Vol. 5, Issue 12 (2019)
Evaluation of the results of early repair 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 find out the Evaluation of the results of Early Repair of Open Tendo Achilles Injury. Materials & Methods: 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. 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. This study was done at Orthopaedics Department of DMCH, cases were operated at Casualty OT. Then patients were followed up at orthopaedic surgery OPD and orthopaedic surgery indoor routinely. Among them 36(90%), patients were able to stand on tip toes, 3 (7.5%) patients could not stand on tip toes of affected foot unsupported but were able to stand on affected foot unsupported and 1 (2.5%) patient failed to stand on affected foot unsupported due to severe infection and wound gap. 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%). 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. So from the encouraging result of this study, treatment protocol used here can be followed, which is easy for surgeon and convenient and cheap for the patient.