Document Detail

Percutaneous versus open tendo achillis repair.
MedLine Citation:
PMID:  15132928     Owner:  NLM     Status:  MEDLINE    
A retrospective analysis was conducted comparing open and percutaneous repair of ruptured Achilles tendon, over a 14-year period. One hundred and eight patients were identified; 70 underwent traditional open repair and 38 had a modified Ma & Griffith repair. The mean operating time with percutaneous repair was 28.5 minutes compared to 45.9 in the open group (p = <.0001). Comparable results were obtained in a subjective analysis of range of movement, stiffness, and power in both groups at time of discharge from clinic. In the open group there were four cases of rerupture (5.7%), four deep infections (4.7%), two palpable suture knots (2.9%), and one sural nerve lesion (1.4%). Complications with percutaneous repair included one rerupture (2.6%), five palpable suture knots (13.2%), four transient sural nerve lesions (10.5%), and no wound infections. There was no statistical significance between the two groups. The authors advocate percutaneous repair, in experienced hands, as a suitable alternative to traditional open techniques.
Amyn Haji; Arun Sahai; Andrew Symes; J K Vyas
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Foot & ankle international     Volume:  25     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-05-10     Completed Date:  2004-06-28     Revised Date:  2014-08-27    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  215-8     Citation Subset:  IM    
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MeSH Terms
Achilles Tendon / injuries*,  surgery*
Acute Disease
Aged, 80 and over
Middle Aged
Orthopedics / methods*
Postoperative Complications
Retrospective Studies
Tendon Injuries / surgery

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

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