Document Detail


Is percutaneous repair better than open repair in acute Achilles tendon rupture?
MedLine Citation:
PMID:  21365335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Open repair of Achilles tendon rupture has been associated with higher levels of wound complications than those associated with percutaneous repair. However, some studies suggest there are higher rerupture rates and sural nerve injuries with percutaneous repair.
QUESTIONS/PURPOSES: We compared the two types of repairs in terms of (1) function (muscle strength, ankle ROM, calf and ankle perimeter, single heel rise tests, and work return), (2) cosmesis (length scar, cosmetic appearance), and (3) complications.
PATIENTS AND METHODS: We retrospectively reviewed 32 surgically treated patients with Achilles rupture: 17 with percutaneous repair and 15 with open repair. All patients followed a standardized rehabilitation protocol. The minimum followup was 6 months (mean, 18 months; range, 6-48 months).
RESULTS: We observed similar values of plantar flexor strength, ROM, calf and ankle perimeter, and single heel raising test between the groups. Mean time to return to work was longer for patients who had open versus percutaneous repair (5.6 months versus 2.8 months). Mean scar length was greater in the open repair group (9.5 cm versus 2.9 cm). Cosmetic appearance was better in the percutaneous group. Two wound complications and one rerupture were found in the open repair group. One case of deep venous thrombosis occurred in the percutaneous repair group. All complications occurred before 6 months after surgery. We identified no patients with nerve injury.
CONCLUSIONS: Percutaneous repair provides function similar to that achieved with open repair, with a better cosmetic appearance, a lower rate of wound complications, and no apparent increase in the risk of rerupture.
LEVEL OF EVIDENCE: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
Authors:
Hugo Henríquez; Roberto Muñoz; Giovanni Carcuro; Christian Bastías
Related Documents :
20186095 - Effects of orthopedic rapid maxillary expansion on internal nasal dimensions in childre...
25294735 - Enhanced early sensory outcome after nerve repair as a result of immediate post-operati...
21286745 - Clinical predictors of death in young and middle-aged patients with ischemic stroke or ...
21193495 - Discontinuation of long-term benzodiazepine use: 10-year follow-up.
23971855 - Minilaparotomy cholecystectomy with ultrasonic dissection versus conventional laparosco...
14670425 - Combined endoscopic erbium:yag laser goniopuncture and cataract surgery.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  470     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-06     Completed Date:  2012-05-16     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  998-1003     Citation Subset:  AIM; IM    
Affiliation:
Foot and Ankle Service, Instituto Traumatológico-University of Chile, Avenida San Martín 771, Santiago, Chile. hhenriquezs@yahoo.com.ar
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Achilles Tendon / injuries,  physiopathology,  surgery*
Adult
Female
Humans
Male
Middle Aged
Orthopedic Procedures / methods*
Range of Motion, Articular / physiology
Recovery of Function / physiology
Retrospective Studies
Rupture / physiopathology,  surgery*
Tendon Injuries / physiopathology,  surgery*
Treatment Outcome
Wound Healing / physiology
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Mass-spectrometric characterization of cisplatin binding sites on native and denatured ubiquitin.
Next Document:  Pelvic positioning creates error in CT acetabular measurements.