Abstract
372 Achilles tendon ruptures are reported that were surgically treated at the Staatliche Orthopädische Klinik Munich from 1978 to 1988. 122 Patients were examined on average 5.9 years postoperative. Further 50 patients participated at a questionnaire interview. In this follow-up, special importance was attached to the connection between the mechanism of the trauma that lead to the rupture, the clinical result and the result subjectively assessed by the patient. The following results were obtained: 1. Specific trauma mechanisms like external force on the tendon, supination and pronation trauma and in general all traumas that are able to rupture even a healthy tendon, have a worse prognosis regarding the late results. 2. In case of these mechanisms leading to the trauma, the Achilles tendon rupture is on average diagnosed noticeably later. 3. An early diagnosis and hence quick treatment is of decisive importance for the further prognosis.
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