Percutaneous versus Open Repair of the Ruptured Achilles Tendon
| Autor: | Andrej Cretnik, Vladimir Smrkolj, Miloš Kosanović |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Adolescent Physical Therapy Sports Therapy and Rehabilitation Sural nerve Achilles Tendon 03 medical and health sciences Postoperative Complications 0302 clinical medicine Tendon Injuries medicine Humans Orthopedics and Sports Medicine Local anesthesia Rachis Rupture 030222 orthopedics Achilles tendon business.industry Suture Techniques 030229 sport sciences Exercise Therapy Surgery Treatment Outcome medicine.anatomical_structure Patient Satisfaction Female Ankle Achilles tendon rupture medicine.symptom Complication business |
| Zdroj: | The American Journal of Sports Medicine. 33:1369-1379 |
| ISSN: | 1552-3365 0363-5465 |
| DOI: | 10.1177/0363546504271501 |
| Popis: | BackgroundControversy regarding the optimal treatment of the fresh total Achilles tendon rupture remains.PurposeTo compare the results of percutaneous and open Achilles tendon repair.Study DesignCohort study; Level of evidence, 2.MethodsThe results of 132 consecutive patients with acute complete Achilles tendon rupture who were operated on exclusively with modified percutaneous repair under local anesthesia from 1991 to 1997 and followed up for at least 2 years were compared to the results of 105 consecutive patients who were operated on exclusively with open repair under general or spinal anesthesia in the same period.ResultsThere were significantly fewer major complications in the group of percutaneous repairs in comparison with the group of open repairs (4.5% vs 12.4%; P = .03), particularly necrosis (0% vs 5.6%; P = .019), and a lower total number of complications (9.7% vs 21%; P = .013). There were slightly more reruptures (3.7% vs 2.8%; P = .680) and sural nerve disturbances (4.5% vs 2.8%; P = .487) in the group of percutaneous repairs, with no statistically significant difference. Functional assessment using the American Orthopaedic Foot and Ankle Society scale and the Holz score showed no statistically significant difference.ConclusionThe results of the study support the choice of (modified) percutaneous suturing under local anesthesia as the method that brings comparable functional results to open repair, with a significantly lower rate of complications. |
| Databáze: | OpenAIRE |
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