Limited Open Achilles Tendon Repair in Supine Position With Modified Ring Forceps: A Technique Tip

O’Donnell, Seth; Velasco, Brian; Whitehouse, Brianna; Kwon, John Y.; Miller, Christopher P.

doi:10.1177/1938640019863268

Cited by 2 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, MIS has been reported as having better subjective outcomes, cosmetic appearance and a signi cantly lower rate of super cial infection and wound healing complications [10]. Although a number of MIS methods have been developed over the years, recent efforts have advanced the technique of mini-open or the MIS methods [11][12][13][14][15][16][17][18][19][20][21][22]. Kakiuchi et al were the rst to describe the combination method of mini-open and the percutaneous technique over two decades ago [18].…”

Section: Introductionmentioning

confidence: 99%

Jigless knotless internal brace versus other open Achilles tendon repair under progressive rehabilitation protocol: A biomechanical study

Hsu

Hong

et al. 2021

Preprint

View full text Add to dashboard Cite

Background The jigless knotless internal brace surgery (JKIB), a modified minimal invasive surgery (MIS) for acute Achilles tendon injury, showed the advantage of sural-nerve injury prevention in MIS and superficial wound infection in open surgery in previous clinical research. However, to date, biomechanical testing remains not yet validated. Materials and methods Sixty porcine fresh Achilles tendons were used to compare the JKIB with other open surgery techniques, the four-strand Krackow suture (4sK) and triple-buddle suture (TBS) in biomechanic testing with cyclic loading at 1 Hz. This approach simulated a progressive rehabilitation protocol where 20-100N was applied in the first 1000 cycles, followed by 20-190N in the second 1000 cycles, and then 20-369N in the third 1000 cycles. The cycles to the repair gap 2mm, 5mm and 10mm were recorded. The survival cycles was defined as repair gap achieving 10mm. Results With respect to survived cycles, a significant difference was found among the three groups, in which the TBS was the most robust, followed by the JKIB and the 4sK, with mean survived cycles were 2639.3 +/- 263.55, 2073.6 +/- 319.92 and 1425.25 +/- 268.96, respectively. Significant difference was defined via a post hoc analysis with the Mann–Whitney U test after the Bonferroni correction (p < 0.017). Conclusions The TBS was the strongest suture structure in acute Achilles tendon repair. However, the JKIB could be an option in acute Achilles tendon repair with the MIS technique due to it being more robust than the 4sK, which has been favored in open repair.

show abstract

Section: Introductionmentioning

confidence: 99%

Jigless knotless internal brace versus other open Achilles tendon repair under progressive rehabilitation protocol: A biomechanical study

Hsu

Hong

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…However, MIS has been reported as leading to better subjective outcomes, improved cosmetic appearance, and a significantly lower rate of superficial infection and wound healing complications [13]. Although a number of MIS methods have been developed, recent efforts have advanced the technique of the mini-open or MIS methods [14][15][16][17][18][19][20][21][22][23][24][25]. Kakiuchi et al were the first to describe a combination of the mini-open and the percutaneous techniques over two decades ago [21].…”

Section: Introductionmentioning

confidence: 99%

Jigless knotless internal brace versus other open Achilles tendon repairs using a progressive rehabilitation protocol: a biomechanical study

Hsu

Hong

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background The jigless knotless internal brace surgery (JKIB), a modified minimal invasive surgery (MIS) for acute Achilles tendon injury, has advantages of preventing sural-nerve injury in MIS and superficial wound infection in open surgery, as demonstrated in previous clinical research. However, to date, biomechanical testing has not yet been validated. Materials and methods Sixty fresh porcine Achilles tendons were used to compare the JKIB with other open surgery techniques, the four-stranded Krackow suture (4sK) and the triple-bundle suture (TBS) in biomechanical testing with cyclic loading set at 1 Hz. This approach simulated a progressive rehabilitation protocol where 20-100 N was applied in the first 1000 cycles, followed by 20-190 N in the second 1000 cycles, and then 20-369 N in the third 1000 cycles. The cycles leading to repair gaps of 2 mm, 5 mm, and 10 mm were recorded. The survival cycles were defined as repair gap of 10 mm. Results With respect to survival cycles, a significant difference was found among the three groups, in which the TBS was the most robust, followed by the JKIB and the 4sK, where the mean survived cycles were 2639.3 +/− 263.55, 2073.6 +/− 319.92, and 1425.25 +/− 268.96, respectively. Significant differences were verified via a post hoc analysis with the Mann–Whitney U test after the Bonferroni correction (p < 0.017). Conclusions The TBS was the strongest suture structure in acute Achilles tendon repair. However, the JKIB could be an option in acute Achilles tendon repair with the MIS technique due to it being more robust than the 4sK, which has been typically favored for use in open repair.

show abstract

Limited Open Achilles Tendon Repair in Supine Position With Modified Ring Forceps: A Technique Tip

Cited by 2 publications

References 14 publications

Jigless knotless internal brace versus other open Achilles tendon repair under progressive rehabilitation protocol: A biomechanical study

Jigless knotless internal brace versus other open Achilles tendon repair under progressive rehabilitation protocol: A biomechanical study

Jigless knotless internal brace versus other open Achilles tendon repairs using a progressive rehabilitation protocol: a biomechanical study

Contact Info

Product

Resources

About