Primary surgical repair of acute Achilles tendon rupture: comparative results of three surgical techniques

Abstract

Good functional results and a relatively small number of postsurgical complications advocate the use of percutaneous suturing techniques. The best and fastest functional recovery was attained in the group treated with the original technique of percutaneous fixation with two embracing and crossed thread loops according to Kruščić.

Is open acute Achilles tendon rupture repair still justified? A single center experience and critical appraisal of the literature

“…It mainly concerned here delayed wound healing, infectious complications, and sural nerve hypoesthesia. This is in line with the literature for open surgical treatment of AATR (13,14,26). AATR followed by surgical debridement (Figure 3) showed worse functional outcome.…”

“…Nonetheless, higher complication rates of infection and adhesions have been reported (10)(11)(12). In contrast, percutaneous repair of AATR has been associated with a lower infection rate, a higher risk of sural nerve hypoesthesia, and a good to excellent functional outcome compared to open surgical treatment (13)(14)(15)(16). Furthermore, percutaneous repair could possibly result in higher re-rupture rates, although literature is ambiguous on this (17,18).…”

Suturing Achilles tendon and mesh simultaneously in augmented repair resists gap formation foremost: an experimental study

“…Heikkinen et al [32] showed that augmented repair of total AT ruptures provided no advantage over simple end-to-end repair. In another study with a large number of patients, Lonzarić et al [33] compared three surgical techniques—open technique with fascial augmentation, modification of percutaneous suturing, and original percutaneous fixation with two embracing and crossed loops—for acute unilateral complete rupture of Achilles tendons. They found that the technique involving two embracing and crossed loops achieved the best functional results in the shortest time, while the fascial augmentation method did not experienced any ruptures and tended to be the strongest suture.…”

­Book‐shaped decellularized tendon matrix scaffold combined with bone marrow mesenchymal stem cells‐sheets for repair of achilles tendon defect in rabbit

“…About 60 thousand patients experience tendon injuries each year in the United States and such injuries cause serious medical, social, and economic challenges worldwide . Although repair of tendon injuries has vastly improved, clinical efficacy remains poor because of the inferior quality and function of repaired tissue . During the healing process, extensive amounts of disorganized collagen are deposited, resulting in scar tissue formation and adhesion between newly formed and surrounding tissues .…”

“…2 Although repair of tendon injuries has vastly improved, clinical efficacy remains poor because of the inferior quality and function of repaired tissue. 3,4 During the healing process, extensive amounts of disorganized collagen are deposited, resulting in scar tissue formation and adhesion between newly formed and surrounding tissues. 5 In addition, collagen type III is increased at the wound site during healing.…”