A safe percutaneous repair of Achilles tendon rupture
Zayed, E., Akar, A., Abd-El-Ghafar, T. (2017). A safe percutaneous repair of Achilles tendon rupture. EKB Journal Management System, 52(3), 215-220. doi: 10.4103/eoj.eoj_61_17
Emad Zayed; Ahmed Akar; Tarek Abd-El-Ghafar. "A safe percutaneous repair of Achilles tendon rupture". EKB Journal Management System, 52, 3, 2017, 215-220. doi: 10.4103/eoj.eoj_61_17
Zayed, E., Akar, A., Abd-El-Ghafar, T. (2017). 'A safe percutaneous repair of Achilles tendon rupture', EKB Journal Management System, 52(3), pp. 215-220. doi: 10.4103/eoj.eoj_61_17
Zayed, E., Akar, A., Abd-El-Ghafar, T. A safe percutaneous repair of Achilles tendon rupture. EKB Journal Management System, 2017; 52(3): 215-220. doi: 10.4103/eoj.eoj_61_17

A safe percutaneous repair of Achilles tendon rupture

The Egyptian Orthopaedic Journal
Volume 52, Issue 3, July 2017, Page 215-220  XML PDF (5.43 MB)
DOI: 10.4103/eoj.eoj_61_17
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Authors
Emad Zayed; Ahmed Akar; Tarek Abd-El-Ghafar
Abstract
Background
Although percutaneous repair of Achilles tendon rupture avoids possible complications of open repair as well as conservative treatment, sural nerve injury and re-rupture are the potential complications of percutaneous technique. Here, we describe a surgical technique to minimize the risk of sural nerve injury.
Patients and methods
This study included 22 patients with complete Achilles tendon rupture treated using the presented percutaneous technique within a mean of 8.5 days (2–28 days) of injury. There were 18 men and four women, with a mean age of 34.7 years (25–48 years). Clinical examination, ankle plain radiograph, and Achilles tendon MRI were done for all patients. All patients were followed up for a mean of 26 months (18–40 months).
Results
For 22 patients over the period of follow-up, the mean American Orthopedic Foot and Ankle Society Score was 92.81 (82–100). MRI showed satisfactory healing of the Achilles tendon in all patients at 3 months. All patients had a nearly full range of ankle movement recovery at the latest follow-up. The mean time interval from repair to return to work was 7.54 weeks. There was neither sural nerve injury nor re-rupture observed during the follow-up period.
Conclusion
The presented percutaneous technique is easy and safe, with a low rate of complications. This technique avoids the possible complications of conservative management and open surgery with neither re-rupture nor sural nerve injury, as the percutaneous sutures are not placed in the lateral half of the Achilles tendon proximal to rupture site.
Keywords
Keywords; Achilles tendon; acute rupture; Complications; percutaneous repair; sural nerve
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