Clinical Outcomes and Complications of Percutaneous Achilles Repair System Versus Open Technique for Acute Achilles Tendon Ruptures

Hsu, Andrew R.; Jones, Carroll P.; Cohen, Bruce E.; Davis, W. Hodges; Ellington, J. Kent; Anderson, Robert B.

doi:10.1177/1071100715589632

Cited by 158 publications

(167 citation statements)

References 25 publications

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“…In Hsu series 27 , 88% of patients (included professional athletes) returned to their previous sportive activities after an interval of 3 months. The same level activity recovery rate in our series was inferior if compared to other studies [25][26][27] . Any of athlete patients reviewed was professional, which is usual in this type of injury where most of victims are recreational athletes.…”

Section: Discussioncontrasting

confidence: 94%

“…Therefore, return to sport activity in a same level was not mandatory or a goal in itself for these patients. In addition, time to return to sport was relatively longer compared to other series [26][27][28] . This long delay of sport resuming may be due to the fact that patients were not high level professional athletes and preferred having total remission before returning to sport because of apprehension and fear of re-rupture.…”

Section: Discussionmentioning

confidence: 66%

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Activity level recovery after acute Achilles tendon rupture surgically repaired: a series of 29 patients with a mean follow-up of 46 months

Zayni¹,

Coursier

Zakaria

et al. 2017

MLTJ

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Section: Discussioncontrasting

confidence: 94%

Section: Discussionmentioning

confidence: 66%

Activity level recovery after acute Achilles tendon rupture surgically repaired: a series of 29 patients with a mean follow-up of 46 months

Zayni¹,

Coursier

Zakaria

et al. 2017

MLTJ

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“…2 FiberWire; Arthrex) on a straight needle that can be used with a loop‐suture (SpeedWhip; Arthrex) technique to allow rapid suture placement, uniform compression of the tendon tissue, and high tensile strength tendon repair. The loop‐suture pattern is a modified finger trap pattern that has been reported to result in consistently successful repair of multiple types of tendon injuries in man, including Achilles tendon ruptures . Autogenous platelet‐rich plasma (PRP) has been investigated as a means of improving tendon healing in clinical and laboratory models .…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes after common calcanean tendon rupture repair in dogs with a loop‐suture tenorrhaphy technique and autogenous leukoreduced platelet‐rich plasma

Schulz¹,

Ash²,

Cook

2019

Veterinary Surgery

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Objective To report outcomes of dogs with common calcanean tendon (CCT) ruptures treated with a platelet‐rich plasma (PRP) enhanced nonabsorbable loop‐suture technique. Study design Retrospective case series. Animals Client‐owned dogs (n = 12). Methods Medical records (2015–2017) of dogs with CCT ruptures repaired with a loop‐suture tenorrhaphy and autogenous leukoreduced PRP were reviewed for signalment, history, type of injury, treatment, and clinical follow‐up. Outcomes were assessed by functional anatomic measurements and Canine Orthopedic Index (COI) scores transformed to percentages, with 100% representing no problems. Results Twelve tendons were treated. Two dogs had major complications that were successfully revised. Follow‐up was available in 11 of 12 dogs, with a median time of 12 months (range, 4–36), including COI for 11 dogs and anatomic measurements for 6 dogs. Anatomic measurements did not differ between treated and normal contralateral limbs (midthigh muscle mass P > .99, cranial tibial muscle mass P = .37, CCT diameter P = .08, tibiotarsal joint angle P > .99). Owners scored function (COI) as 96.4% (range, 93.3%–97.8%) and quality of life as 94.6% (range, 92%–98.2%). Conclusion Loop‐suture tenorrhaphy with application of autogenous leukoreduced PRP at the repair site resulted in restoration of functional anatomic measurements, high COI, and client satisfaction. Clinical significance Loop‐suture tenorrhaphy with local application of autogenous leukoreduced PRP appears to offer an acceptable option to treat CCT injuries in dogs.

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“…Achilles tendon rupture (ATR) is a frequently occurring and disabling injury with variable long‐term functional and patient‐reported outcomes . Despite intensive studies, the factors responsible for the variability in outcome and the optimal therapy are unknown.…”

Section: Introductionmentioning

confidence: 99%

Pyruvate and lactate as local prognostic biomarkers of patient outcome after achilles tendon rupture

Addevico

Svedman

Edman

et al. 2019

Scandinavian Med Sci Sports

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Background Acute Achilles tendon rupture (ATR) is a frequently disabling injury, which exhibits unclear variability in long‐term functional and patient‐reported outcomes. Biomarkers from early healing, which have been shown to be prognostic of long‐term outcome would facilitate the development of improved treatment methods. Hypothesis/Purpose The aim of this study was to assess essential metabolites pyruvate and its product lactate, as early biomarkers in relation to long‐term functional‐ and patient‐reported outcome after ATR. Study design Prospective cohort study. Methods A total of 124 patients (103 men, 21 women; mean age 40 ± 7 years) with ATR, treated with uniform anesthetic and surgical technique, were prospectively assessed. At two weeks post‐injury pyruvate and lactate concentrations were assessed in both the injured and uninjured limbs using microdialysis followed by enzymatic quantification. The ratios of the concentration in the injured versus uninjured limb of pyruvate (pyruvate‐r) and lactate (lactate‐r) were calculated as well as the lactate/pyruvate ratios (L/P‐r). At 12 months, patient‐reported outcome was examined using self‐reported questionnaires; Achilles tendon Total Rupture Score (ATRS), Foot and Ankle Outcome Score (FAOS), and physical activity score. At 12 months, functional outcome was studied using the validated heel‐rise test. Results Elevated pyruvate‐r, at two weeks, was significantly associated with total ATRS (R = 0.254, P = 0.028), less loss in physical activity (R = 0.241, P = 0.039), less experience of pain in FAOS (R = 0.275, P = 0.032), and a higher number of heel‐rise repetitions on injured side (R = 0.230, P = 0.040) at 12 months. Increased lactate‐r was related with less strength limitations in the calf (R = 0.283, P = 0.011), while the elevated lactate‐pyruvate ratio, notably, was related to more limitations in walking on uneven surface (R = −0,243, P = 0.027). The findings were verified by multiple linear regression taking confounding factors into consideration. Conclusion This study established that the metabolite pyruvate is a good potential biomarker, prognostic of patient outcome at the one‐year follow‐up after ATR surgery. These novel findings suggest that local biomarkers could be developed at an early‐stage screen for new ATR treatments.

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Clinical Outcomes and Complications of Percutaneous Achilles Repair System Versus Open Technique for Acute Achilles Tendon Ruptures

Abstract: Level III, retrospective cohort study.

Cited by 158 publications

References 25 publications

Activity level recovery after acute Achilles tendon rupture surgically repaired: a series of 29 patients with a mean follow-up of 46 months

Activity level recovery after acute Achilles tendon rupture surgically repaired: a series of 29 patients with a mean follow-up of 46 months

Clinical outcomes after common calcanean tendon rupture repair in dogs with a loop‐suture tenorrhaphy technique and autogenous leukoreduced platelet‐rich plasma

Pyruvate and lactate as local prognostic biomarkers of patient outcome after achilles tendon rupture

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