Rates of Acute and Delayed Achilles Repair

Autor: Alastair Younger MB ChB, ChM, FRCSC, Sam Si-Hyeong Park MD, Andrea Veljkovic MD, FRCS(C), Murray Penner MD, FRCS(C), Kevin Wing MD, FRCS(C)
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Foot & Ankle Orthopaedics, Vol 2 (2017)
Druh dokumentu: article
ISSN: 2473-0114
24730114
DOI: 10.1177/2473011417S000084
Popis: Category: Sports, Trauma Introduction/Purpose: The need for repair of the ruptured achilles tendon has been discussed extensively in recent literature. A landmark paper in 2010 (Willits JBJS) outlined that the re-rupture rates were similar in surgical and non surgically treated Achilles tendon ruptures. However concern has to be raised as to the strength of the muscle tendon complex if the tendon is too long, potentially increasing the rate of late repair. This paper analyses the rate of acute achilles tendon repair and delayed repair before and after the 2010 publication of the Willits paper. Methods: Using the published billings from the Province of British Columbia, the rates per year of surgical repair of achilles tendon and delayed repair were determined. The population of British Columbia has increased over the years from 3.9 million in 1997 to 4.7 million in 2016. The rates of acute and chronic surgery were plotted prior to 2010, and since 2010. The rates were fitted against time using a linear and binomial plot. The rates in the years before and after 2010 were compared with ANOVA and the change of rate in time compared with Pearson’s correlation. Results: The rate of acute repair increased from 271 repairs in 1997 to over 400 repairs per year in 2009. The rate of acute repair has since dropped to just over 300 repairs per year. This is reflected in the enclosed binomial plot. There was a significant increase until 2010 (p
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