JORR
Journal of Orthopedics Research and Rehabilitation

The Journal of Orthopedics Research and Rehabilitation welcomes scholarly papers in orthopaedic surgery, physical therapy and rehabilitation, physiotherapy, neurology and clinic anesthesiology and reanimation.

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Original Article
Percutaneous repair of achilles tendon ruptures: short-term results of 41 patients
Abstract
Aims: Despite the current popularity of surgical treatment of Achilles tendon ruptures, there is no clear consensus about which technique should be applied. The aim of this study is to evaluate the short- to mid-term results of acute Achilles tendon ruptures treated with the percutaneous method and to discuss these results in light of the literature.
Methods: In this study, 41 patients who were operated on percutaneously with the diagnosis of acute Achilles tendon rupture between 2016 and 2019, whose treatment was completed, and who had a follow-up period of at least 1 year were included. At the patients’ final follow-up visits, the range of motion of the ankle joint, time to return to work and sports, and complications were evaluated. For functional evaluations, the scoring system of the American Orthopaedic Foot & Ankle Society (AOFAS) for the ankle joint was used.
Results: The mean age of the patients was 29.3 (18-50) years and the mean follow-up duration was 23 (12-38) months. The mean dorsiflexion angle was 32.27° (20-45°) and the mean plantar flexion angle was 34.58° (20-45°). The time to return to work was 14.2 (8-21) weeks, while time to return to sports was 30.4 (17-49) weeks. The mean AOFAS score of the patients was 91.63 (74-100). The complications included infection in 2 (4.8%) patients, wound necrosis in 1 (2.4%) patient, re-rupture in 1 (2.4%) patient, and sural nerve neuropraxia in 1 (2.4%) patient.
Conclusion: The findings of this study suggest that percutaneous repair is an effective method in the treatment of acute Achilles tendon ruptures, like other surgical methods that offer good functional results with low complication rates.

Keywords : Achilles tendon, tendon rupture, percutaneous repair

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1. Weinfeld SB. Achilles tendon disorders. Med Clin North Am. 2014;98(2):331-338.
2. Suchak AA, Bostick G, Reid D, Blitz S, Jomha N. The incidence of achilles tendon ruptures in Edmonton, Canada. Foot Ankle Int. 2005;26(11):932-936.
3. Khan RJ, Fick D, Keogh A, Crawford J, Brammar T, Parker M. Treatment of acute Achilles tendon ruptures. A meta-analysis of randomized, controlled trials. J Bone Joint Surg Am. 2005;87(10):2202-2210.
4. Avina Valencia JA, Guillen Alcala MA. Repair of acute Achilles tendon rupture. Comparative study of two surgical techniques. Acta Ortop Mex. 2009;23(3):125-129.
5. Aktas S, Kocaoglu B. Open versus minimal invasive repair with Achillon device. Foot Ankle Int. 2009;30(5):391-397.
6. Lim J, Dalal R, Waseem M. Percutaneous vs open repair of the ruptured Achilles tendon-a prospective randomized controlled study. Foot Ankle Int. 2001;22(7):559-568.
7. Schroeder D, Lehmann M, Steinbrueck K. Treatment of acute Achilles tendon ruptures: open vs. percutaneous repair vs. conservative treatment. A prospective randomized study. Orthop Trans. 1997;21:1228.
8. Ma GWC, Griffith TG. Percutaneous repair of acute closed ruptured Achilles tendon: a new technique. Clin Orthop. 1977;128:247-255.
9. Bradley JP, Tibone JE. Percutaneous and open surgical repairs of Achilles tendon ruptures: a comparative study. Am J Sports Med. 1990;18(2):188-195.
10. Fitzgibbons RE, Hefferon J, Hill J. Percutaneous Achilles tendon repair. Am J Sports Med. 1993;21(5):724-727.
11. Kosanovic M, Cretnik A, Batista M. Subcutaneous suturing of the ruptured Achilles tendon under local anesthesia. Arch Orthop Trauma Surg. 1994;113(4):177-179.
12. Buchgraber A, Pässler HH. Percutaneous repair of Achilles tendon rupture. Immobilization versus functional postoperative treatment. Clin Orthop Relat Res. 1997;341:113-122.
13. Cretnik A, Kosanovic M, Smrkolj V. Percutaneous suturing of the ruptured Achilles tendon under local anesthesia. J Foot Ankle Surg. 2004;43(2):72-81.
14. Kakiuchi M. A combined open and percutaneous technique for repair of tendon Achilles. Comparison with open repair. J Bone Joint Surg. 1995;77(1):60-63.
15. Assal M, Jung M, Stern R, Rippstein P, Delmi M, Hoffmeyer P. Limited open repair of Achilles tendon ruptures. A technique with a new instrument and findings of a prospective multicenter study. J Bone Joint Surg. 2002;84(2):161-170.
16. Amlang MH, Christiani P, Heinz P, Zwipp H. Percutaneous technique for Achilles tendon repair with the Dresden instruments. Unfallchirurg. 2005;108(7):529-536.
17. Twadle BC, Poon P. Early motion for Achilles tendon ruptures: is surgery important? A randomized, prospective study. Am J Sports Med. 2007;35(12):2033-2038.
18. Hockenbury RT, Johns JC. A biomechanical in vitro comparison of open versus percutaneous repair of tendon Achilles. Foot Ankle. 1990;11(2):67-72.
19. Klein W, Lang DM, Saleh M. The use of the Ma-Griffith technique for percutaneous repair of fresh ruptured tendo Achillis. Chir Org Mov. 1991;76(3):223-228.
20. Haji A, Sahai A, Symes A, Vyas JK. Percutaneous versus open tendo Achillis repair. Foot Ankle Int. 2004;25(4):215-218.
21. Maffulli N, Waterston SW, Squair J, Reaper J, Douglas AS. Changing incidence of Achilles tendon rupture in Scotland: a 15-year study. Clin J Sport Med. 1999;9(3):157-160.
22. Józsa L, Kvist M, Bálint BJ, et al. The role of recreational sport activity in Achilles tendon rupture. A clinical, pathoanatomical, and sociological study of 292 cases. Am J Sports Med. 1989;17(3):338-343.
23. Kocher MS, Bishop J, Marshall R, Briggs KK, Hawkins RJ. Operative versus nonoperative management of acute Achilles tendon rupture: expected-value decision analysis. Am J Sports Med. 2002;30(6):783-790.
24. Akpınar E, Ceylan HH, Polat G, Ergin ON, Erdil M, Tuncay İ. Comparison of percutaneous and open techniques in treatment of acute Achilles tendon rupture. J Kartal TR. 2015;26(3):243-247.
25. Rouvillain JL, Navarre R, Labrada-Blanco O, et al. Percutaneous suture of acute Achilles tendon rupture. A study of 60 cases. Acta Orthop Belg. 2010;76(2):237-242.
26. Ververidis AN, Kalifis KG, Touzopoulos P, et al. Percutaneous repair of the Achilles tendon rupture in athletic population. J Orthop. 2016;13(1): 57-61.
27. Cretnik A, Kosanovic M, Smrkolj V. Percutaneous versus open repair of the ruptured Achilles tendon: a comparative study. Am J Sports Med. 2005;33(9):1369-1379.
28. Yang B, Liu Y, Kan S, et al. Outcomes and complications of percutaneous versus open repair of acute Achilles tendon rupture: a meta-analysis. Int J Surg. 2017;40:178-186.
29. Rozis M, Benetos IS, Karampinas P, Polyzois V, Vlamis J, Pneumaticos SG. Outcome of percutaneous fixation of acute Achilles tendon ruptures. Foot Ankle Int. 2018;39(6):689-693.
30. Inglis AE, Scott WN, Sculco TP, Patterson AH. Ruptures of the tendo achillis. An objective assessment of surgical and non-surgical treatment. J Bone Joint Surg Am. 1976;58(7):990-993.
31. Makulavicius A, Mazarevicius G, Klinga M, et al. Outcomes of open “crown” type v. percutaneous Bunnell type repair of acute Achilles tendon ruptures. Randomized control study. Foot Ankle Surg. 2020; 26(5):580-584.
Article available in :
Volume 2, Issue 4, 2024
Page : 75-78
https://doi.org/10.51271/JORR-0039
Article Information
Received : 02 Eki 2024
Accepted : 16 Eki 2024
Published : 31 Eki 2024
Corresponding Author :

İbrahim Bozkurt: Department of Orthopaedics and Traumatology, Ankara City Hospital, Ankara, Turkiye

[email protected]
Citation : Bozkurt İ. Percutaneous repair of achilles tendon ruptures: short-term results of 41 patients. J Orthop Res Rehabil. 2024;2(4):75-78.

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