S K Chan1, Stephen C Y Chung, Y F Ho. 1. Department of Orthopaedics and Traumatology, Caritas Medical Centre, Kowloon, Hong Kong. drpcsk@yahoo.com.hk
Abstract
OBJECTIVE: To study the clinical outcomes of minimally invasive repair of ruptured Achilles tendon. DESIGN: Retrospective study. SETTING: Orthopaedics and Traumatology Department of a public hospital in Hong Kong. PATIENTS: Fifteen consecutive patients admitted to the hospital from August 2002 to April 2005 with closed Achilles tendon rupture, had it repaired by a minimally invasive method. Parameters including patient epidemiology, nature of injuries, and isometric force measurement of ankle plantar flexion were recorded to justify the effectiveness of the Achilles tendon repair. RESULTS: Isometric peak force measurement of ankle plantar flexion 1 year after injury showed an average regain of 95% of the calf muscle strength, compared to the normal side. All wounds healed well, without major complications such as deep infection, sural nerve injury, or re-rupture of the Achilles tendon. All patients were able to resume their pre-injury activity level and previous occupation. CONCLUSION: This minimally invasive surgical technique using the Achillon suture guide produces encouraging results in the operative management of ruptured Achilles tendon.
OBJECTIVE: To study the clinical outcomes of minimally invasive repair of ruptured Achilles tendon. DESIGN: Retrospective study. SETTING: Orthopaedics and Traumatology Department of a public hospital in Hong Kong. PATIENTS: Fifteen consecutive patients admitted to the hospital from August 2002 to April 2005 with closed Achilles tendon rupture, had it repaired by a minimally invasive method. Parameters including patient epidemiology, nature of injuries, and isometric force measurement of ankle plantar flexion were recorded to justify the effectiveness of the Achilles tendon repair. RESULTS: Isometric peak force measurement of ankle plantar flexion 1 year after injury showed an average regain of 95% of the calf muscle strength, compared to the normal side. All wounds healed well, without major complications such as deep infection, sural nerve injury, or re-rupture of the Achilles tendon. All patients were able to resume their pre-injury activity level and previous occupation. CONCLUSION: This minimally invasive surgical technique using the Achillon suture guide produces encouraging results in the operative management of ruptured Achilles tendon.
Authors: Michael R Carmont; Roberto Rossi; Sven Scheffler; Omer Mei-Dan; Philippe Beaufils Journal: Sports Med Arthrosc Rehabil Ther Technol Date: 2011-11-14