Mini-open repair for acute Achilles tendon rupture using the ring forceps technique | ||||
| The Egyptian Orthopaedic Journal | ||||
| Volume 53, Issue 4, October 2018, Page 285-291 PDF (3.98 MB) | ||||
| DOI: 10.4103/eoj.eoj_62_18 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Hatem S.A. Elgohary; Mhmod A. Elghafar | ||||
| Abstract | ||||
| Background Treatment of acute closed rupture of the tendo-Achilles is a challenge for the orthopedic surgeons. The aim of this study was to assess the results of repairing the tendo-Achilles using the ring forceps technique through a mini-open approach. Patients and methods A total of 21 adult patients with a closed rupture of the Achilles tendon were managed in Mansoura Emergency Hospital in the period between February 2009 and January 2013 with a mini-open technique using the ring forceps. Seventeen patients were males and only four females, and the mean age was 31 years, with a range 20–48 years. Rupture was diagnosed on the basis of a clinical examination, palpation of the defect, and a positive Thompson test result. Patient assessment at follow-ups was done using the American Orthopedic Foot and Ankle Society scoring system. Results Patients were followed up for a mean duration of 1.8 years (range, 1–3 years). All patients returned to their full preinjury level of activity. The mean American Orthopedic Foot and Ankle Society score was 100 (range, 100–100). No patient developed reruptures, sural nerve injury, wound infection, or deep venous thrombosis. Conclusion The management of acute closed rupture of the Achilles tendon with a mini-open technique using the ring forceps is an excellent way of management without skin complications or hazard on the sural nerve and with excellent functional results. | ||||
| Keywords | ||||
| mini-open repair; ring forceps; tendo-Achilles; Thompson test | ||||
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