Özet:

Objective: The purpose of this retrospective study was to investigate the correlation between patient-reported outcome scores and objective functional assessments following surgical treatment of Achilles tendon ruptures (ATR). Methods: A retrospective review of 53 patients with acute ATR who underwent primary surgical repair was performed. Patient-reported functional outcomes were evaluated with the ATR score (ATRS). Calf atrophy was assessed using the difference between the maximum calf circumference on the involved and healthy sides. The objective functional capacity of the lower leg was assessed using a single-leg standing heel-rise fatigue test. The limb symmetry index (LSI) was calculated as the ratio between the injured and uninvolved limbs. The correlation between variables was tested using the Spearman correlation test. Results: There were 53 patients (50 males and three females) with a mean age of 40.8±7.7 years (range, 27-59 years). The mean follow-up duration was 35.6±16.6 months (range, 12-80 months). The mean ATRS ranged from 88 to 100 points with a mean of points. There was a mean of 1.15±0.6 cm (range, 0-2 cm) calf circumference difference between the limbs. Calf atrophy was present in 46 (86.7%) patients. The mean LSI (%) was 87.5%±9.3% (range, 61%-100%). No correlation was detected between the ATRS score and calf atrophy and LSI. Conclusion: The ATRS overestimates the objective functional capacity of the Achilles tendon. New scoring systems that combine both subjective and objective measures are required to assess the overall outcome following an ATR.

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