Can Wound-Site Complications Be Predicted after Open Repair in Acute Achilles Tendon Ruptures?

Background/Aims: To examine the correlation between wound-site complications that arise following open repair of acute achilles tendon ruptures and patient-related factors. Methods: Age, gender, mechanism of injury, time from rupture to surgery, and postoperative complications were analyzed in 39 patients who underwent open surgery by a single orthopedic and traumatology team between 2019 and 2024. Results: As the time until surgical intervention increased after tendon rupture, wound-site complications were encountered more frequently (p0.05 for each). Conclusions: The most effective parameter in predicting wound-site complications after open rupture of the AT rupture is the elapsed time between injury and surgery, whereas factors such as age, gender and injury mechanisms are not able to predict wound-site complications in such cases. Patients should be operated on as soon as possible to minimize the risk of wound site problems, which is a common complication of Achilles tendon rupture treatments.