achilles tendon repair, a modified technique
نویسندگان
چکیده
background: wound complications following open repair for acute achilles tendon ruptures (aatr) remain the subject of significant debate. the aim of this study is to investigate the effects of covering repaired aatr using well-nourished connective tissues (paratenon and deep fascia) to avoid complications after open repair. methods: in this case series study, open repair was performed for 32 active young patients with aatr. after the tendon was repaired, the deep fascia and paratenon was used to cover the achilles tendon. patients were followed for two years and any wound complication was recorded. during the last visit, the american orthopedic foot and ankle society (aofas) ankle-hind foot score was completed for all patients. calf circumference and ankle range of motion were measured and compared with the contralateral side. patients were asked about returning to previous sports activities and limitations with footwear. results: only, one patient developed deep wound infection (3%). none of the patients had any discomfort around the operation area, limitation with footwear, sural nerve injury, re-rupture, and skin adhesion. the aofas score averaged 92.5±6. two patients (7%) were unable to return to previous sports activities because of moderate pain in heavy physical exercises. the calf circumference and ankle rom were similar between healthy and operated sides. conclusion: the present study showed that fascial envelope for full covering of the repaired achilles tendon may help to prevent the occurrence of wound complications.
منابع مشابه
Achilles Tendon Repair, A Modified Technique
Background: Wound complications following open repair for acute Achilles tendon ruptures (AATR) remain the subject of significant debate. The aim of this study is to investigate the effects of covering repaired AATR using well-nourished connective tissues (paratenon and deep fascia) to avoid complications after open repair. Methods: In this case series study, open repair was performed for 3...
متن کاملAchilles tendon repair, a modified technique.
BACKGROUND Wound complications following open repair for acute Achilles tendon ruptures (AATR) remain the subject of significant debate. The aim of this study is to investigate the effects of covering repaired AATR using well-nourished connective tissues (paratenon and deep fascia) to avoid complications after open repair. METHODS In this case series study, open repair was performed for 32 ac...
متن کاملMinimally Invasive Repair of Acute Achilles Tendon Rupture Using Gift Box Technique
Background: This study aimed to introduce a modified technique for minimally invasive Achilles tendon (AT) rupture repairusing gift box sutures. The preliminary clinical and functional outcomes were investigated among a number of patients.Methods: In a consecutive case series study, 24 patients with acute AT rupture underwent modified minimally invasiveAT repair using two mini...
متن کاملComplication-free Achilles tendon repair.
Fifty-one patients with subcutaneous rupture of the tendo calcanei Achillis were consecutively operated on with simple end-to-end suture using Bunnell's technique. The operation was performed under local anaesthesia. All patients were seen at follow-up four months after the operation. The complication rate was low compared to the ones reported in the current literature. It is concluded that ope...
متن کاملAchilles Tendon Repair Under Local Anesthesia
Despite many different studies and metaanalyses, there is no universal agreement about the optimal management strategy of acute total Achilles tendon rupture. Most authors prefer open surgical repair as it contributes to a low incidence of re-rupture, ranging from 1,4% to 2,8% (Cetti et al., 1993; Inglis & Sculco, 1981; Lo et al., 1997; Maffulli, 1999; Thermann & Zwipp, 1989; Wills et al. 1986)...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
the archives of bone and joint surgeryجلد ۱، شماره ۲، صفحات ۸۶-۸۹
کلمات کلیدی
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023