Outcome analysis of surgically treated Tendo Achilles rupture


  • Jambu Nageshwaram Department of Orthopaedics, Sri Ramachandra Medical College, Chennai, Tamil Nadu
  • Ganesan Ram Ganesan Department of Orthopaedics, Sri Ramachandra Medical College, Chennai, Tamil Nadu
  • Ramesh Babu Subburayan Spot Hospitals, Chennai, Tamil Nadu


Tendo Achilles, Kessler’s technique, Bosworth’s technique


Background:The spectrum of Achilles tendon ruptures includes both acute and chronic injuries. Treatment options include operative repair with postoperative immobilization, operative repair with accelerated rehabilitation using early weight bearing, as well as non-operative treatment. Many surgeons advocate early operative repair of the ruptured Achilles tendon, citing decreased re-rupture rates and improved functional outcome while some surgeons treat them conservatively. In this article we are going to analyse the midterm outcome of surgically treated Tendo Achilles rupture.

Methods:Prospective study of thirty cases of surgically managed Tendo Achilles injury treated in Sri Ramachandra medical college and research institute, Chennai, from June 2011 to June 2014. All the patients were followed up completely. Patients were followed periodically at 6 weeks, 12 weeks, 6 months and then yearly. Minimum follow up period was 12 months and maximum follow up period was 42 months. We have evolved our own scoring system and named it as comprehensive SRMC scoring system and all patients were followed using the scoring system.

Results:We had 84% good results, 10% fair and 6% poor results as per comprehensive SRMC scoring system.

Conclusion: SRMC scoring system for Tendo Achilles is a comprehensive one. It is specific for Tendo Achilles rupture. It includes all parameter for successful scoring system .Surgical treatment of Tendo Achilles gives good results.



McCoy BW, Haddad SL. The strength of Achilles tendon repair: a comparison of three suture techniques in human cadaver tendons. Foot Ankle Int. 2010;31(8):701-5.

Lee YS, Lin CC, Chen CN, Chen SH, Liao WY, Huang CR. Reconstruction for neglected Achilles tendon rupture: the modified Bosworth technique. Orthopedics. 2005; 28(7):647-50.

Choudhury AI, Datta NK, Kaiser S, Tarafder WH, Das KP, Ahammed S. Management of old Tendo Achilles injury by surgical reconstruction with Lindholm technique. Mymensingh Med J. 2010 Apr;19(2):213-8.

Strauss EJ, Isha KC, Jazrawi L, Sherman O, Rosen J. Operative treatment of acute Achilles tendon ruptures: an institutional review of clinical outcomes. Injury. 2007;38(7):832-8.

Kitaoka HB. Clinical rating system for the ankle, hind foot, mid foot, hallux, and lesser toes. Foot Ankle J. 1994 July;15(7):349-53.

Kangas J, Pajala A, Ohtonen P, Leppilahti J. Achilles tendon elongation after rupture repair: a randomized comparison of 2 postoperative regimens. Am J Sports Med. 2007;35(1):59-64.

Ibrahim SA. Surgical treatment of chronic Achilles tendon rupture. J Foot Ankle Surg. 2009;48(3):340-6.

Assal M, Jung M, Stern R, Rippstein P, Delmi M, Hoffmeyer P. Limited open repair of Achilles tendon ruptures: a technique with a new instrument and findings of a prospective multicenter study. J Bone Joint Surg Am. 2002;84-A(2):161-70.

Nicola Maffulli. Current concepts review: rupture of Achilles tendon. J Bone Joint Surge Am. 1999;81(7):1019-36.

Jennings AG, Sefton GK. Chronic rupture of Tendo Achilles. Long-term results of operative management using polyester tape. J Bone Joint Surg Br. 2002 Apr;84(3):3610.

Möller M, Movin T, Granhed H, Lind K, Faxén E, Karlsson J. Surgical treatment of acute rupture of tendo Achilles led to few reruptures and better patient generated ratings than non-surgical treatment. A prospective, study of comparison between surgical and non-surgical treatment. J Bone Joint Surg Br. 2001;83:843-8.

Kearney RS, Costa ML. Current concepts in the rehabilitation of an acute rupture of the Tendo Achilles. J Bone Joint Surg Br. 2012;94(1):28-31.

Arner O, Lindhlom A. Subcutaneous rupture of the Achilles tendon: a study of 92 cases. Acta Chir Scand Suppl. 1959;116(Supp 239):1-51.




How to Cite

Nageshwaram, J., Ganesan, G. R., & Subburayan, R. B. (2017). Outcome analysis of surgically treated Tendo Achilles rupture. International Journal of Research in Medical Sciences, 3(1), 161–164. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/1225



Original Research Articles