Minimally Invasive Achilles Tendon Repair
| Autor: | Mehmet Yucel, Mehmet Atıf Erol Aksekili, Onur Fakioglu, Nevres Hurriyet Aydogan, Mehmet Hakan Ozsoy, Bertan Cengiz, Arzu Ozsoy, Veysel Ercan Dincel |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Achilles tendon repair Achilles Tendon medicine Humans Minimally Invasive Surgical Procedures Orthopedic Procedures Orthopedics and Sports Medicine Postoperative Care Rupture Aofas score Achilles tendon business.industry Suture Techniques Ultrasound Middle Aged Tendon rupture Surgery medicine.anatomical_structure Invasive surgery Female Ankle business |
| Zdroj: | Foot & Ankle International. 34:1683-1688 |
| ISSN: | 1944-7876 1071-1007 |
| Popis: | Background: The purpose of the study was to present the results of a new minimally invasive operative method for Achilles tendon (AT) ruptures that could reduce nerve injuries and add no extra cost. Methods: Thirteen patients with acute AT ruptures who were treated with minimally invasive surgery and followed for a minimum of 12 months were included. At the latest follow-up, American Orthopaedic Foot & Ankle Society (AOFAS) score, calf diameters, ability to walk on tiptoe, and ultrasound examination were evaluated. The average age was 42.8 years (range, 31-62 years). Average follow up was 24.5 months (range, 12-34 months). Results: AOFAS score was 92.5 (range, 85-100). Average calf diameters on the operated and nonoperated extremities were 38.9 cm (range, 36-44 cm) and 38.9 cm (range, 36-41 cm), respectively. On ultrasound examination, the site of the rupture was found to be 46.2 mm proximal from the calcaneal insertion, and the operated side was found to be significantly thicker than the nonoperated side ( P = .008). There was 1 deep vein thrombosis, which recovered without sequelae. There were no wound problems, reruptures, or nerve injuries. Conclusions: This new minimally invasive operative method was successful, showing good functional results and low complication rates. In our experience, the use of 3 continuous polyester sutures was less irritable with 3 knots. Level of Evidence: Level IV, retrospective case series. |
| Databáze: | OpenAIRE |
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