Percutaneous suturing of the ruptured Achilles tendon under local anesthesia
| Autor: | Miloš Kosanović, Andrej Cretnik, Vladimir Smrkolj |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Traumatology Sural nerve Achilles Tendon Postoperative Complications Tendon Injuries medicine Humans Orthopedics and Sports Medicine Local anesthesia Prospective Studies Aged Rupture Achilles tendon business.industry Suture Techniques Middle Aged medicine.disease Surgery Venous thrombosis medicine.anatomical_structure Anesthesia Acute Disease Orthopedic surgery Female Ankle business Anesthesia Local |
| Zdroj: | The Journal of Foot and Ankle Surgery. 43:72-81 |
| ISSN: | 1067-2516 |
| DOI: | 10.1053/j.jfas.2004.01.008 |
| Popis: | A prospective study of modified percutaneous Achilles tendon repair performed from 1991 to 1997 under local anesthesia with a minimum 2-year follow-up is presented. There were 134 procedures in 124 men and 8 women (mean age, 37 years) treated within 7 days after acute total rupture. Postoperative care consisted of wearing a cast or soft-cast immobilization for 6 weeks. The procedure was well tolerated in all patients. There was 1 (0.7%) complete and 4 (3%) partial reruptures. Six patients (4.5%) developed transient sural neuritis that spontaneously resolved in 3 to 10 months. One case of deep venous thrombosis was successfully treated. There were no cases of increased postoperative dorsiflexion, deep infection, or necrosis. Eighteen patients (14%) had a slightly decreased range of ankle motion; 129 (98%) patients, including all high-caliber athletes, resumed all their previous activities, 22 of them (17%) with some minor complaints. The mean American Orthopedic Foot and Ankle Society's ankle-hindfoot score was 96 points. The proposed method offers a reasonable treatment option for acute total Achilles tendon ruptures, with a low number of complications and a low risk of sural nerve injury. The rerupture rate and return to preinjury activities is comparable to open procedures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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