Highlights
- •A new technique for percutaneous repair of AT: a percutaneous oval forceps suture-guiding method with anchor nails.
- •Several advantages of this technique are as follows: 1) it is possible to repair AATR within 2 cm from the calcaneal tuberosity; 2) the operative procedure is simple and quick; 3) American Orthopedic Foot and Ankle Society (AOFAS) score and Achilles tendon total rupture score (ATRS) showed good clinical outcome; 4) overall complication rate was 6.2% with one sural nerve damage and one fusiform thickening.
Abstract
Background
Acute Achilles tendon rupture (AATR) is a common injury of the foot and ankle. So
far, the optimal management of AATR remains controversial. The target of the present
retrospective study was to describe a new operative technique for percutaneous repair
of AATR and evaluate efficacy of the technique.
Methods
In the present study, 32 patients were enrolled with AATR treated with the percutaneous
oval forceps suture-guiding method with anchor nails from Jan 2014 to Jan 2017. The
operation duration and length of incision were collected. The functional outcomes
were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) score,
Achilles tendon total rupture score (ATRS), range of motion (ROM) of the ankle and
plantar flexion strength ratio at the last follow-up. The postoperative sports activity
level and complications were also recorded.
Results
The mean operation duration and length of incision were 24.5 min and 2.0 cm. Whilst
patient reported outcome questionnaires like AOFAS and ATRS showed good results, ROM
of the ankle was quite low with only 16.5 degrees. Plantar flexion strength ratio
was lower post surgery, as well. As for the postoperative sports activity level: 26/32
cases (81.3%) returned to former sports activity level; 4/32 cases (12.5%) showed
a decline in sports activity level; 2/32 cases (6.2%) gave up on sports. The overall
complication rate was 6.2%, one sural nerve damage and one fusiform thickening were
found in the study.
Conclusion
The percutaneous oval forceps suture-guiding method with anchor nails is a new considerable
surgery method with adequate healing rates and an alternative to existing surgical
procedures.
Keywords
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Article info
Publication history
Published online: September 11, 2021
Accepted:
September 7,
2021
Footnotes
☆The corresponding author is Jianjun Hong. Gaole Dai and Yijing Zheng contributed equally to this study and should be considered co-first authors
Identification
Copyright
© 2021 Published by Elsevier Ltd.
