Outcome of a One-Stage Tensile Stress Surgical Technique and Early Postoperative Rehabilitation in the Treatment of Neglected Achilles Tendon Rupture

2015 ◽  
Vol 54 (2) ◽  
pp. 153-159 ◽  
Author(s):  
Ayinazi Badalihan ◽  
Amina Aihemaiti ◽  
Nuerai Shawutali ◽  
Jiasharete Jielile ◽  
Ayidaer Jialihasi ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Tensile Stress ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Postoperative Rehabilitation ◽  
One Stage ◽  
Neglected Achilles Tendon Rupture

scholarly journals Minimally invasive repair of ruptured Achilles tendon

2015 ◽  
Vol 62 (1) ◽  
pp. 85-88
Author(s):  
Nikola Bulatovic ◽  
Miroslav Kezunovic ◽  
Zarko Dasic ◽  
Nikola Fatic
Keyword(s):  
Surgical Technique ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Functional Results ◽  
Recreational Athletes ◽  
Acute Injuries ◽  
Clinical Center ◽  
Immobility Time ◽  
Heel Bone

INTRODUCTION: Achilles tendon rupture usually occurs in recreational athletes of middle age 30-50godina and typical place of the rupture of 3-5 cm above the insertion of the heel bone. Most common in recreational athletes. OBJECTIVE: To view the surgical technique suture the tendon with a guide ?Achillon? the functional outcome of acute injuries. MATERIAL AND METHODS: retrospective analysis included a total of 20 patients treated at the Clinic of Orthopedics and Traumatology, Clinical Center of Montenegro in Podgorica in the 2009-14. They were monitored for 12 months. Diagnosis is based on history, clinical examination Thompson?s Simmond O?Brien test, ECHO and NMR. RESULTS: The average age was 38.8 ?2.79 years 21-52 years. Right in 14 respondents 70%, the left side in 6 30%. There were no complications as: infection, thrombosis, rerupture and embolism. Functional results tables we have shown through specific scores. CONCLUSION: It can be concluded that this procedure provides a simple and quick surgical technique, a small percentage of complications, shorter immobility time and good functional results.

scholarly journals Percutaneous and Minimally Invasive Surgical Technique for Achilles Tendon Repair

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0025
Author(s):  
Tyler Hoskins ◽  
David Goyette ◽  
Jay Patel ◽  
Christopher Mazzei ◽  
Arianna L. Gianakos ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Achilles Tendon ◽  
Functional Outcome ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
P Value ◽  
Invasive Approach ◽  
Minimally Invasive Surgical ◽  
Iatrogenic Nerve Injury

Category: Ankle; Sports; Trauma Introduction/Purpose: Achilles tendon rupture is a traumatic injury that can cause considerable morbidity and reduced function. The optimal treatment method for this injury remains controversial. Non-operative intervention puts patients at higher risk of re-rupture whereas surgical intervention has risks of infection and iatrogenic nerve injury. Recently, surgeons have established a less invasive surgical approach to repairing the achilles tendon. The ‘Percutaneous or Mini-Invasive’ technique was adopted in order to reduce infection rates and wound breakdown. However, due to the scarce amount of literature reported, the efficacy of this procedure still remains under scrutiny. The goal of this study was to examine the functional outcomes of patients treated at our facility for a ruptured achilles tendon using the percutaneous and minimally invasive surgical technique. Methods: From 2014 to 2020 eighty-one patients underwent a percutaneous or mini invasive surgery at our facility for the treatment of a ruptured achilles tendon. Functional outcome scores were assessed using the American Orthopaedic Foot & Ankle scoring system (AOFAS) and the Achilles Tendon Rupture Score (ATRS). Outcomes, complications, and any reoperations were recorded through retrospective chart review, direct patient examination, and phone calls to patients and their families. A statistical analysis was performed using Fischer’s Exact Test. Results were deemed statistically significant if the calculated p-value was less than 0.05. Results: The mean follow up for our patient cohort was 36.40 months (range, 6 to 71). The average age was 41.46 years (range, 17- 65). Mean pre-op AOFAS and ATRS were 45.60 and 47.18 respectively, compared to 90.29 and 87.97 after surgery (p-value <0.05). There were two significant complications reported post-operatively. One patient re-ruptured their Achilles tendon four months post-operatively. This patient was successfully treated with a mini invasive approach and reconstruction of the tendon. A second patient developed a superficial infection ten months post-operatively. This patient successfully underwent irrigation and debridement of the wound. Conclusion: The pre-op and post-op AOFAS and ATRS scores were deemed statistically significant. A percutaneous and mini invasive approach to repair a ruptured achilles tendon, although new, offers promising functional outcome results and remains a viable treatment option to decrease the incidence rate of post-operative infection and iatrogenic nerve injury. However, a prospective randomized controlled trial comparing the efficacy of this procedure to other surgical methods would be necessary to further evaluate and validate our findings.

scholarly journals A Biomechanical Comparison of Limited Open Versus Krackow Repair for Achilles Tendon Rupture

2017 ◽  
Vol 2 (4) ◽  
pp. 247301141771543 ◽  
Author(s):  
Robert G. Dekker ◽  
Charles Qin ◽  
Cort Lawton ◽  
Muturi G. Muriuki ◽  
Robert M. Havey ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Tendon Repair ◽  
Lower Limbs ◽  
Gap Formation ◽  
Postoperative Rehabilitation ◽  
Significant Difference ◽  
Load To Failure

Background: Soft tissue complications after Achilles tendon repair has led to increased interest in less invasive techniques. Various limited open techniques have gained popularity as an alternative to open operative repair. The purpose of this study was to biomechanically compare an open Krackow and limited open repair for Achilles tendon rupture. We hypothesized that there would be no statistical difference in load to failure, work to failure, and initial linear stiffness. Methods: A simulated Achilles tendon rupture was created 4 cm proximal to its insertion in 18 fresh-frozen cadaveric below-knee lower limbs. Specimens were randomized to open or limited open PARS Achilles Jig System repair. Repairs were loaded to failure at a rate of 25.4 mm/s to reflect loading during normal ankle range of motion. Load to failure, work to failure, and initial linear stiffness were compared between the 2 repair types. Results: The average load to failure (353.8 ± 88.8 N vs 313.3 ± 99.9 N; P = .38) and work to failure (6.4 ± 2.3 J vs 6.3 ± 3.5 J; P = .904) were not statistically different for Krackow and PARS repair, respectively. Mean initial linear stiffness of the Krackow repair (17.8 ± 5.4 N/mm) was significantly greater than PARS repair (11.8 ± 2.5 N/mm) ( P = .011). Conclusion: No significant difference in repair strength was seen, but higher initial linear stiffness for Krackow repair suggests superior resistance to gap formation, which may occur during postoperative rehabilitation. With equal repair strength, but less soft tissue devitalization, the PARS may be a favorable option for patients with risk factors for soft tissue complications.

Results of Accelerated Postoperative Rehabilitation Using Novel “Suture Frame” Repair of Achilles Tendon Rupture

2012 ◽  
Vol 51 (2) ◽  
pp. 147-151 ◽  
Author(s):  
Joseph C. Talbot ◽  
Gary T. Williams ◽  
Quamar Bismil ◽  
David L. Shaw ◽  
Ernest Schilders
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Postoperative Rehabilitation

Research on the Examination Value of High-Frequency Ultrasound in the Postoperative Rehabilitation Treatment of Sports Injury Achilles Tendon Rupture

2020 ◽  
Vol 10 (4) ◽  
pp. 918-922
Author(s):  
Hai Wang ◽  
Ningning Liu
Keyword(s):  
Achilles Tendon ◽  
Real Time ◽  
Ultrasound Imaging ◽  
High Frequency ◽  
Tendon Rupture ◽  
Elasticity Modulus ◽  
Achilles Tendon Rupture ◽  
High Frequency Ultrasound ◽  
Postoperative Rehabilitation ◽  
Frequency Ultrasound

The objective of the paper is to explore the examination value of high-frequency ultrasonography in the postoperative rehabilitation treatment of Achilles tendon injury occurred during sports events. The high-frequency ultrasound imaging technique was applied to examine the Achilles tendon injuries of patients. After the patients accepted Achilles tendon rupture repair surgeries, ultrasound imaging was applied to detect the rehabilitation conditions during the recovery processes. The diagnosis was mainly performed through the Achilles tendon sonograms examined 4 weeks, 6 weeks, 12 weeks, 24 weeks after the surgeries respectively; in addition, the changes in the American Orthopedic Foot and Ankle Score (AOFAS) and the elasticity modulus of repaired Achilles tendons were observed 8 weeks, 12 weeks, 24 weeks, and 48 weeks after the surgeries respectively. The results showed that the Achilles tendon was significantly improved after the postoperative rehabilitation, and the average AOFAS score was positively correlated with the elasticity modulus of the repaired Achilles tendon. In addition, the research results also indicated that the high-frequency ultrasound technology could accurately observe the thickness, area, and internal echo of the Achilles tendons of patients dynamically in real-time, which was convenient and quick. After the patient had undergone rehabilitation training, high-frequency ultrasound could be used to detect the postoperative rehabilitation conditions of patients, thereby the real-time rehabilitation conditions of the patients would be obtained.

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