“…), and sonographic findings (7.5-MHz linear sound head). 1,4,7,8,13,17,22,36,39 In all 66 cases, intraoperative findings confirmed the clinical diagnosis of a complete fresh Achilles tendon rupture.…”
Section: Diagnosissupporting
confidence: 55%
“…29,34 Although its treatment remains controversial, opinion is leaning toward an operative approach. 4,8,11,17,22,30,31,36,39 Postoperative complications, however, range from 11% to 29%. 15,20,21,36 This reduces surgical enthusiasm considerably.…”
Section: Introductionmentioning
confidence: 99%
“…4,8,11,17,22,30,31,36,39 Postoperative complications, however, range from 11% to 29%. 15,20,21,36 This reduces surgical enthusiasm considerably. The trend toward ''minimally invasive'' procedures seems to be justified and a number of publications document the advantages compared with standard operations and nonoperative treatment.…”
Various studies have shown that the operative treatment of a freshly ruptured Achilles tendon is generally considered to be more appropriate than a nonoperative regimen. However, complications in open reconstructions are reported to occur in 11-29%. The method used in this study reduced the risk of complications arising from operation, but simultaneously allowed early postoperative mobilization and functional treatment. It was a percutaneous repair of the Achilles tendon, using two Lengemann extension wires for coadaptation of the ruptured tendon. To fix the rupture site, the authors used a fibrin sealant. The spikes of the wire were hooked in at the fascia of the soleus muscle. Via a big, curved needle, the wire was placed in the distal stumps of the ruptured tendon and guided out laterally and medially above the calcaneus. After blocking the wires distally, the fibrin sealant was applied at the rupture site. The current report describes this method of treatment in 66 patients. The postoperative observation period was 1 year. Sixty-four patients were male and two were female. Their average age was 42 years. The Achilles tendon ruptures occurred during sporting activities and were treated by operation within 22 hours on average. The outcome was very good in 98%. One patient (2%) suffered a rerupture due to trauma. There were no other complications.
“…), and sonographic findings (7.5-MHz linear sound head). 1,4,7,8,13,17,22,36,39 In all 66 cases, intraoperative findings confirmed the clinical diagnosis of a complete fresh Achilles tendon rupture.…”
Section: Diagnosissupporting
confidence: 55%
“…29,34 Although its treatment remains controversial, opinion is leaning toward an operative approach. 4,8,11,17,22,30,31,36,39 Postoperative complications, however, range from 11% to 29%. 15,20,21,36 This reduces surgical enthusiasm considerably.…”
Section: Introductionmentioning
confidence: 99%
“…4,8,11,17,22,30,31,36,39 Postoperative complications, however, range from 11% to 29%. 15,20,21,36 This reduces surgical enthusiasm considerably. The trend toward ''minimally invasive'' procedures seems to be justified and a number of publications document the advantages compared with standard operations and nonoperative treatment.…”
Various studies have shown that the operative treatment of a freshly ruptured Achilles tendon is generally considered to be more appropriate than a nonoperative regimen. However, complications in open reconstructions are reported to occur in 11-29%. The method used in this study reduced the risk of complications arising from operation, but simultaneously allowed early postoperative mobilization and functional treatment. It was a percutaneous repair of the Achilles tendon, using two Lengemann extension wires for coadaptation of the ruptured tendon. To fix the rupture site, the authors used a fibrin sealant. The spikes of the wire were hooked in at the fascia of the soleus muscle. Via a big, curved needle, the wire was placed in the distal stumps of the ruptured tendon and guided out laterally and medially above the calcaneus. After blocking the wires distally, the fibrin sealant was applied at the rupture site. The current report describes this method of treatment in 66 patients. The postoperative observation period was 1 year. Sixty-four patients were male and two were female. Their average age was 42 years. The Achilles tendon ruptures occurred during sporting activities and were treated by operation within 22 hours on average. The outcome was very good in 98%. One patient (2%) suffered a rerupture due to trauma. There were no other complications.
“…Microscopical examination shows the system of vessels within and outside the tendon. The external system, which can be regarded as equivalent to the paratenon, can be divided into a superficial and deep plexus [1,14,16]. The blood supply to the tendon varies and is sparse in the middle part [5,16].…”
We have used a new technique of epoxy resin injection to examine the blood supply of the Achilles tendon. The posterior distal part showed poor vascularisation, as did the middle part of the tendon. Ruptures occur in the middle part, but only rarely in the distal part. We therefore suggest that there is no direct relationship between blood supply and the frequency of rupture.
“…Given the chondroprotective properties of the meniscus, meniscal preservation and repair are attempted when possible 2,3 . Several meniscal repair techniques, including open, outside-in, inside-out, and all-inside, have been described 4,5 .…”
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