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13.08.2021 | Original Paper

Modified mini-incision “internal splinting” versus percutaneous repair technique of acute Achilles tendon rupture: five year retrospective case-controlled study

verfasst von: Xiang Jiang, Shenglong Qian, Cheng Chen, Helin Wu, Xiaosong Zhi, Dan Xu, Junhong Lian, Ximing Liu, Shijun Wei, Feng Xu

Erschienen in: International Orthopaedics | Ausgabe 12/2021

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Abstract

Purpose

Several kinds of minimally invasive surgical techniques are applied to acute Achilles tendon rupture. The risks of sural never injury and re-ruptures are still major issues. The purpose of this study was to compare the middle-term results of two different minimally invasive repair techniques for acute Achille tendon rupture.

Methods

Twenty-four cases underwent the modified mini-incision “internal splinting” repair technique in group A, and 29 cases underwent a percutaneous repair technique in group B and were evaluated. The intra-operative data, complications, the time of recovery, and the post-operative magnetic resonance imaging were analyzed. At the final follow-up, the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and Thermann score were evaluated.

Results

The mean follow-up time was 59.96 ± 4.16 months (range 48–67). At the final follow-up, the AOFAS score and Thermann score in both groups had similar feedback. No nerve injury, infection, or re-rupture was encountered in group A, except two cases with anchor irritation. One case with sural nerve injury and one with a re-rupture were recorded in group B, respectively. The final MRI showed thicker regeneration of the tendon in both groups.

Conclusions

The middle-term results indicated the modified mini-incision “internal splinting” technique for acute Achilles tendon rupture is similar to the percutaneous repair technique. A lower risk of sural nerve injury and re-rupture may be advantages.

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Titel: Modified mini-incision “internal splinting” versus percutaneous repair technique of acute Achilles tendon rupture: five year retrospective case-controlled study
verfasst von: Xiang Jiang
Shenglong Qian
Cheng Chen
Helin Wu
Xiaosong Zhi
Dan Xu
Junhong Lian
Ximing Liu
Shijun Wei
Feng Xu
Publikationsdatum: 13.08.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 12/2021
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-021-05185-0

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Modified mini-incision “internal splinting” versus percutaneous repair technique of acute Achilles tendon rupture: five year retrospective case-controlled study