Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: A retrospective comparison in 98 patients

Nyyssönen, Timo; Saarikoski, Hanna; Kaukonen, Juha-Pekka; Lüthje, Peter; Hakovirta, Harri

doi:10.1080/00016470310013978

Cited by 39 publications

(25 citation statements)

References 15 publications

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“…These results compare favourably with those reported with both open and percutaneous endto-end suture [1,2,3,11,16,17,19]. Nyyssonen et al [13] retrospectively compared 39 repairs and 59 augmented reconstructions and found no differences in outcome. However, maybe the benefit of augmented reconstruction was not shown because patients were rehabilitated similarly regardless of the strength of reconstruction.…”

Section: Discussionsupporting

confidence: 63%

“…When surgery is considered, controversy also persists about the ideal surgical technique for this injury [2,13]. Simple end-to-end suture is easier to perform and requires a less extensive dissection [16], but the poor quality of the tendon at the rupture site may compromise the strength of the repair.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical techniques include simple end-to-end suture [1,2,16,17,19] and several procedures for augmented reconstruction. [5,13,22] Augmented reconstruction, initially developed for chronic or neglected ruptures, is now also used for acute ruptures by some authors [22]. Simple end-to-end suture is easier and can be performed through a more limited approach [2,16].…”

Section: Introductionmentioning

confidence: 99%

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Augmented repair of acute Achilles tendon ruptures using gastrocnemius-soleus fascia

Garabito

Martinez-Miranda

Sánchez-Sotelo

2004

International Orthopaedics (SICOT)

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Fifty-four consecutive acute Achilles tendon ruptures were treated with end-to-end suture augmented with gastrocnemius fascial flaps. Surgery was performed within 24 h. Mean patient age was 35 (23-57) years, and 46 were men. Mean follow-up time was 4.8 (2-8) years. At follow-up, the mean visual analogue scale for pain was 0.49, and the mean AOFAS ankle-hindfoot score was 95 (74-100) points. Fifty-three patients were able to stand on their tiptoes for 30 s and perform repeated toe raises, and 50 patients were able to perform single-limb hopping. Complications included rerupture in one case, deep infection in three cases, delayed wound healing in eight cases, and deep venous thrombosis in one case. Reconstruction of acute ruptures of the Achilles tendon augmented with gastrocnemius-soleus fascial flaps provided a good outcome but was associated with a high complication rate.Résumé Cinquante-quatre ruptures récentes, consécu-tives, du tendon d'achille ont été traitées par suture bout à bout augmentée par un lambeau fascial du muscle jumeau. La chirurgie a été exécutée dans les vingt-quatre heures suivant la rupture. L'âge moyen des malades était de 35 ans (23-57) et 46 étaient de sexe masculin. Le temps de suivi moyen était de 4,8 ans (2-8). Au dernier examen la cotation visuelle moyenne pour la douleur était 0,49 et le score moyen de cheville AOFAS était de 95 points (74-100). Cinquante-trois malades étaient capables de se tenir sur la pointe des pieds trente secondes et d'exécuter des extensions d'orteils répétées, et 50 malades étaient capables d'exécuter un sautillement monopodal. Les complications ont été une rupture itérative dans un cas, une infection profonde dans trois cas, un retard de cicatrisation cutanée avec évolution favorable dans huit cas, et une thrombose veineuse profonde dans un cas. La reconstruction des ruptures récentes du tendon d'achille avec utilisation d'un lambeau du fascia des jumeaux a fourni un bon résultat mais avec un taux élevé de complications.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Augmented repair of acute Achilles tendon ruptures using gastrocnemius-soleus fascia

Garabito

Martinez-Miranda

Sánchez-Sotelo

2004

International Orthopaedics (SICOT)

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“…However, these potential benefits must be weighed against the potential disadvantages of a longer skin incision, a bulky repair, and infection (4% in a recent study 100 ). Nyyssonen et al 71 recently compared (Level III evidence) 59 patients treated with an augmented repair to 39 patients treated with simple end-toend suture. They found no difference in subjective outcomes or the frequency of reruptures, leading them to conclude that primary repair without augmentation was sufficient.…”

Section: Augmented Repairsmentioning

confidence: 99%

Current Concepts Review: Acute Ruptures of the Achilles Tendon

Chiodo

Wilson

2006

Foot Ankle Int.

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“…The authors rightly quote the article by Nyyssonen et al [3] and correctly state that these authors did not show any difference in the outcome. Although the study was a retrospective study, its strength was exactly that the authors did not use a different mobilisation and rehabilitation regime between the two groups, thus leaving augmentation as the only variable between the two arms of their study.…”

mentioning

confidence: 94%

Augmented repair of acute Achilles tendon ruptures using gastrocnemius?soleus fascia

Maffulli

2005

International Orthopaedics (SICOT)

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Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: A retrospective comparison in 98 patients

Cited by 39 publications

References 15 publications

Augmented repair of acute Achilles tendon ruptures using gastrocnemius-soleus fascia

Augmented repair of acute Achilles tendon ruptures using gastrocnemius-soleus fascia

Current Concepts Review: Acute Ruptures of the Achilles Tendon

Augmented repair of acute Achilles tendon ruptures using gastrocnemius?soleus fascia

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