M H Amlang1, P Christiani, P Heinz, H Zwipp. 1. Klinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität, Dresden. Michael.Amlang@uniklinikumdresden.de
Abstract
BACKGROUND: The percutaneous technique for Achilles tendon repair with the Dresden instruments (pDI suture) was developed to minimize the typical problems of percutaneous Achilles tendon sutures. METHODS: From 1 January 2000 to 31 December 2003, the pDI suture was performed in 61 patients with 62 Achilles tendon ruptures. We reviewed 39 of 47 patients (83%) with 40 ruptured Achilles tendons who had undergone percutaneous repair at a minimal interval of 12 months after the operation. RESULTS: In this study we observed no sural nerve injuries. The rerupture rate was 2/62 or 3.2%. In one patient (1.6%) a superficial late infection occurred after tendon healing. Using the criteria of Trillat and Mounier-Kuhn, 62% of the results were very good and 30% good. The average AOFAS score was 96 (78-100) points; 78% of the patients assessed the result of treatment as very good and 20% as good. CONCLUSIONS: The percutaneous suture using the Dresden instruments is a minimally invasive operative treatment of Achilles tendon rupture resulting in nearly all very good and good subjective and clinical results. It combines a low rerupture and infection rate with a minimized risk of sural nerve injury.
BACKGROUND: The percutaneous technique for Achilles tendon repair with the Dresden instruments (pDI suture) was developed to minimize the typical problems of percutaneous Achilles tendon sutures. METHODS: From 1 January 2000 to 31 December 2003, the pDI suture was performed in 61 patients with 62 Achilles tendon ruptures. We reviewed 39 of 47 patients (83%) with 40 ruptured Achilles tendons who had undergone percutaneous repair at a minimal interval of 12 months after the operation. RESULTS: In this study we observed no sural nerve injuries. The rerupture rate was 2/62 or 3.2%. In one patient (1.6%) a superficial late infection occurred after tendon healing. Using the criteria of Trillat and Mounier-Kuhn, 62% of the results were very good and 30% good. The average AOFAS score was 96 (78-100) points; 78% of the patients assessed the result of treatment as very good and 20% as good. CONCLUSIONS: The percutaneous suture using the Dresden instruments is a minimally invasive operative treatment of Achilles tendon rupture resulting in nearly all very good and good subjective and clinical results. It combines a low rerupture and infection rate with a minimized risk of sural nerve injury.
Authors: H Zwipp; H Thermann; N Südkamp; H Tscherne; H Milbradt; P Reimer; P Heintz Journal: Sportverletz Sportschaden Date: 1990-03 Impact factor: 1.077
Authors: Carlos De la Fuente; Gabriel Carreño; Miguel Soto; Hugo Marambio; Hugo Henríquez Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-06-02 Impact factor: 4.342