Research Article
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Year 2022, Volume: 13 Issue: 4, 508 - 513, 01.10.2022

Mehmet Akdemir , Ahmet Cemil Turan , Ali İhsan Kılıç

https://doi.org/10.31067/acusaglik.1092407

Abstract

Supporting Institution

yok

Project Number

yok

References

  • Suchak AA, Bostick G, Reid D, Blitz S, Jomha N. The incidence of Achilles tendon ruptures in Edmonton, Canada. Foot Ankle Int. 2005 Nov;26(11):932-6. doi: 10.1177/107110070502601106. PMID: 16309606.
  • Gross CE, Nunley JA 2nd. Acute Achilles Tendon Ruptures. Foot Ankle Int. 2016 Feb;37(2):233-9. doi: 10.1177/1071100715619606. Epub 2015 Nov 20. PMID: 26590377.
  • Willits K, Amendola A, Bryant D, Mohtadi NG, Giffin JR, Fowler P, Kean CO, Kirkley A. Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation. J Bone Joint Surg Am. 2010 Dec 1;92(17):2767-75. doi: 10.2106/JBJS.I.01401. Epub 2010 Oct 29. PMID: 21037028.
  • Maffulli N, Longo UG, Maffulli GD, Khanna A, Denaro V. Achilles tendon ruptures in elite athletes. Foot Ankle Int. 2011 Jan;32(1):9-15. doi: 10.3113/FAI.2011.0009. PMID: 21288429.
  • Kadakia AR, Dekker RG 2nd, Ho BS. Acute Achilles Tendon Ruptures: An Update on Treatment. J Am Acad Orthop Surg. 2017 Jan;25(1):23-31. doi: 10.5435/JAAOS-D-15-00187. PMID: 27898509.
  • Rosenzweig S, Azar FM. Open repair of acute Achilles tendon ruptures. Foot Ankle Clin. 2009 Dec;14(4):699-709. doi: 10.1016/j.fcl.2009.07.002. PMID: 19857843.
  • Ververidis AN, Kalifis KG, Touzopoulos P, Drosos GI, Tilkeridis KE, Kazakos KI. Percutaneous repair of the Achilles tendon rupture in athletic population. J Orthop. 2015 Oct 9;13(1):57-61. doi: 10.1016/j.jor.2015.09.004. PMID: 26955226; PMCID: PMC4761618.
  • DeVries JG, Scharer BM, Summerhays BJ. Acute Achilles Rupture Percutaneous Repair: Approach, Materials, Techniques. Clin Podiatr Med Surg. 2017 Apr;34(2):251-262. doi: 10.1016/j.cpm.2016.10.011. Epub 2017 Jan 19. PMID: 28257678.
  • Yang B, Liu Y, Kan S, Zhang D, Xu H, Liu F, Ning G, Feng S. Outcomes and complications of percutaneous versus open repair of acute Achilles tendon rupture: A meta-analysis. Int J Surg. 2017 Apr;40:178-186. doi: 10.1016/j.ijsu.2017.03.021. Epub 2017 Mar 11. PMID: 28288878.
  • Spennacchio P, Vascellari A, Cucchi D, Canata GL, Randelli P. Outcome evaluation after Achilles tendon ruptures. A review of the literature. Joints. 2016 Jun 13;4(1):52-61. doi: 10.11138/jts/2016.4.1.052. PMID: 27386448; PMCID: PMC4914375.
  • Lim J, Dalal R, Waseem M. Percutaneous vs. open repair of the ruptured Achilles tendon--a prospective randomized controlled study. Foot Ankle Int. 2001 Jul;22(7):559-68. doi: 10.1177/107110070102200705. PMID: 11503980.
  • Karabinas PK, Benetos IS, Lampropoulou-Adamidou K, Romoudis P, Mavrogenis AF, Vlamis J. Percutaneous versus open repair of acute Achilles tendon ruptures. Eur J Orthop Surg Traumatol. 2014 May;24(4):607-13. doi: 10.1007/s00590-013-1350-7. Epub 2013 Nov 5. PMID: 24190345.
  • Henríquez H, Muñoz R, Carcuro G, Bastías C. Is percutaneous repair better than open repair in acute Achilles tendon rupture? Clin Orthop Relat Res. 2012 Apr;470(4):998-1003. doi: 10.1007/s11999-011-1830-1. PMID: 21365335; PMCID: PMC3293952.
  • Maes R, Copin G, Averous C. Is percutaneous repair of the Achilles tendon a safe technique? A study of 124 cases. Acta Orthop Belg. 2006 Apr;72(2):179-83. PMID: 16768262.
  • McGee R, Watson T, Eudy A, Brady C, Vanier C, LeCavalier D, Hoang V. Anatomic relationship of the sural nerve when performing Achilles tendon repair using the percutaneous Achilles repair system, a cadaveric study. Foot Ankle Surg. 2021 Jun;27(4):427-431. doi: 10.1016/j.fas.2020.05.011. Epub 2020 Jun 7. PMID: 32553425.
  • Majewski M, Rohrbach M, Czaja S, Ochsner P. Avoiding sural nerve injuries during percutaneous Achilles tendon repair. Am J Sports Med. 2006 May;34(5):793-8. doi: 10.1177/0363546505283266. PMID: 16627630.

Retrospective Comparison of Open and Percutaneous Repair Methods in Acute Achilles’ Tendon Repair

Year 2022, Volume: 13 Issue: 4, 508 - 513, 01.10.2022

Mehmet Akdemir , Ahmet Cemil Turan , Ali İhsan Kılıç

https://doi.org/10.31067/acusaglik.1092407

Abstract

Purpose: In recent years Achilles’ tendon tears are becoming more common. Open and percutaneous repair methods have been described in the surgical treatment of tendon tears. The aim of this study is to determine whether there is a difference between open repair and percutaneous repair.
Methods: Patients who underwent surgical repair due to acute Achilles’ tendon full-thickness rupture in our clinic, were included in the study. Open repair was performed for one group of patients and percutaneous repair was performed for the other. At the end of follow-up, clinical scores and complication rates were compared statistically.
Results: Thirty-six patients with a mean age of 46.3 years were included in the study. Nineteen patients were treated with the open method and seventeen patients with the percutaneous method. The mean follow-up period was 27.3 months for both groups. Mean Leppilahti scores were 94.71 in the percutaneous repair group and 90.79 in the open repair group (p>0.05). Re-rupture, deep infection and DVT rates were similar (p>0.05). Skin necrosis was more common in the open repair group (p<0.05). While sural nerve neuropraxia was more common in percutaneous repair (p<0.05).
Conclusion: In the surgical treatment of acute Achilles’ tendon tears, the percutaneous method should be the first choice with its low complication rate and good clinical results. It is necessary to pay attention to the sural nerve during surgery.

Keywords

Achilles’ tendon open repair percutaneous repair sural nerve skin necrosis

Project Number

yok

References

  • Suchak AA, Bostick G, Reid D, Blitz S, Jomha N. The incidence of Achilles tendon ruptures in Edmonton, Canada. Foot Ankle Int. 2005 Nov;26(11):932-6. doi: 10.1177/107110070502601106. PMID: 16309606.
  • Gross CE, Nunley JA 2nd. Acute Achilles Tendon Ruptures. Foot Ankle Int. 2016 Feb;37(2):233-9. doi: 10.1177/1071100715619606. Epub 2015 Nov 20. PMID: 26590377.
  • Willits K, Amendola A, Bryant D, Mohtadi NG, Giffin JR, Fowler P, Kean CO, Kirkley A. Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation. J Bone Joint Surg Am. 2010 Dec 1;92(17):2767-75. doi: 10.2106/JBJS.I.01401. Epub 2010 Oct 29. PMID: 21037028.
  • Maffulli N, Longo UG, Maffulli GD, Khanna A, Denaro V. Achilles tendon ruptures in elite athletes. Foot Ankle Int. 2011 Jan;32(1):9-15. doi: 10.3113/FAI.2011.0009. PMID: 21288429.
  • Kadakia AR, Dekker RG 2nd, Ho BS. Acute Achilles Tendon Ruptures: An Update on Treatment. J Am Acad Orthop Surg. 2017 Jan;25(1):23-31. doi: 10.5435/JAAOS-D-15-00187. PMID: 27898509.
  • Rosenzweig S, Azar FM. Open repair of acute Achilles tendon ruptures. Foot Ankle Clin. 2009 Dec;14(4):699-709. doi: 10.1016/j.fcl.2009.07.002. PMID: 19857843.
  • Ververidis AN, Kalifis KG, Touzopoulos P, Drosos GI, Tilkeridis KE, Kazakos KI. Percutaneous repair of the Achilles tendon rupture in athletic population. J Orthop. 2015 Oct 9;13(1):57-61. doi: 10.1016/j.jor.2015.09.004. PMID: 26955226; PMCID: PMC4761618.
  • DeVries JG, Scharer BM, Summerhays BJ. Acute Achilles Rupture Percutaneous Repair: Approach, Materials, Techniques. Clin Podiatr Med Surg. 2017 Apr;34(2):251-262. doi: 10.1016/j.cpm.2016.10.011. Epub 2017 Jan 19. PMID: 28257678.
  • Yang B, Liu Y, Kan S, Zhang D, Xu H, Liu F, Ning G, Feng S. Outcomes and complications of percutaneous versus open repair of acute Achilles tendon rupture: A meta-analysis. Int J Surg. 2017 Apr;40:178-186. doi: 10.1016/j.ijsu.2017.03.021. Epub 2017 Mar 11. PMID: 28288878.
  • Spennacchio P, Vascellari A, Cucchi D, Canata GL, Randelli P. Outcome evaluation after Achilles tendon ruptures. A review of the literature. Joints. 2016 Jun 13;4(1):52-61. doi: 10.11138/jts/2016.4.1.052. PMID: 27386448; PMCID: PMC4914375.
  • Lim J, Dalal R, Waseem M. Percutaneous vs. open repair of the ruptured Achilles tendon--a prospective randomized controlled study. Foot Ankle Int. 2001 Jul;22(7):559-68. doi: 10.1177/107110070102200705. PMID: 11503980.
  • Karabinas PK, Benetos IS, Lampropoulou-Adamidou K, Romoudis P, Mavrogenis AF, Vlamis J. Percutaneous versus open repair of acute Achilles tendon ruptures. Eur J Orthop Surg Traumatol. 2014 May;24(4):607-13. doi: 10.1007/s00590-013-1350-7. Epub 2013 Nov 5. PMID: 24190345.
  • Henríquez H, Muñoz R, Carcuro G, Bastías C. Is percutaneous repair better than open repair in acute Achilles tendon rupture? Clin Orthop Relat Res. 2012 Apr;470(4):998-1003. doi: 10.1007/s11999-011-1830-1. PMID: 21365335; PMCID: PMC3293952.
  • Maes R, Copin G, Averous C. Is percutaneous repair of the Achilles tendon a safe technique? A study of 124 cases. Acta Orthop Belg. 2006 Apr;72(2):179-83. PMID: 16768262.
  • McGee R, Watson T, Eudy A, Brady C, Vanier C, LeCavalier D, Hoang V. Anatomic relationship of the sural nerve when performing Achilles tendon repair using the percutaneous Achilles repair system, a cadaveric study. Foot Ankle Surg. 2021 Jun;27(4):427-431. doi: 10.1016/j.fas.2020.05.011. Epub 2020 Jun 7. PMID: 32553425.
  • Majewski M, Rohrbach M, Czaja S, Ochsner P. Avoiding sural nerve injuries during percutaneous Achilles tendon repair. Am J Sports Med. 2006 May;34(5):793-8. doi: 10.1177/0363546505283266. PMID: 16627630.
There are 16 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Research Article
Authors

Mehmet Akdemir 0000-0001-9638-4907

Ahmet Cemil Turan 0000-0002-7149-3055

Ali İhsan Kılıç 0000-0001-7491-6044

Project Number yok
Publication Date October 1, 2022
Submission Date March 23, 2022
Published in Issue Year 2022Volume: 13 Issue: 4

Cite

EndNote Akdemir M, Turan AC, Kılıç Aİ (October 1, 2022) Retrospective Comparison of Open and Percutaneous Repair Methods in Acute Achilles’ Tendon Repair. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13 4 508–513.
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