Treatment of acute Achilles tendon ruptures with Achillon device: Clinical outcomes and kinetic gait analysis

Garrido, Ignacio Martínez; Deval, Juan Cervera; Bosch, M. Navarro; Mediavilla, Daniel Herrero; Garcia, Vicente Pellicer; González, María Sánchez

doi:10.1016/j.fas.2009.10.014

Cited by 22 publications

(14 citation statements)

References 27 publications

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“…This is consistent with other studies which has reported that 85% to 100% patients returned to their recreational activities. [19][20][21] This further supports surgical management is equally good in our setup like others.…”

Section: Discussionsupporting

confidence: 86%

Outcome of surgical management of ruptured Achilles tendon

Acharya

Devkota

Shrestha

et al. 2018

J Patan Acad Health Sci

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Introductions: The incidence of Achilles tendon rupture has been increasing worldwide. The optimal management of this problem is controversial but the surgical intervention is being applied widely. Methods: We retrospectively analyzed patients who had Achilles tendon (AT) rupture treated surgically at Patan Academy of Health Sciences from January 2010 to December 2015. Functional outcome assessment of ankle was done by using American Orthopedic foot and Ankle Society Score (AOFAS). Results: Total 71 patients (male 45, female 26) had surgery for AT, 38 right and 33 left side. The mean age of the patient was 36.14 years (range 18-67 years). The mean AOFAS score was 83.32 (range 75-93) after first year follow up and 90.36 (range 80-99) after second year, difference was statistically significant (p<0.05). Conclusions: The study showed high AOFAS score for surgical management of ruptured Achilles tendon.

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Section: Discussionsupporting

confidence: 86%

Outcome of surgical management of ruptured Achilles tendon

Acharya

Devkota

Shrestha

et al. 2018

J Patan Acad Health Sci

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“…Longo et al also confirmed excellent biomechanical performance and stability with an Achillon–like suture configuration [21]. Garrido et al and Feldbrin et al reported highly satisfactory clinical results with the Achillon® device [10, 23]. In the present study, the Achillon® suture guide provided excellent results; it facilitated tendon healing and avoided surgical complications.…”

Section: Discussionsupporting

confidence: 75%

“…Post-treatment sport activity measurements incorporated both function and physical activity as a secondary outcome [24]. In other studies that assessed minimally invasive Achilles tendon surgery, a majority of patients returned to the pre-injury activity level [10, 23]. For example, Guillo et al and Talbot et al reported that 80 % and 74 % of patients, respectively, had returned to pre-operative activity levels [17, 26].…”

Section: Discussionmentioning

confidence: 99%

“…After an average of ten years follow-up, Horstmann et al found significant functional deficits in muscle strength, endurance, and muscle activity, measured with dynamometry and electromyography in patients treated surgically, followed by six weeks of immobilisation in a cast [5]. In recent studies, early range of motion and immediate weight bearing activities were strongly recommended for both surgical and nonoperative treatments [3, 10, 24, 26, 27]. A randomised, control trial performed by Twaddle et al supported early motion; in patients that received either surgical or nonsurgical treatment, they observed comparable functional results and a low recurrent rupture rate.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy and complications of open and minimally invasive surgery in acute Achilles tendon rupture: a prospective randomised clinical study—preliminary report

Kołodziej

Bohatyrewicz

Kromuszczyńska

et al. 2012

International Orthopaedics (SICOT)

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PurposeSurgical treatment of an acute Achilles tendon rupture can effectively reduce the risk of re-rupture, but it increases the probability of surgical complications. We postulated that a minimally invasive surgical treatment might reduce the number of complications related to open surgery and improve the functional results.MethodWe enrolled 47 patients with acute Achilles tendon ruptures in a prospective, randomised trial to compare clinical results and complications between a minimally invasive procedure with the Achillon® device and traditional open surgery with Krackow-type sutures. The average patient age was 46 years. The follow up time was 24 months.ResultsNo Achilles tendon re-rupture or nerve injury occurred in treated patients. There were two cases of wound infections in the open surgery group, and one superficial wound infection occurred in the minimally invasive group. The groups were not significantly different in the amount of pain, range of ankle movements, the single heel-rise test, calf circumference, or time to return to work and sports.ConclusionAfter a two year follow-up period, we found no significant differences in clinical outcomes between groups treated with traditional open surgery or minimally invasive surgery.

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“…In percutaneous techniques, although the risk of wound problems is lower, the risk of nerve injuries and repeat rupture is higher. However, the minimally invasive technique theoretically reduces the incidence of wound problems and the risk of repeat rupture (21)(22)(23). Guillo et al (24) conducted prospective studies of minimally invasive techniques.…”

Section: Discussionmentioning

confidence: 98%