[논문]급성 아킬레스건 파열의 치료 동향: 대한족부족관절학회 회원 설문조사 분석

조재호; 조병기; 정형진; 배서영; 2021 대한족부족관절학회 학술위원회

doi:10.14193/jkfas.2022.26.2.88

급성 아킬레스건 파열의 치료 동향: 대한족부족관절학회 회원 설문조사 분석
Current Trends in the Treatment of Acute Achilles Tendon Rupture: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey 원문보기

대한족부족관절학회지 = Journal of Korean Foot and Ankle Society, v.26 no.2, 2022년, pp.88 - 94

조재호 (한림대학교 춘천성심병원 정형외과) , 조병기 (충북대학교병원 정형외과) , 정형진 (인제대학교 상계백병원 정형외과) , 배서영 (인제대학교 상계백병원 정형외과) , 2021 대한족부족관절학회 학술위원회 (대한족부족관절학회)

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Purpose: This study was based on the Korean Foot and Ankle Society (KFAS) member survey and aimed to report the current trends in the epidemiology, diagnosis, and management of acute Achilles tendon rupture (AATR) over the past few decades. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in October 2021. The questions were mainly related to the clinical experience and preferred management of patients with AATR. Answers with a prevalence ≥50% of the respondents were considered a tendency. Results: Seventy-one (12.9%) of the 550 members responded to the survey. The male sex ratio in AATR was answered mean 78%, and the most common age groups were 30~40 years (n=49; 69.0%), and 40~50 years (n=37; 52.1%), in that order. The most common seasons for the occurrence of AATR were spring (37 cases; 52.1%) and autumn (27 cases; 38.0%). Also, sports-related rupture had an average occurrence of 76.2%. The most important clinical factor to determine the type of treatment was the history of previous injuries, and 75.9% of respondents started conservative treatment in the 2010s. The most preferred protocol of conservative treatment was an orthosis capable of ankle range of motion after casting (68.5%), and 53.7% 'satisfied' and 1.9% 'very satisfied' with conservative treatment. The most preferred surgical method was open repair (80.3%), and the Krackow method (60.6%), and 49.3% of treated patients responded 'satisfied' and 45.1% 'very satisfied' with this treatment. Conclusion: This study gives updated information concerning the current trend of epidemiology, diagnosis, and treatment of AATR in Korea. Both consensus and variation in the approach to AATR were identified using this survey study. This study may raise the awareness of various possible approaches toward AATR and should be used to further establish a standard protocol for the management of this injury.

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급성 아킬레스건 파열의 치료 동향: 대한족부족관절학회 회원 설문조사 분석
Current Trends in the Treatment of Acute Achilles Tendon Rupture: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey 원문보기

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급성 아킬레스건 파열의 치료 동향: 대한족부족관절학회 회원 설문조사 분석 Current Trends in the Treatment of Acute Achilles Tendon Rupture: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey 원문보기

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급성 아킬레스건 파열의 치료 동향: 대한족부족관절학회 회원 설문조사 분석
Current Trends in the Treatment of Acute Achilles Tendon Rupture: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey 원문보기