Intraoperative Ultrasonography During Percutaneous Achilles Tendon Repair

Soubeyrand, Marc; Serra-Tosio, Géraldine; Campagna, R.; Molina, Véronique; Sitbon, Philippe; Biau, David

doi:10.3113/fai.2010.1069

Cited by 28 publications

(27 citation statements)

References 22 publications

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“…Saxena et al 29 proposed a solution that could resolve this apprehension problem, predicting patient ability to return to previous activities by using standardized parameters as single-legged concentric strengthening, ROM and muscle volume. In 1977, Ma and Griffith 8 described a percutaneous technique for the repair of acute AT rupture that became popular thereafter 19,30 . Previous evidence suggests that open compared to percutaneous repair has lower rate of re-rupture, higher rate of return to pre-injury activity level, higher complication rates, namely infection, and almost the double cost 25,31 .…”

Section: Discussionmentioning

confidence: 99%

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: Discussionmentioning

confidence: 99%

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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“…In the study by Soubeyrand et al, 23 without imaging, 55% of needles were correctly positioned. In the current study, although there was no control group, in approximately 50% of cases the needle was passed several times because it was not perfectly inserted inside the tendon during echographic control.…”

Section: Discussionmentioning

confidence: 87%

Intraoperative Ultrasound Assistance for Percutaneous Repair of the Acute Achilles Tendon Rupture

Giannetti¹,

Patricola²,

Stancati³

et al. 2014

Orthopedics

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Various methods have been used to treat the acute Achilles tendon rupture. Traditional open repair is associated with a higher rate of complications. Percutaneous methods avoid most of the disadvantages of open surgical treatment, but the degree of tendon regeneration cannot be ensured. The authors prospectively followed 40 patients with acute Achilles tendon rupture who underwent percutaneous repair with intraoperative ultrasound assistance an average of 13 months after the injury. No surgery-related complications, such as wounds or deep infections, sural nerve injury, or re-rupture, were detected at follow-up. This technique avoids injury to the sural nerve, minimizes wound complications, and provides a strong repair.

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“…Since the suturing is performed percutaneously, anatomical structures cannot be clearly observed, the sural nerve sometimes injured, especially at the proximal portion of the Achilles tendon. What is more important, a a residual gap may remain in the tendon ends, leading to tendon lengthening and re‐rupture.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Repair Technique for Acute Achilles Tendon Rupture with Assistance of Kirschner Wire

Chai²,

Liu

et al. 2015

Orthopaedic Surgery

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The aim of this study is to introduce a self-designed, minimally invasive technique for repairing an acute Achilles tendon rupture percutaneously. Comparing with the traditional open repair, the new technique provides obvious advantages of minimized operation-related lesions, fewer wound complications as well as a higher healing rate. However, a percutaneous technique without direct vision may be criticized by its insufficient anastomosis of Achilles tendon and may also lead to the lengthening of the Achilles tendon and a reduction in the strength of the gastrocnemius. To address the potential problems, we have improved our technique using a percutaneous Kirschner wire leverage process before suturing, which can effectively recover the length of the Achilles tendon and ensure the broken ends are in tight contact. With this improvement in technique, we have great confidence that it will become the treatment of choice for acute Achilles tendon ruptures.

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Intraoperative Ultrasonography During Percutaneous Achilles Tendon Repair

Abstract: Without imaging, 55% of needles were correctly positioned. Intraoperative ultrasonography allowed correct positioning of all needles and provided intraoperative confirmation of stump approximation.

Cited by 28 publications

References 22 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

Intraoperative Ultrasound Assistance for Percutaneous Repair of the Acute Achilles Tendon Rupture

Percutaneous Repair Technique for Acute Achilles Tendon Rupture with Assistance of Kirschner Wire

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