Mini- open Minimally Invasive Achilles Tendon Repair

2016 ◽  
pp. 1-9
Author(s):  
Serdar Yuksel ◽  
Mark E. Easley
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Repair ◽  
Achilles Tendon Repair ◽  
Mini Open

scholarly journals Transverse versus longitudinal incision for minimally invasive Achilles tendon repair

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0016
Author(s):  
Daniel Bohl ◽  
Eric Barnard ◽  
Kamran Movassaghi ◽  
Kamran Hamid ◽  
Adam Schiff
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Suture Material ◽  
Tendon Repair ◽  
Wound Complications ◽  
Transverse Incision ◽  
Longitudinal Incision ◽  
Achilles Tendon Repair ◽  
Deep Suture ◽  
No Tourniquet

Category: Sports Introduction/Purpose: The rate of wound complications following traditional open Achilles tendon repair is reported at 7-8%. In an effort to reduce the rate of wound complications, orthopaedic surgeons have adopted novel minimally invasive techniques. The purpose of this study is to characterize the rate of wound and other early complications following a minimally invasive Achilles tendon repair, to identify any factors associated with increased risk. Methods: The postoperative courses of 55 patients who underwent minimally invasive Achilles tendon repair by two surgeons at separate academic medical centers were retrospectively reviewed. Repair technique was similar in all cases, making use of the same commercially available suture-guidance jig, silicone-impregnated deep suture material, and locking stitch technique. However, 31 procedures used a longitudinal incision and a tourniquet (one surgeon’s preference), while 24 procedures used a transverse incision and no tourniquet (the second surgeon’s preference). Of the 24 procedures using transverse incisions, 2 had to be converted to L-shaped incisions to achieve better access to the tendon. The rates of early complications within 3 months after surgery were characterized and compared between patients with differing procedural characteristics. Results: Of the 55 patients included in the study, 2 (3.6%) developed wound complications. Both wound complications appeared to be reactions to the deep suture material (see Table 1 for details). There was no statistical difference in the rate of wound complications between patients in the longitudinal incision/tourniquet group and patients in the transverse incision/no tourniquet group (6.5% versus 0.0%; p=0.499). Three patients (5.5%) developed sural neuropraxia, which manifested as mild-to-moderate subjective numbness with sensation remaining intact to light touch. There were no cases of re-rupture. At 3-month follow-up, all 55 patients had intact Thompson tests and well-healed wounds. Conclusion: The rate of wound complications following minimally invasive Achilles repair is low at 3.6%. The present study could not demonstrate a difference in risk for wound complications between patients treated with a longitudinal incision and tourniquet and patients treated with a transverse incision and no tourniquet. The wound complications we observed were primarily attributable to inflammatory reactions to the silicone-impregnated deep suture material. Patients should be counseled that although risk for wound complications may be lower with minimally invasive techniques, such techniques do risk sural neuropraxia and deep suture reaction. Further prospective analysis is warranted.

scholarly journals The Clinical Outcomes After a Novel Mini-Open Achilles Tendon Repair

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0009
Author(s):  
Craig C. Akoh ◽  
Amanda N. Fletcher ◽  
Selene G. Parekh ◽  
Akhil Sharma
Keyword(s):  
Achilles Tendon ◽  
Clinical Outcomes ◽  
Tendon Repair ◽  
Postoperative Outcomes ◽  
Categorical Variables ◽  
Foot And Ankle ◽  
Achilles Tendon Repair ◽  
Tendon Ruptures ◽  
The Mean ◽  
Mini Open

Category: Sports; Other Introduction/Purpose: Achilles tendon ruptures are a common sporting injury, mostly occurring in men over the age of 40. Operative repair of Achilles tendon can lead to earlier return to activity and improved function in the active population. Mini-open repairs have recently been described for effective treatment of Achilles tendon ruptures. We aim to describe our unique mini- open Achilles tendon repair technique and to report our clinical outcomes. Methods: We retrospectively reviewed charts of patients from January 2010 and July 2019 who underwent a 3cm mini-open Achilles tendon repairs, without additional targeting devices, for closed acute Achilles tendon ruptures. Patients were followed up for a minimum of one year. We recorded pre- and postoperative Foot and Ankle Disability Index (FADI), visual analog scale (VAS), and the Foot and Ankle Outcome Score (FAOS) scores. Subgroup analysis were performed for acute repairs (< 2 weeks) and subacute (2-6 weeks). Two-sided student’s t-test to compare preoperative and postoperative outcomes for continuous variables. Chi-square analyses were used to determine the strength of correlation between categorical variables. A p-value of < .05 was considered significant for all statistical analyses. Results: A total of 33 patients met the inclusion criteria and are included in this study. The mean age of our cohort was 43.8 years old (range 22-78) and 78.8% of patients were male. The mean length of follow-up was 4.4 years (range 1.0-9.8 years). The mean time from injury to surgery was 15.6 days (1-45 days). Patients reported a mean return to their previous level of activity at a mean of 5.6 months (range 1.7-22.1). The mean pre- and postoperative outcomes scores improved significantly for both the acute and subacute repair groups (p < 0.05). There were no significant differences for postoperative outcomes scores between the acute and subacute Achilles repair groups (p > 0.05). There were no reported complications in our patient cohort. Conclusion: Patients showed improvements in postoperative patient-reported outcome scores with minimal complications. There were no significant difference in outcomes for acute versus subacute repairs. Our mini-open Achilles tendon repair, which required no additional targeting instrumentation, has shown favorable mid-term results.

The use of ultrasonography during minimally invasive Achilles tendon repair to avoid sural nerve injury

2019 ◽  
Vol 46 (4) ◽  
pp. 513-514 ◽  
Author(s):  
Joverienne Chavez ◽  
Soichi Hattori ◽  
Yuki Kato ◽  
Shuzo Takazawa ◽  
Shin Yamada ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Nerve Injury ◽  
Sural Nerve ◽  
Tendon Repair ◽  
Achilles Tendon Repair

Percutaneous and Minimally Invasive Techniques of Achilles Tendon Repair

2007 ◽  
Vol 458 ◽  
pp. 188-193 ◽  
Author(s):  
Francesco Ceccarelli ◽  
Lisa Berti ◽  
Laura Giuriati ◽  
Matteo Romagnoli ◽  
Sandro Giannini
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Repair ◽  
Minimally Invasive Techniques ◽  
Achilles Tendon Repair ◽  
Invasive Techniques

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

2017 ◽  
Vol 25 (3) ◽  
pp. 230949901773948
Author(s):  
Sinan Obut ◽  
Alper Gultekin ◽  
Meric Unal ◽  
Ulaş Serarslan ◽  
Ümit Tuhanioğlu
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Repair ◽  
Achilles Tendon Repair

Open minimally invasive Achilles tendon repair with early rehabilitation: Functional results of 25 consecutive patients

Injury ◽  
2009 ◽  
Vol 40 (6) ◽  
pp. 669-672 ◽  
Author(s):  
Ufuk Ozkaya ◽  
Atilla Sancar Parmaksizoglu ◽  
Yavuz Kabukcuoglu ◽  
Sami Sokucu ◽  
Seckin Basilgan
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Repair ◽  
Functional Results ◽  
Early Rehabilitation ◽  
Achilles Tendon Repair

scholarly journals Clinical Outcomes and Complications With Open vs Minimally Invasive Achilles Tendon Repair

2021 ◽  
Vol 6 (4) ◽  
pp. 247301142110600
Author(s):  
Kristin C. Caolo ◽  
Stephanie K. Eble ◽  
Carson Rider ◽  
Andrew J. Elliott ◽  
Constantine A. Demetracopoulos ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Nerve Injury ◽  
Sural Nerve ◽  
Tendon Repair ◽  
Suture Repair ◽  
Complication Rates ◽  
Achilles Tendon Repair ◽  
Patient Reported ◽  
Acute Rupture

Background: There is no current consensus on whether to use an open or minimally invasive (MIS) approach for Achilles tendon repair after acute rupture. We hypothesized that patients in both open and MIS groups would have improved patient-reported outcome scores using the PROMIS system postoperatively, but that there would be minimal differences in these scores and complication rates between operative techniques. Methods: A total of 185 patients who underwent surgery for an acute, unilateral Achilles tendon rupture between January 2016 and June 2019, with minimum 1-year follow-up were included in the cohort studied. The minimally invasive group was defined by use of a commercially available minimally invasive device through a smaller surgical incision (n=118). The open repair group did not use the device, and suture repair was performed through larger surgical incisions (n=67). Postoperative protocols were similar between groups. Preoperative and postoperative PROMIS scores were collected prospectively through our institution’s registry. Demographics and complications were recorded. Results: PROMIS scores overall improved in both study groups after operative repair. No significant differences in postoperative PROMIS scores were observed between the open and MIS repair groups. There were also no significant differences in complication rates between groups. Overall, 19.5% of patients in the MIS group had at least 1 postoperative complication (8.5% deep vein thrombosis [DVT], 3.3% rerupture, 1.7% sural nerve injury, 2.5% infection), compared to 16.4% in the open group (9.0% DVT, 1.5% rerupture, 1.5% sural nerve injury, 0% infection). Conclusion: Patients undergoing either minimally invasive or open Achilles tendon repair after acute rupture have similar PROMIS outcomes and complication types and incidences. Level of Evidence: Level III, retrospective cohort study.

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