Management of chronic Achilles tendon ruptures

Adukia, Vidhi; Jha, Shilpa

doi:10.1016/j.mporth.2023.11.003

Cited by 1 publication

(1 citation statement)

References 48 publications

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“…Despite it usually suddenly occurring, however, there is still a fair amount of chronic Achilles tendon rupture that is ascribed to misdiagnosis or disregarding this injury. Chronic Achilles tendon rupture mainly presents with cicatricial tissues irregularly buttressing the rupture gap and causing broken ends retraction, gastrocnemius atrophy, and gait incoordination [33,34]. Consequently, these uncertainties and diversity produce different therapeutic regimens compared to acute injuries.…”

Section: Discussionmentioning

confidence: 99%

The learning curve for minimally invasive Achilles repair using the “lumbar puncture needle and oval forceps” technique

Zhao,

Wang,

Zhao

et al. 2024

BMC Musculoskelet Disord

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Introduction An acute Achilles tendon rupture represents a common tendon injury, and its operative methods have been developed over the years. This study aimed to quantify the learning curve for the minimally invasive acute Achilles tendon rupture repair. Methods From May 2020 to June 2022, sixty-seven patient cases who received minimally invasive tendon repair were reviewed. Baseline data and operative details were collected. The cumulative summation (CUSUM) control chart was used for the learning curve analyses. Achilles tendon rupture score (ATRS), American Orthopedic Foot and Ankle Society (AOFAS) ankle/hindfoot score, and visual analog scale (VAS) at 3/6/9/12 months were calculated to assess the clinical outcomes. Results Thirty-six cases underwent at least a year of follow up and were enrolled in this study. The gender ratio and average age were 80.5% and 32.5 years. The linear equation fitted well (R2 = 0.95), and CUSUM for operative time peaked in the 12th case, which was divided into the learning phase (n = 12) and master phase (n = 24). No significant difference was detected between the two groups in clinical variables, except for the operative time (71.1 ± 13.2 min vs 45.8 ± 7.2 min, p = 0.004). Moreover, we detected one case with a suture reaction and treated it properly. Conclusion Minimally invasive Achilles repair provides an opportunity for early rehabilitation. Notably, the learning curve showed that the “lumbar puncture needle and oval forceps” technique was accessible to surgeons.

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Section: Discussionmentioning

confidence: 99%