Percutaneous Repair Technique for Acute <scp>A</scp>chilles Tendon Rupture with Assistance of <scp>K</scp>irschner Wire

He, Ze-yang; Chai, Ming-xiang; Liu, Yueju; Zhang, Xiao-ran; Zhang, Tao; Song, Lianxin; Ren, Zhigang; Wu, Xinfeng

doi:10.1111/os.12201

Cited by 7 publications

(8 citation statements)

References 14 publications

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“…They offered Kirschner wire leverage before suturing for effective recovery of tendon length. 19 Kocaoglu et al evaluated absorbable and non-absorbable sutures for Achilles tendon repair with a suture-guiding device and they found similar functional results with both suture types but less suture reaction with absorbable sutures. 20 Similar to the literature, our results showed that this technique provides patients an early return to work, improved AOFAS and Thermann scores, with minimal risk of complications.…”

Section: Aktas and Kocaoglu Compared Clinical And Functional Results mentioning

confidence: 99%

A simple suture-guiding device for minimally invasive Achilles tendon repair

Obut¹,

Gültekin²,

Unal

et al. 2017

J Orthop Surg (Hong Kong)

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For Achilles tendon ruptures, minimally invasive repair techniques have shown successful results with low complication rates. Besides their success, some suture-guiding devices bring extra costs for patients or health insurance. Minimally invasive techniques may be performed with devices without any extra cost. Our new suture-guiding device provides knot placement under paratenon like Achillon device to improve outcomes, provides early return to work and minimizes the complications. Finally, our suture-guiding device has no extra cost.

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Section: Aktas and Kocaoglu Compared Clinical And Functional Results mentioning

confidence: 99%

A simple suture-guiding device for minimally invasive Achilles tendon repair

Obut¹,

Gültekin²,

Unal

et al. 2017

J Orthop Surg (Hong Kong)

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“…Furthermore, it could introduce the possibility of earlier surgery, facilitating less invasive or percutaneous techniques that are associated with fewer soft tissue complications. 19…”

Section: Discussionmentioning

confidence: 99%

“…This will also aid maintenance of the existing performance for operating on those who require surgical management in a timely manner, as evidenced by the fact 80% of these patients underwent their procedure within two weeks of presentation in 2018, negating the need for more complex and expensive surgical procedures. Furthermore, it could introduce the possibility of earlier surgery, facilitating less invasive or percutaneous techniques that are associated with fewer soft tissue complications [19].…”

Section: P R O O Fmentioning

confidence: 99%

A retrospective audit of the timescales involved in the diagnosis and management of suspected Achilles tendon ruptures at a single National Health Service trust: A quality service improvement and redesign project

et al. 2021

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Introduction The Achilles tendon is the most frequently ruptured tendon. Prompt diagnosis of this injury ensures optimal management decisions are instituted early ensuring the best outcome and patient experience, at minimal cost to the United Kingdom National Health Service. Despite this, regional and national variations to diagnosis and management exist, with anecdotal evidence of inefficiencies in the local patient pathway. To explore this further, a retrospective departmental audit of timescales from presentation to ultrasound diagnosis and definitive treatment decision was undertaken. Methods All suspected Achilles tendon ruptures in 2018 were identified through electronic and written patient records, and information on timescales involved in the diagnosis and management of each compiled. Descriptive statistics were used to map each step of the pathway and timescales involved, with performance assessed against local departmental standards and the Swansea Morriston Achilles Rupture Treatment (SMART) protocol. Results In total, 119 patients were identified, of which 113 received an ultrasound examination. Local departmental standards were met in the majority of cases, with 78% (n = 88) diagnosed by ultrasound within one week of the request and 83% (n = 91) given a treatment decision within two weeks of presentation. However, this was suboptimal when compared with timeframes utilised for developing the SMART protocol, with only 7% (n = 8) scanned within 48 hours of presentation. Conclusions Key areas of the patient pathway were identified for quality service improvement and redesign, with multidisciplinary discussion resulting in the development of a revised patient pathway which expedites diagnosis and treatment for these injuries.

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“…Injuries of the sural nerve remain the most described complication in percutaneous approach 19,23,25,33 , having an incidence high up to 16.7% 13 . Since the rst description of percutaneous technique by Ma and Gri th 34 in 1977, many modi cations have been proposed thereafter 18,29,31,35,36,37,38,39 for better vision of pathology and to reduce possible complications. Some were focused to prevent sural nerve damage, for example exposing the nerve 35 , making posterior 18 or paramedial incisions 37 , and placing the knots at the medial aspect of the Achilles tendon 36 .…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes and Ultrasonic Evaluation of Percutaneous Achilles Tendon Repair

Liu

Chen

Liaw

et al. 2021

Preprint

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BackgroundAchilles tendon rupture remains one of the most common tendon injuries in adult population. At present, randomized studies have failed to demonstrate the optimal management of Achilles tendon rupture. Wound complications have been significantly minimized since the emergence of percutaneous repairs when compared to traditional open methods. However, some studies suggested a higher incidence of rerupture rates and iatrogenic sural nerve injuries. The goal of this study was to present the clinical outcomes and ultrasonic evaluation of percutaneous Achilles tendon repair.MethodsBetween August 2015 and May 2018, 36 patients with an acute Achilles tendon rupture, treated in percutaneous repair, were studied retrospectively. American Orthopedic Foot and Ankle Society (AOFAS) score and the 10-point visual analogue scale (VAS) for pain questionnaires were sent to assess the clinical and functional outcomes. Ultrasonic evaluation was recorded using Möller grading system as an objective measurement.ResultsThe 25 male and 11 female (mean age 47.03 years) were clinically followed-up for a minimum of 12 months (average 28.97 months). No wound complications or reruptures occurred. Four(11.1%) patients reported sural nerve hypoesthesia and one of them required additional treatment. The mean AOFAS and VAS score was 92.6 and 1.8 respectively at the 12th postoperative month. Ultrasonic evaluation was performed at the average follow-up of 18.3 months and the mean points were 1.8. All treated tendons were healthily recovered and all patients were able to return to previous work or activities.ConclusionPercutaneous Achilles tendon repair offers good clinical outcome and no apparent increased risk of reruptures. The risk of iatrogenic sural nerve injury, however, remains the most occurred complication. Ultrasound can be used to visualize and examine the repaired tendon, which demonstrated satisfying healing process.

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Percutaneous Repair Technique for Acute Achilles Tendon Rupture with Assistance of Kirschner Wire

Cited by 7 publications

References 14 publications

A simple suture-guiding device for minimally invasive Achilles tendon repair

A simple suture-guiding device for minimally invasive Achilles tendon repair

A retrospective audit of the timescales involved in the diagnosis and management of suspected Achilles tendon ruptures at a single National Health Service trust: A quality service improvement and redesign project

Clinical Outcomes and Ultrasonic Evaluation of Percutaneous Achilles Tendon Repair

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