Daniele Munegato1, Giulia Gridavilla2, Stefano Guerrasio1, Marco Turati1,3, Carlo Cazzaniga1, Nicolò Zanchi1, Giovanni Zatti1,4, Marco Bigoni1,4. 1. Orthopedic Department, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy. 2. Department of Orthopedic Surgery and Traumatology, Manzoni General Hospital, Lecco, Italy. 3. Department of Paediatric Orthopedic Surgery, Hopital Couple Enfants, Grenoble Alpes University, Grenoble, France. 4. Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Abstract
BACKGROUND: The aim of the study was to compare the mini-open to the classic open repair techniques for Achilles tendon ruptures. METHODS: We retrospectively evaluated at a minimum of 2 years follow-up 32 subcutaneous Achilles tendon ruptures; 17 underwent mini-open surgery (Group A) and 15 the open technique (Group B). RESULTS: No difference in Achilles Tendon Total Rupture Score and in modified Leppillahti score was observed. With respect to the contralateral side the width of the operated Achilles tendon was 4.07 mm thicker in Group A and 7.67 mm in Group B (p<.05); the calf circumference reduction was respectively 10 mm and 23.75 mm (p<.05). Iso-kinetic peak force measurement of the calf muscle strength showed a loss of 8.21% in Group A versus 17.25% in Group B (p <.05). The mean Patient Satisfaction Score was 96.76 in Group A and 88.67 in Group B (p<.01); respectively 82.3% vs 66.7% of patients were able to return to previous levels of sporting activity. There were two post-operative complications in Group B and one in Group A. CONCLUSION: Mini-open technique minimizes the risk of complications, leads to an improved tendon healing process and functional recovery with higher patient satisfaction. LEVEL OF EVIDENCE: IV.
BACKGROUND: The aim of the study was to compare the mini-open to the classic open repair techniques for Achilles tendon ruptures. METHODS: We retrospectively evaluated at a minimum of 2 years follow-up 32 subcutaneous Achilles tendon ruptures; 17 underwent mini-open surgery (Group A) and 15 the open technique (Group B). RESULTS: No difference in Achilles Tendon Total Rupture Score and in modified Leppillahti score was observed. With respect to the contralateral side the width of the operated Achilles tendon was 4.07 mm thicker in Group A and 7.67 mm in Group B (p<.05); the calf circumference reduction was respectively 10 mm and 23.75 mm (p<.05). Iso-kinetic peak force measurement of the calf muscle strength showed a loss of 8.21% in Group A versus 17.25% in Group B (p <.05). The mean Patient Satisfaction Score was 96.76 in Group A and 88.67 in Group B (p<.01); respectively 82.3% vs 66.7% of patients were able to return to previous levels of sporting activity. There were two post-operative complications in Group B and one in Group A. CONCLUSION: Mini-open technique minimizes the risk of complications, leads to an improved tendon healing process and functional recovery with higher patient satisfaction. LEVEL OF EVIDENCE: IV.
Entities:
Keywords:
Achilles tendon; Achilles tendon repair; achilles tendon rupture; mini open technique; tenorrhaphy
Authors: Nicklas Olsson; Karin Grävare Silbernagel; Bengt I Eriksson; Mikael Sansone; Annelie Brorsson; Katarina Nilsson-Helander; Jón Karlsson Journal: Am J Sports Med Date: 2013-09-06 Impact factor: 6.202