| Percutaneous repair of the ruptured tendo Achillis. | |
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MedLine Citation:
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PMID: 10530854 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Percutaneous repair of the ruptured tendo Achillis has a low rate of failure and negligible complications with the wound, but the sural nerve may be damaged. We describe a new technique which minimises the risk of injury to this nerve. The repair is carried out using three midline stab incisions over the posterior aspect of the tendon. A No. 1 nylon suture on a 90 mm cutting needle approximates the tendon with two box stitches. The procedure can be carried out under local anaesthesia. We reviewed 27 patients who had a percutaneous repair at a median interval of 35 months after the injury. They returned to work at four weeks and to sport at 16. One developed a minor wound infection and another complex regional pain syndrome type II. There were no injuries to the sural nerve or late reruptures. This technique is simple to undertake and has a low rate of complications. |
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Authors:
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J M Webb; G C Bannister |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 81 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 1999 Sep |
Date Detail:
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Created Date: 1999-10-26 Completed Date: 1999-10-26 Revised Date: 2010-11-10 |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 877-80 Citation Subset: AIM; IM |
Affiliation:
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Southmead Hospital, Bristol, England. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Achilles Tendon
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injuries*,
surgery* Adolescent Adult Aged Anesthesia, General Anesthesia, Local Ankle Joint / physiopathology Athletic Injuries / surgery* Casts, Surgical Female Humans Male Middle Aged Range of Motion, Articular Rupture / surgery Skin / surgery Suture Techniques |
| Comments/Corrections | |
Comment In:
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J Bone Joint Surg Br. 2000 May;82(4):619
[PMID:
10855894
]
J Bone Joint Surg Br. 2000 Apr;82(3):461 [PMID: 10813190 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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