Evaluation of Surgical Treatment of Recent Traumatic Achilles Tendon Ruptures Using the Bosworth Technique: A Report of 12 Cases

Abstract

Introduction: Rupture of the Achilles tendon is a frequent pathology in sports traumatology. Several surgical methods have been described for the treatment of this injury. Materials and Method : Over 36 months, 24 patients underwent surgery for Achilles tendon rupture, including 12 cases repaired using the Bosworth technique. The patients were 10 men and 2 women. The mean age was 36 years (18 to 58 years). Results: We noted 5 cases of minor complications which progressed favourably, 2 cases of superficial infection, delayed healing, limited skin necrosis and one case of tendonitis. One case of tendonitis pain. Overall, 75% of patients recovered satisfactory function. Discussion: Treatment was surgical in our series. There is currently no consensus on the treatment of Achilles tendon ruptures. Those in favour of orthopaedic treatment emphasise the absence of surgical complications and those in favour of surgical treatment the low rate of recurrent rupture. Conclusion: Surgical treatment using the Bosworth technique is innovative, and appears to be well suited to Achilles tendon rupture, with a low rate of re-rupture.