors.lastname: Faraj
authors.forename: Kornad P
authors.initials: KP
authors.lastname: Kosygan
mesh_terms: D000125:Achilles Tendon / Q000293:injuries*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D020127:Recovery of Function; D012189:Retrospective Studies; D012421:Rupture; D013708:Tendon Injuries / Q000601:surgery / Q000628:therapy; D016896:Treatment Outcome