title: Outcome of a one-stage tensile stress surgical technique and early postoperative rehabilitation in the treatment of neglected achilles tendon rupture.
abstract: The present study evaluated the effect of single-stage internal traction combined with early postoperative active rehabilitation and the yurt bone suture method, a new surgical technique, on the clinical outcomes after surgical repair of Achilles tendon. A total of 51 patients with neglected Achilles tendon rupture who underwent the yurt bone suture treatment also participated in an accelerated postoperative rehabilitation program. The clinical outcome was evaluated for 18 weeks using the Leppilahti scoring system, bilateral ultrasound examination, and computed tomography examination. The ultrasound and computed tomography examinations revealed that Achilles tendon elongation and adhesion occurred in none of the patients. All the patients could perform the single leg heel raise exercise for a mean of 30 ± 7.6 seconds at 12 weeks postoperatively. In addition, the patients could participate in sport exercises and heavy physical activities by around 13 weeks postoperatively. The mean Leppilahti score was 85.8 ± 3.7 at 8 weeks postoperatively, and it had increased to 96.1 ± 3.2 and 100.0 ± 0.0 at 12 and 18 weeks, respectively, after the operation. The 1-stage internal traction technique, combined with early postoperative active rehabilitation and the yurt bone surgical technique, resulted in good clinical outcomes for the treatment of neglected Achilles tendon rupture.
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Ayinazi
authors.initials: A
authors.lastname: Badalihan
authors.affiliation: Surgeon, Hami City Family Planning Commission, Hami, China.
authors.forename: Amina
authors.initials: A
authors.lastname: Aihemaiti
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Nuerai
authors.initials: N
authors.lastname: Shawutali
authors.affiliation: Assistant Professor, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China. Electronic address: jingping-bai@163.com.
authors.forename: Jiasharete
authors.initials: J
authors.lastname: Jielile
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Ayidaer
authors.initials: A
authors.lastname: Jialihasi
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Wulanbai
authors.initials: W
authors.lastname: Tangkejie
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Yeermike
authors.initials: Y
authors.lastname: Nuerdoula
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Turde
authors.initials: T
authors.lastname: Satewalede
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Beisen
authors.initials: B
authors.lastname: Hunapiya
authors.affiliation: Surgeon, Department of Orthopaedics, Kazakh Traditional Medical Hospital of Toli County, Tacheng Prefecture, Toli County, Xinjiang, China.
authors.forename: Hadelebieke
authors.initials: H
authors.lastname: Niyazebieke
authors.affiliation: Orthopedist, Department of Orthopaedics, People's Hospital of Shawan County, Shawan, Xinjiang, China.
authors.forename: Hayilat
authors.initials: H
authors.lastname: Hezibieke
authors.affiliation: Associate Professor, Department of Ultrasonographic Examination, Institute of Medical Image Canter, First Teaching Hospital of Xinjiang Medical University, Urumqi, China.
authors.forename: Qin
authors.initials: Q
authors.lastname: Zhao
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Ahezhuoli
authors.initials: A
authors.lastname: Bahetijiang
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Mailamuguli
authors.initials: M
authors.lastname: Kelamu
authors.affiliation: Orthopedist, Department of Orthopaedics Centre, First Teaching Hospital of Xinjiang Medical University, Kazakh Medical Association of Xinjiang Uygur Autonomous Region, and Sports Medicine Research Centre of Orthopaedics Research Institute, Xinjiang Uygur Autonomous Region, Urumqi, China.
authors.forename: Bayixiati
authors.initials: B
authors.lastname: Qianman
mesh_terms: D000125:Achilles Tendon / Q000293:injuries*; D000328:Adult; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012421:Rupture; D013708:Tendon Injuries / Q000175:diagnosis / Q000534:rehabilitation* / Q000601:surgery*; D053656:Tenodesis / Q000379:methods* / Q000534:rehabilitation*; D013718:Tensile Strength; D061665:Time-to-Treatment; D016896:Treatment Outcome; D055815:Young Adult
keywords: 1-stage internal traction; Kazakh therapy; early postoperative rehabilitation; mechanobiology; neglected Achilles tendon rupture; tendon repair