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Open Achilles tendon lacerations
M Nader Said1, Mohamed Al Ateeq Al Dosari, Nasser Al Subaii
1Hamad General Hospital, Doha, Qatar, saidmn61@yahoo.com.
Summary
Open Achilles tendon injuries, often caused by slips in Middle Eastern floor-level toilets, are frequently reported. Surgical repair yielded excellent outcomes with few complications for these open Achilles tendon wounds.
Area of Science:
- Orthopedics
- Trauma Surgery
- Wound Healing
Background:
- Open Achilles tendon injuries are rare in medical literature.
- This study focuses on open Achilles tendon wounds in the Middle East.
- Hamad Medical Corporation is a major trauma center in Qatar.
Purpose of the Study:
- To report on open Achilles tendon injuries in the Middle East.
- To describe the cause and treatment of these injuries.
- To analyze surgical outcomes and complications.
Main Methods:
- Retrospective study of patients with open Achilles tendon injuries (January 2011-December 2013).
- Included 205 cases of open Achilles tendon lacerations and 51 closed ruptures.
- Standard treatment: irrigation, antibiotics, debridement, primary repair within 24 hours.
Main Results:
- A high incidence of open Achilles tendon injuries was observed.
- The primary cause identified was slips in damaged floor-level traditional toilets.
- Surgical treatment resulted in excellent outcomes for most patients with low complication rates.
Conclusions:
- Open Achilles tendon injuries present a significant issue in the Middle East, linked to specific environmental factors.
- Prompt surgical intervention following standard protocols leads to favorable results.
- Despite severe injury patterns, complications were infrequent.