Operative versus conservative treatment of acute Achilles tendon ruptures: preliminary results of clinical outcome, kinematic MRI and contrast-enhanced ultrasound

被引:4
作者
Kosiol, Juana [1 ]
Keiler, Alexander [1 ]
Loizides, Alexander [2 ]
Gruber, Hannes [2 ]
Henninger, Benjamin [2 ]
Bolderl, Andreas [1 ]
Gruber, Leonhard [2 ]
机构
[1] Med Univ Innsbruck, Dept Orthopaed & Traumatol, Anichstr 35, A-6020 Innsbruck, Austria
[2] Med Univ Innsbruck, Dept Radiol, Anichstr 35, A-6020 Innsbruck, Austria
关键词
Achilles tendon; Acute Achilles tendon rupture; Kinematic MRI; Contrast-enhanced ultrasound; Operative treatment; Conservative treatment; Clinical outcome; NONOPERATIVE TREATMENT; FOLLOW-UP; METAANALYSIS;
D O I
10.1007/s00402-022-04457-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Introduction There is no uniform consensus on the gold standard therapy for acute Achilles tendon rupture. The aim of this pilot study was to compare operative and conservative treatment regarding imaging findings and clinical outcome. Materials and methods Surgically or conservatively treated patients with acute Achilles tendon rupture were retrospectively evaluated. Differences in tendon length and diameter with and without load were analysed using kinematic MRI, tendon perfusion, structural alterations, movement and scar tissue by means of grey-scale and contrast-enhanced ultrasound (CEUS). Intra- and interobserver agreement were recorded. Results No significant difference was detected regarding clinical outcome, B mode ultrasonography, contrast-enhanced sonography or MRI findings, although alterations in MRI-based measurements of tendon elasticity were found for both groups. Considerable elongation and thickening of the injured tendon were detected in both groups. Conclusion Both, conservative and surgical treatment showed comparable outcomes in our preliminary results and may suggest non-inferiority of a conservative approach.
引用
收藏
页码:2455 / 2465
页数:11
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