Clinical Outcome of Achilles Tendon Rupture Repaired by a Modified Minimally Invasive Percutaneous Suturing.

IF 1.7 Q2 ORTHOPEDICS Orthopedic Research and Reviews Pub Date : 2025-01-14 eCollection Date: 2025-01-01 DOI:10.2147/ORR.S486218

Xiaoyang Qi, Danxia Zheng, Zhijie Lei, Jianglin Yu, Xusheng Qiu, Yixin Chen

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Abstract

Purpose: Minimally invasive percutaneous techniques offer a promising alternative to open surgical repair of the Achilles tendon. However, the possibilities of recurrent rupture and nerve complications remain. Hence, the present study was conducted to describe a modified repair technique for the Achilles tendon able to overcome these limitations.

Patients and methods: This retrospective study included 36 patients with acute closed Achilles tendon rupture treated at our institution between January 2020 and January 2022. All patients underwent surgery at our institution and were followed up for 12-25 months. Functional evaluation was based on the American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale and the Achilles tendon total rupture score (ATRS), along with local complications.

Results: None of the patients had sural nerve injury, infection or re-rupture at a minimum follow up of 12 months. At the final follow-up, the average AOFAS ankle-hindfoot score and ATRS were 95.5 and 90.0, respectively. The final magnetic resonance imaging showed continuity and thicker regeneration of the tendon.

Conclusion: The modified percutaneous repair of the Achilles tendon is an effective procedure which yields good functional outcome with few complications, and it could be widely promoted in clinical practice.

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改良微创经皮缝合修复跟腱断裂的临床效果。

目的：微创经皮技术提供了一个有希望的替代开放手术修复跟腱。然而，复发破裂和神经并发症的可能性仍然存在。因此，本研究旨在描述一种能够克服这些局限性的改良跟腱修复技术。患者和方法：本回顾性研究纳入了2020年1月至2022年1月在我院治疗的36例急性闭合性跟腱断裂患者。所有患者均在我院接受手术治疗，随访12-25个月。功能评估基于美国骨科足踝学会（AOFAS）踝关节-后足量表和跟腱总断裂评分（ATRS），以及局部并发症。结果：随访12个月，无一例患者出现腓肠神经损伤、感染或再破裂。最终随访时，AOFAS踝-后足平均评分为95.5，ATRS为90.0。最终的磁共振成像显示肌腱的连续性和较厚的再生。结论：改良经皮跟腱修复术是一种功能效果好、并发症少的有效方法，可在临床推广应用。

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来源期刊

Orthopedic Research and Reviews Medicine-Orthopedics and Sports Medicine

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.