Percutaneous Repair of Achilles Tendon Rupture; Immobilization Versus Functional Postoperative Treatment

Buchgraber, A.; Pässler, Hans H.

doi:10.1097/00003086-199708000-00018

Cited by 103 publications

(89 citation statements)

References 20 publications

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“…However, several studies [13,20,21] suggest a higher rate of rerupture after percutaneous repair than after open technique, with rates ranging from 3% to 10%. Further, with percutaneous techniques, injury of the sural nerve has been reported to range from 3% to 18%, with persistent paresthesias, and even the need in some patients to have formal operative exploration to remove the suture and release the nerve [6,16,20,21,23]. Both of these procedures have been used for patient treatment at our institution but at different times.…”

Section: Introductionmentioning

confidence: 99%

Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture?

Henríquez

Muñóz

Carcuro

et al. 2012

Clinical Orthopaedics &Amp; Related Research

116

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Background Open repair of Achilles tendon rupture has been associated with higher levels of wound complications than those associated with percutaneous repair. However, some studies suggest there are higher rerupture rates and sural nerve injuries with percutaneous repair. Questions/purposesWe compared the two types of repairs in terms of (1) function (muscle strength, ankle ROM, calf and ankle perimeter, single heel rise tests, and work return), (2) cosmesis (length scar, cosmetic appearance), and (3) complications. Patients and Methods We retrospectively reviewed 32 surgically treated patients with Achilles rupture: 17 with percutaneous repair and 15 with open repair. All patients followed a standardized rehabilitation protocol. The minimum followup was 6 months (mean, 18 months; range, 6-48 months).

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Section: Introductionmentioning

confidence: 99%

Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture?

Henríquez

Muñóz

Carcuro

et al. 2012

Clinical Orthopaedics &Amp; Related Research

116

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“…5 Percutaneous repair of the Achilles tendon reduces the risks of open repair such as wound infection, dehiscence, and scar adhesions. 6 Re-rupture following surgical repair is associated with full weight bearing with inadequate orthotic provision, inadequate apposition of the tendon ends, and delayed surgery. 7 This study evaluated the outcome after percutaneous repair followed by accelerated rehabilitation for acute Achilles tendon ruptures.…”

mentioning

confidence: 99%

Percutaneous Repair Followed by Accelerated Rehabilitation for Acute Achilles Tendon Ruptures

Al-Mouazzen

Rajakulendran

Najefi

et al. 2015

J Orthop Surg (Hong Kong)

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Purpose. To evaluate the outcome after percutaneous repair followed by accelerated rehabilitation for acute Achilles tendon ruptures. Methods. 21 men and 9 women (mean age, 41 years) underwent percutaneous repair by a single senior surgeon for acute Achilles tendon ruptures, followed by early weight bearing and accelerated rehabilitation. Outcome measures included the Achilles tendon rerupture rate, the Achilles tendon total rupture score (ATRS) at 3 and 6 months, the incidence of sural nerve injury, wound infection, wound dehiscence, patient satisfaction, and the time to return to prerupture activity. Results. The mean follow-up period was 12.5 months. The mean ATRS score improved from 57.65 at 3 months to 86.95 at 6 months (p<0.001). No patient had intra-operative complications, tendon re-rupture, sural nerve injury, wound dehiscence, or deep infection. Two patients developed a superficial wound infection, which was resolved with oral Percutaneous repair followed by accelerated rehabilitation for acute Achilles tendon ruptures

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“…Some early studies showed neurovascular injuries, most notably to the sural nerve [61][62][63][64] and a higher rate of tendon re-rupture in percutaneous repair than after open tendon repair [65], attributed mostly to a weaker repair using percutaneous techniques. Aibinder et al [66] demonstrated that 5 of 18 cadaveric specimens had at least 1 suture passing through the sural nerve using a popular percutaneous device.…”

Section: Percutaneous Techniquesmentioning

confidence: 99%

Achilles tendon ruptures

Pedowitz

Kirwan²

2013

Curr Rev Musculoskelet Med

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The incidence of acute Achilles tendon ruptures is on the rise. This is thought to be due to the increasing number of middle-aged persons participating in athletic and/or strenuous activity. Ruptures of the Achilles tendon can be severely debilitating, with deficits seen years after the initial incident. Also, these injuries can have substantial socioeconomic impacts regardless of the treatment selected. Debate continues over the optimal treatment of Achilles tendon ruptures, especially the argument whether to treat patients nonoperatively or surgically. Newer evidence shows that functional rehabilitation, including early weight-bearing, should be an integral part of successful treatment of acute Achilles ruptures. Further research is needed to further investigate the ideal treatment and rehabilitation protocols.

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Percutaneous Repair of Achilles Tendon Rupture; Immobilization Versus Functional Postoperative Treatment

Cited by 103 publications

References 20 publications

Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture?

Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture?

Percutaneous Repair Followed by Accelerated Rehabilitation for Acute Achilles Tendon Ruptures

Achilles tendon ruptures

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