R Bertelli1, L Gaiani, M Palmonari. 1. Department of Orthopaedics Surgery, S. Maria della Scaletta Hospital, Imola (Bo), Italy.
Abstract
INTRODUCTION: Neglected rupture of Achilles tendon is an infrequent but debilitating injury. Several surgical methods of treatment have been described to repair neglected Achilles tendon rupture. MATERIAL AND METHODS: In our study we reviewed 20 patients (18 male and 2 female). We describe a new surgical technique using percutaneous repair of the neglected Achilles tendon ruptures. It consists of 10 micro-incisions, five lateral and five medial to the posterior aspect of the Achilles tendon, the suture is performed using an absorbable number 1 Vicryl (Ethicon, Edinburgh UK) inserted percutaneously in a figure of eight fashion. RESULTS: The advantages of this procedure are a short time immobilization, an early weight bearing and a return to complete ankle range of motion. The mean AOFAS score was 99.0, no re-ruptures or sural nerve damage were observed. In all the treated patients the results obtained were rated from good to excellent. CONCLUSION: We would like to encourage this technique as being fast, inexpensive and very satisfactory both to the patient and to the surgeon.
INTRODUCTION: Neglected rupture of Achilles tendon is an infrequent but debilitating injury. Several surgical methods of treatment have been described to repair neglected Achilles tendon rupture. MATERIAL AND METHODS: In our study we reviewed 20 patients (18 male and 2 female). We describe a new surgical technique using percutaneous repair of the neglected Achilles tendon ruptures. It consists of 10 micro-incisions, five lateral and five medial to the posterior aspect of the Achilles tendon, the suture is performed using an absorbable number 1 Vicryl (Ethicon, Edinburgh UK) inserted percutaneously in a figure of eight fashion. RESULTS: The advantages of this procedure are a short time immobilization, an early weight bearing and a return to complete ankle range of motion. The mean AOFAS score was 99.0, no re-ruptures or sural nerve damage were observed. In all the treated patients the results obtained were rated from good to excellent. CONCLUSION: We would like to encourage this technique as being fast, inexpensive and very satisfactory both to the patient and to the surgeon.
Authors: Michael R Carmont; Roberto Rossi; Sven Scheffler; Omer Mei-Dan; Philippe Beaufils Journal: Sports Med Arthrosc Rehabil Ther Technol Date: 2011-11-14
Authors: Michele Bisaccia; Giuseppe Rinonapoli; Luigi Meccariello; Olga Bisaccia; Paolo Ceccarini; Giuseppe Rollo; Cristina Ibáñez-Vicente; Javier Cervera-Irimia; Felix Sánchez-Sánchez; Angela Ribes-Iborra; David Gomez-Garrido; Auro Caraffa Journal: Acta Inform Med Date: 2019-03