Vol. 1, Issue 3 (2019)
Functional outcome of open Tendo-achilles injury: A study in Dhaka medical college hospital, Dhaka, Bangladesh
Author(s): Md Mohiuddin Aslam, Muhammed Shahiduzzaman, Md Zakir Hossain
Abstract: Introduction: Achilles, the warrior and hero of Homer’s Iliad, lends his name of the Achilles tendon. The thickest and strongest tendon in the human body. Thetis, Achilles’s mother, made him invulnerable to physical harm by immersing him in the river Styx after learning of a prophecy that Achilles would die in battle. Objective: To assess the functional outcome of open Tendo-Achilles injury. Methods and Materials: This prospective study was done in casualty and orthopaedic surgery department of Dhaka Medical College Hospital in the period of December 2011 to June 2013. Fifty patients were selected randomly, who came to casualty department. All cases were open Tendo- Achilles injury, without associated injury of other leg muscles, posterior tibial artery and nerve within 12 hours. 10 patients were lost to follow up and finally the study was done on 40 patients. All patients were undergone primary end to end repair by Modified Kessler’s method. Observation and Results: This prospective study of The Evaluation of the Result of Early Repair of Open Tendo Achilles Injury was carried out to evaluate the result of early repaired tendon and to find out the common causes of cut injury, age & sex incidence, level of injury and to propose a protocol for treating such cases in comfortable, cheap and convenient way for the patient. The final result was as follows: Excellent in 24 cases (60%), Good in 12 cases (30%), Fair in 3 cases (7.5%), Poor in 1 case (2.5%). So the result of this study was acceptable in 36 (90%) cases, which was comparable with the result described in others (Nada, 1985- 90%, Strauss, E. J. et al., 2006-96%). In this series it was found that most of the results of the early repair of the Tendo Achilles injury were satisfactory. Conclusion: Repair of open Tendo Achilles is not difficult but early diagnosis, proper surgical toileting, meticulous repair, adequate post-operative immobilization and physiotherapy is important part of management.