A Retrospective Evaluation of the Surgical Treatment of Achilles Tendons Lesions

Abstract

The surgical treatment of Achilles tendon lesions is still controversial. We undertook a retrospective evaluation of 160 patients with Achilles tendon lesions, treated in the Clinical Emergency County Hospital of Brasov, from 2008 to 2014. Depending on the type of lesion and the surgeon’s option, different surgical repair techniques were performed. The average follow-up period was about six months in sectional lesions and about twelve months in ruptures. The results of our study show that the immediate end-to-end suture in accidental sections is a usual, satisfactory solution. In ruptures, the most preferred method was an augmentation with a centrally free flap. In ruptured lesions, we consider this technique to have a lower rate of re-ruptures and to prevent tendon adhesion to the skin.