108 / 225
108
· DOS Abstracts
Does missed primary information lead to complications
in Achilles tendon ruptures? A preliminary case series.
Marianne Christensen, Kathrine Skov Andersen, Inge Lunding Kjær
Department of Physiotherapy and Occupational Therapy, Aalborg University
Hospital; Department of Physiotherapy and Occupational Therapy, Aalborg Uni-
versity Hospital; Department of Orthopaedic Surgery, Aalborg University Hos-
pital
Background:
The results of functional treatment of Achilles tendon ruptures
(ATR) are dependent on validity on all aspects of the treatment including pri-
mary information of the patient. Due to presentation of several consecutive
patients with DVT and severe edema in our clinic, we decided to investigate if
primary information was sufficient.
Purpose / Aim of Study:
To assess the quality of patient information after
ATR.
Materials and Methods:
Case series of 7 consecutive patients with ATR
seen in the outpatient clinic 2-5 days after initial treatment. All patients fol-
low a standardized protocol for functional rehabilitation, our department has
been thoroughly informed and we have a very precise instruction regarding anti
thrombotic treatment, edema prophylaxis and risk signs. The hand-out patient
information is also very thorough and given to the patient at the first contact.
Our questionnaire focus on the information given to the patient concerning DVT
prophylaxis at first contact. Diagnosis were secured clinically and orthosis was
checked.
Findings / Results:
7 patients, all male, age 22-82 yrs. Time from rupture
to treatment 1-2 days (6) and 10 days (1). 4/7 did not receive the hand-
out patient information, 1 did not receive Xarelto (severe edema and familiar
disposition of DVT), 1 had pressuremark from the orthosis, 1 (age 82) were
weightbearing. Additional treatment: 4 patients received the hand-out patient
information, 2 orthosis were changed to a cast. 1 received extra padding in the
orthosis, 4 received information on edema prophylaxis, 2 were instructed in use
of crutches without weightbearing.
Conclusions:
These preliminary results are discouraging and will lead to our
continuous use of an early control in the outpatient clinic. Further investigation
should reveal how we can improve the quality of patient information and treat-
ment.
No conflicts of interest reported
60.