Percutaneous repair of the Achilles tendon rupture in athletic population

Ververidis, Athanasios; kalifis, K. Georgios; Touzopoulos, Panagiotis; Drosos, Georgios I.; Tilkeridis, Konstantinos; Kazakos, Konstantinos

doi:10.1016/j.jor.2015.09.004

Cited by 20 publications

(27 citation statements)

References 25 publications

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“…With percutaneous suturing, sports abandon rates have been reported in up to 8.6% whereas 78% of the athletes returned to the former activity level. 17 Rehabilitation protocols' effect on the final outcome has also been studied. In our study, all patients were immobilized (using a splint with goniometer) in maximum plantarflexion for 3 weeks.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Percutaneous Fixation of Acute Achilles Tendon Ruptures

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Outcome of Percutaneous Fixation of Acute Achilles Tendon Ruptures

et al. 2018

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“…Nevertheless, A biomechanical research reported that the mechanical resistance was decreased 50% when using percutaneous repair compared with traditional repair [25], following a high risk of Achilles tendon re-rupture [15,26]. The main reason is because the torn sites are generally not revealed [27].…”

Section: Discussionmentioning

confidence: 99%

Oval Forceps Assisted with Small Incision for Minimally Invasive Treatment of Acute Achilles Tendon Rupture

Zhao

Liu

Yin

et al. 2020

Preprint

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Purpose: To review the clinical outcomes of treatment acute Achilles tendon rupture using oval forceps assisted with small incision.Methods: This was a retrospective study of 23 patients with acute Achilles tendon rupture treated with this technique. Distance from calcaneal insertion to rupture site and the operation time were recorded. During follow-up, all the occurrence of complications was recorded. The AOFAS score and the ROM of the repaired ankle joint were recorded at 3 and 6 months.Results: All patients were followed up for 7-15 months. There have no cases of Achilles tendon re-rupture and sural nerve injury were found. All incisions healed by first intention, except for one case of delayed suture knot irritation. The AOFAS score was 82–100 (median, 92) at 3 months and 92–100 (median, 98) at 6 months. The 3-month ROM was 28–37, and the 6-month ROM was 36–49.Conclusion: The technique of oval forceps assisted with small incision for minimally invasive treatment of acute Achilles tendon rupture is a safe, reliable, and have an extremely low complication rate. Furthermore, this technique is easy to learn, utilizes simple instruments, and is cost-effective, making this technique an attractive alternative to traditional techniques.

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“…Nevertheless, while minimally invasive repair has some advantages, the risk of Achilles tendon re-rupture is a shortcoming of this repair method. A biomechanical study reported that the mechanical resistance was decreased by 50% when using percutaneous repair compared with open repair [ 32 ], with a high risk of Achilles tendon re-rupture [ 20 , 21 ]. The main reasons are because the torn sites are generally not revealed, and the biomechanical force of the broken end repair is weaker than the traditional incision repair, so the resistance strength will be weakened [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

“…The traditional method of incision repair can provide strong repair, with a low re-rupture rate of 1.4–2.8% [ 17 ], but a high incidence of soft tissue complications (11–34.1%) [ 18 ]. Minimally invasive and transdermal repair methods result in less trauma and can significantly reduce the risk of soft tissue complications [ 19 ], but due to generally unexposed torn sites, there is a concern that some percutaneous methods may result in poor involution and weaker biomechanical resistance of the torn sites compared with traditional incision repair, resulting in a higher risk of re-rupture [ 20 , 21 ]. Moreover, the sural nerve injury rate is relatively high (0–10%) [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

A new less invasive surgical technique in the management of acute Achilles tendon rupture through limited-open procedure combined with a single-anchor and “circuit” suture technique

Zhang¹,

Liu²,

Zhang³

et al. 2018

J Orthop Surg Res

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BackgroundTraditional incision repair and minimally invasive repair for acute Achilles tendon repair have limitations. This study aimed to present our series of 23 patients with acute Achilles tendon rupture that was repaired using two small incisions to assist the anchor repair of the tear and a new “circuit” suture technique.MethodsThis was a retrospective study of 23 patients with acute Achilles tendon rupture treated with the new technique at Changhai Hospital between January 2015 and December 2016 and followed up for 14–33 months. Clinical outcome was assessed using the AOFAS, Leppilahti, and Arner-Lindholm scores. Complications, range of motion (ROM), and time to return to work and light sport activity were assessed.ResultsThe AOFAS score was 85–96 at 3 months and 92–100 at 12 months. The 3-month ROM was 27°–37°, and the 12-month ROM was 36°–48°. The Leppilahti score was 85–95 at 3 months and 90–100 at 12 months. The recovery time of the patients was 10–18 weeks. The postoperative recovery time to exercise was 16–24 weeks. There was only one case of deep venous thrombosis. According to the Arner-Lindholm assessment criteria, patient outcomes were rated as excellent in 20 (87.0%) cases, good in three (13.0%) cases, and poor in 0 cases. The excellent-to-good rate was 100%.ConclusionThe limited-open procedure combined with a single-anchor and “circuit” suture technique could be used to repair torn Achilles sites, with a low occurrence of complications. This new and minimally invasive technique could be an alternative in the management of acute Achilles tendon rupture.

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Percutaneous repair of the Achilles tendon rupture in athletic population

Cited by 20 publications

References 25 publications

Outcome of Percutaneous Fixation of Acute Achilles Tendon Ruptures

Outcome of Percutaneous Fixation of Acute Achilles Tendon Ruptures

Oval Forceps Assisted with Small Incision for Minimally Invasive Treatment of Acute Achilles Tendon Rupture

A new less invasive surgical technique in the management of acute Achilles tendon rupture through limited-open procedure combined with a single-anchor and “circuit” suture technique

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