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 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.

Minimally Invasive Achilles Tendon Repair Using the Achillon Repair System

2006 ◽  
Vol 5 (3) ◽  
pp. 171-174 ◽  
Author(s):  
Andrew J. Elliott ◽  
John G. Kennedy ◽  
Martin O'Malley
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Repair ◽  
Repair System ◽  
Achilles Tendon Repair

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

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.

An Uncomplicated Method for Minimally Invasive Achilles Tendon Repair

2010 ◽  
Vol 49 (2) ◽  
pp. 208-211 ◽  
Author(s):  
William Y.H. Ngai ◽  
Samson C.F. Chan
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Repair ◽  
Achilles Tendon Repair

Minimally Invasive Achilles Tendon Repair

2016 ◽  
pp. 1015-1024
Author(s):  
Emilio Wagner ◽  
Pablo Wagner ◽  
Andres Keller ◽  
Diego Zanolli ◽  
Cristian Ortiz
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Repair ◽  
Achilles Tendon Repair
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