Augmented Repair of Acute Achilles Tendon Rupture Using an Allograft Tendon Weaving Technique

Huang, Xiaowei; Huang, Gan; Ji, Ying; Ao, Rong guang; Yu, Baoqing; Zhu, Ya long

doi:10.1053/j.jfas.2014.12.029

Cited by 14 publications

(11 citation statements)

References 30 publications

(43 reference statements)

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“…After a 21-to 30-month follow-up period, no patient had experienced a rerupture or complication. Huang et al (13) also reported on the use of allografts to augment the repair of acute Achilles tendon rupture in 59 patients. Instead of an inlay or onlay augmentation, the allograft was woven around the native tendon.…”

Section: Discussionmentioning

confidence: 99%

“…These allografts have been decellularized and serve as a biocompatible scaffold that can be used for host revascularization and cellular growth (9). Only a few studies have reported on ADM augmentation for Achilles tendon repair (10)(11)(12)(13)). These studies have described favorable outcomes without any reruptures, even in difficult to heal neglected Achilles tendon ruptures.…”

mentioning

confidence: 99%

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Achilles Tendon Augmented Repair Using Human Acellular Dermal Matrix: A Case Series

Cole

Samsell

Moore

2018

The Journal of Foot and Ankle Surgery

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Achilles tendon ruptures are common in the general population, especially among members of the older demographic occasionally active in sports. Operative treatments provide a lower incidence of rerupture than do nonoperative treatments, although surgical complications remain a concern. The use of a human acellular dermal matrix to augment Achilles tendon repair might reduce the incidence of complications. In the present case series, we describe the outcomes of 9 patients who underwent Achilles tendon repair with acellular dermal matrix augmentation. Functional outcomes were evaluated using the Foot Function Index-Revised long form, and the clinical results were recorded. After a mean average follow-up period of 14.4 (range 12.0 to 20.0) months, the mean Foot Function Index-Revised long form score was 33.0% ± 4.2%. No cases of rerupture or complications that required additional treatment occurred during the observation period. The outcomes we have presented support further evaluation beyond this case series for using a human acellular dermal matrix to augment Achilles tendon repairs.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Achilles Tendon Augmented Repair Using Human Acellular Dermal Matrix: A Case Series

Cole

Samsell

Moore

2018

The Journal of Foot and Ankle Surgery

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“…Numerous techniques for the treatment of acute Achilles tendon ruptures have been published that include open, mini-open, and percutaneous repairs. 8 , 12 , 14 , 25 , 26 Repairs have historically been performed with an open, longitudinal lateral or midline incision approach and end-to-end suture repair or graft reconstruction of the tendon. 10 , 13 Because of the large incision required, these techniques carry a risk of complications including deep and superficial infection, sural nerve injury, impaired wound healing, and development of postoperative tendon adhesions.…”

Section: Discussionmentioning

confidence: 99%

A Percutaneous Knotless Technique for Acute Achilles Tendon Ruptures

Liechti

Moatshe

Backus³

et al. 2018

Arthroscopy Techniques

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Achilles tendon ruptures are a common tendon injury, usually occurring in middle-aged men during recreational sporting activities. Both nonoperative and operative management are employed to treat these injuries. Several operative treatments are described in the literature, including percutaneous Achilles repair, mini-open repair, and open repair. Open Achilles repair is associated with higher rates of impaired wound healing and infection, whereas minimally invasive techniques have been reported to have an increased risk of iatrogenic sural nerve injury. More recently, low complication rates, improved cosmetic appearance, reduced operating times, and improved clinical outcomes have been reported for the percutaneous Achilles repair technique. In this Technical Note, we present our preferred technique using the Percutaneous Achilles Repair System (Arthrex, Naples, FL), which has been reported to have minimal wound and nerve complications, and early return to activity.

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“…Allogeneic tendon grafts have been used since 1967 and their efficacy has been proven, 3 but their application has not become widespread because of concerns regarding immunogenicity and other issues. With the development of modern medicine, allograft tendons have been widely used in cruciate ligament injuries, 4 acromioclavicular ligament injuries, 5 Achilles tendon injuries, 6 hand trauma, 7 , 8 and other injuries. However, few studies have focused on the efficacy and safety of allogeneic tendon grafts in severe hand injuries.…”

Section: Introductionmentioning

confidence: 99%

Functional reconstruction of severe hand injuries using allogeneic tendons: a retrospective study

et al. 2020

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Objective To evaluate the effectiveness and safety of allogeneic tendons for functional reconstruction of severe hand injuries. Methods From August 2007 to July 2014, we performed functional reconstruction with tendon allografts for severe hand injuries affecting two or more tendons. At the final follow-up, we assessed total active motion (TAM); pincer pinch strength; grip strength; Disabilities of the Arm, Shoulder, and Hand (DASH) score; degree of satisfaction; and adhesion. We measured the white blood cell count, C-reactive protein concentration, erythrocyte sedimentation rate, total T-cell count, and CD4+T/CD8+T ratio to evaluate the immune response and check for infection. Results Ten patients received 26 allogeneic tendons to reconstruct hand function. The average follow-up period was 50.0 months (range, 24–82 months). The TAM was 126.4° (12°–253°), pincer pinch strength was 0.83 kg (0–4.5 kg), and grip strength was 13.69 kg (4–41.5 kg). The DASH score was 14.25 (3.3–30.8), and seven and three patients were satisfied and partially satisfied, respectively. One patient developed tendon adhesion. All immune and infectious parameters were within the reference range. Conclusion Functional reconstruction using allogeneic tendons for severe hand injuries with multiple tendon defects was effective and safe; however, more research is needed.

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Augmented Repair of Acute Achilles Tendon Rupture Using an Allograft Tendon Weaving Technique

Cited by 14 publications

References 30 publications

Achilles Tendon Augmented Repair Using Human Acellular Dermal Matrix: A Case Series

Achilles Tendon Augmented Repair Using Human Acellular Dermal Matrix: A Case Series

A Percutaneous Knotless Technique for Acute Achilles Tendon Ruptures

Functional reconstruction of severe hand injuries using allogeneic tendons: a retrospective study

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