DOI: https://doi.org/10.36347/sjams.2024.v12i12.018

Pages: 1812-1816

Background: Post-operative wound dehiscence is a significant complication following tendoachilles reconstruction, which can lead to infection, delayed healing, and compromised tendon recovery. The unique anatomical and physiological characteristics of the Achilles tendon area contribute to the susceptibility of surgical wounds to dehiscence. Objective: This study aims to evaluate the outcomes related to wound dehiscence management in patients undergoing tendoachilles reconstruction, focusing on the effectiveness of various treatment and rehabilitation protocols. Method: A retrospective cohort analysis was conducted involving 300 patients who underwent tendoachilles reconstruction, categorized into surgical, early weight-bearing, and immobilization treatment groups. Data on demographic variables, rerupture rates, complication rates, and follow-up duration were collected and analyzed using random effects rate ratios to assess treatment efficacy. Results: The findings revealed a male predominance in all groups, with the minimally invasive group showing a rerupture rate of 3%, the open standard group at 2%, and the nonoperative group at 9%. Both surgical groups had a complication rate of 4%, while the nonoperative group had no complications. Early weight-bearing strategies demonstrated shorter time to weight-bearing but were associated with a slight increase in complications. Conclusion: Surgical interventions for tendoachilles reconstruction are associated with lower rerupture and complication rates compared to nonoperative treatments. Effective management of wound dehiscence requires a multifaceted approach that includes vigilant monitoring, appropriate wound care, and individualized rehabilitation strategies to optimize patient outcomes and enhance recovery.