Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement

yılar, sinan; Tuncer, Kutsi; Topal, Murat; Engin, Muhammed Çağatay; Şenocak, Eyüp

doi:10.5455/annalsmedres.2020.05.484

Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement

Murat TOPAL, (Kastamonu Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Kastamonu, Türkiye)

Kutsi TUNCER, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

M. Çağatay ENGİN, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Eyüp ŞENOCAK, (Erzurum Bölge Araştırma ve Eğitim Hastanesi, Ortopedi ve Travmatoloji Kliniği, Erzurum, Türkiye)

Sinan YILAR (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Annals of Medical Research

5 0

Yıl: 2020 Cilt: 27 Sayı: 6 Sayfa Aralığı: 1700 - 1703 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2020.05.484 İndeks Tarihi: 03-12-2020

Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement

Öz:

Aim: In this study, we aimed to evaluate the effect of the use of the oral polytendon complex (Tendoflex Mega-Farma PharmaceuticalCompany) as a nutritional supplement after the open repair of Achilles tendon rupture cases on clinical outcomes.Material and Methods: This study included 29 consecutive patients with Achilles tendon ruptures who had undergone open repair ofthe Achilles tendon and took postoperative oral Tendoflex treatment as a dietary supplement. Patients have been followed up in thepostoperative 8th 12th and 48th weeks. The ranges of motions and visual analog scale (VAS) score for pain was noted. The Achillestendon Total Rupture Score(ATRS) was also pointed out at the last follow up.Results: There were no cases of re-rupture. There were no cases of infection and or nerve injury. 48th week follow up results wereplantar flexion 47.1 degrees, dorsiflexion 17.8 degrees, eversion 17.1degrees, inversion 28.2 degrees with a mean VAS score of 0.6and a mean ATRS of 93.Conclusion: The open repair of Achilles tendon ruptures has certain advantages like lower re-rupture rates and lower iatrogenic neuralinjury rates. Including Tendoflex to the treatment protocol, may also have prevented re-ruptures and provided rapid amelioration ofpain.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Lemme NJ, Li NY, DeFroda SF, et al. Epidemiology of Achilles tendon ruptures in the United States: athletic and nonathletic injuries from 2012 to 2016. Orthopaedic J Sports Med 2018;6:2325967118808238.
2. Gwynne-Jones DP, Sims M. Epidemiology and outcomes of acute Achilles tendon rupture with operative or nonoperative treatment using an identical functional bracing protocol. Foot Ankle Int 2011;32:337-43.
3. Järvinen TA, Kannus P, Maffulli N, Khan KM. Achilles tendon disorders: etiology and epidemiology. Foot Ankle Clin 2005;10:255-66.
4. Jozsa L, Kvist M, Balint B, et al. The role of recreational sport activity in Achilles tendon rupture: a clinical, pathoanatomical, and sociological study of 292 cases. Am J Sports Med 1989;17:338-43.
5. Möller A, Åström M, Westlin NE. Increasing incidence of Achilles tendon rupture. Acta Orthop Scand 1996;67:479-81.
6. O'Brien M. Functional anatomy and physiology of tendons. Clin Sports Med 1992;11:505-20.
7. Suchak AA, Spooner C, Reid DC, Jomha NM. Postoperative rehabilitation protocols for Achilles tendon ruptures: a meta-analysis. Clin Orthop Relat Res 2006;445:216-21.
8. Kangas J, Pajala A, Ohtonen P, et al. Achilles tendon elongation after rupture repair: a randomized comparison of 2 postoperative regimens. Am J Sports Med 2007;35:59-64.
9. Bradley JP, Tibone JE. Percutaneous and open surgical repairs of Achilles tendon ruptures: a comparative study. Am J Sports Med 1990;18:188-95.
10. Deng S, Sun Z, Zhang C, et al. Surgical Treatment Versus Conservative Management for Acute Achilles Tendon Rupture: A Systematic Review and MetaAnalysis of Randomized Controlled Trials. J Foot Ankle Surg 2017;56:1236-43.
11. Soroceanu A, Sidhwa F, Kaufman A, et al. Surgical Vs Non-Surgical Treatment Of Acute Achilles Ruptures: A Meta-Analysis Of Randomised Trials. Bone Joint Surg Br 2012.
12. Korkmaz M, Erkoc MF, Yolcu S, et al.Weight bearing the same day versus non-weight bearing for 4 weeks in Achilles tendon rupture. J Orthop Sci 2015;20:513- 6.
13. Kessler MW, Barr J, Greenwald R, et al. Enhancement of Achilles tendon repair mediated by matrix metalloproteinase inhibition via systemic administration of doxycycline. J Orthop Res 2014;32:500-6.
14. Schepull T, Kvist J, Norrman H, et al.Autologous platelets have no effect on the healing of human achilles tendon ruptures: a randomized single-blind study. Am J Sports Med 2011;39:38-47.
15. de Jonge S, de Vos RJ, Weir A, et al. One-year follow-up of platelet-rich plasma treatment in chronic Achilles tendinopathy: a double-blind randomized placebocontrolled trial. Am J Sports Med 2011;39:1623-30.
16. Young RG, Butler DL, Weber W, et al. Use of mesenchymal stem cells in a collagen matrix for Achilles tendon repair. JJ Orthop Res 1998;16:406-13.
17. Omeroğlu S, Peker T, Turkozkan N, et al.High-dose vitamin C supplementation accelerates the Achilles tendon healing in healthy rats. Arch Orthop Trauma Surg 2009;129:281-6.
18. Kearney RS, Achten J, Lamb SE, et al. The Achilles tendon total rupture score: a study of responsiveness, internal consistency and convergent validity on patients with acute Achilles tendon ruptures. Health Qual Life Outcomes 2012;10:24.
19. Soroceanu A, Sidhwa F, Kaufman A, et al. Surgical Vs Non-Surgical Treatment of Acute Achilles Ruptures: A Meta-Analysis of Randomised Trials. Orthopaedic Proceedings 2012
20. Nilsson-Helander K, Swärd L, Silbernagel KG, et al. A new surgical method to treat chronic ruptures and reruptures of the Achilles tendon. Knee Surg Sports Traumatol Arthrosc 2008;16:614-20.
21. Rippstein PF, Jung M, Assal M. Surgical repair of acute Achilles tendon rupture using a “mini-open” technique. Foot Ankle Clin 2002;7:611-9.
22. Cetti R, Christensen S-E, Ejsted R, Jet al. Operative versus nonoperative treatment of Achilles tendon rupture: a prospective randomized study and review of the literature. Am J Sports Med 1993;21:791-9.
23. Curtis L. Nutritional research may be useful in treating tendon injuries. Nutrition 2016;32:617-9.
24. Dar Q-A, Schott EM, Catheline SE, et al. Daily oral consumption of hydrolyzed type 1 collagen is chondroprotective and anti-inflammatory in murine posttraumatic osteoarthritis. PloS one. 2017;12.

APA	Topal M, Tuncer K, Engin M, Şenocak E, yılar s (2020). Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. , 1700 - 1703. 10.5455/annalsmedres.2020.05.484
Chicago	Topal Murat,Tuncer Kutsi,Engin Muhammed Çağatay,Şenocak Eyüp,yılar sinan Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. (2020): 1700 - 1703. 10.5455/annalsmedres.2020.05.484
MLA	Topal Murat,Tuncer Kutsi,Engin Muhammed Çağatay,Şenocak Eyüp,yılar sinan Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. , 2020, ss.1700 - 1703. 10.5455/annalsmedres.2020.05.484
AMA	Topal M,Tuncer K,Engin M,Şenocak E,yılar s Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. . 2020; 1700 - 1703. 10.5455/annalsmedres.2020.05.484
Vancouver	Topal M,Tuncer K,Engin M,Şenocak E,yılar s Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. . 2020; 1700 - 1703. 10.5455/annalsmedres.2020.05.484
IEEE	Topal M,Tuncer K,Engin M,Şenocak E,yılar s "Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement." , ss.1700 - 1703, 2020. 10.5455/annalsmedres.2020.05.484
ISNAD	Topal, Murat vd. "Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement". (2020), 1700-1703. https://doi.org/10.5455/annalsmedres.2020.05.484

APA	Topal M, Tuncer K, Engin M, Şenocak E, yılar s (2020). Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. Annals of Medical Research, 27(6), 1700 - 1703. 10.5455/annalsmedres.2020.05.484
Chicago	Topal Murat,Tuncer Kutsi,Engin Muhammed Çağatay,Şenocak Eyüp,yılar sinan Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. Annals of Medical Research 27, no.6 (2020): 1700 - 1703. 10.5455/annalsmedres.2020.05.484
MLA	Topal Murat,Tuncer Kutsi,Engin Muhammed Çağatay,Şenocak Eyüp,yılar sinan Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. Annals of Medical Research, vol.27, no.6, 2020, ss.1700 - 1703. 10.5455/annalsmedres.2020.05.484
AMA	Topal M,Tuncer K,Engin M,Şenocak E,yılar s Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. Annals of Medical Research. 2020; 27(6): 1700 - 1703. 10.5455/annalsmedres.2020.05.484
Vancouver	Topal M,Tuncer K,Engin M,Şenocak E,yılar s Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement. Annals of Medical Research. 2020; 27(6): 1700 - 1703. 10.5455/annalsmedres.2020.05.484
IEEE	Topal M,Tuncer K,Engin M,Şenocak E,yılar s "Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement." Annals of Medical Research, 27, ss.1700 - 1703, 2020. 10.5455/annalsmedres.2020.05.484
ISNAD	Topal, Murat vd. "Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement". Annals of Medical Research 27/6 (2020), 1700-1703. https://doi.org/10.5455/annalsmedres.2020.05.484