scholarly journals A novel suture technique in the percutaneous repair of Achilles tendon rupture (TANSEL TECHNIQUE)

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Tansel Mutlu
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Suture Technique ◽  
Percutaneous Repair

scholarly journals Modified Bunnell suture versus bundle-to-bundle suture for acute Achilles tendon rupture: A prospective comparative study of patients aged <45 years

2020 ◽  
Author(s):  
xiaomeng wang ◽  
Huixin Liu ◽  
dengke li ◽  
zixuan luo ◽  
Yansen Li ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Open Repair ◽  
Achilles Tendon Rupture ◽  
Test Group ◽  
Suture Technique ◽  
Percutaneous Repair ◽  
Group A ◽  
Group B

Abstract Background: This study was performed to compare the operative outcome between percutaneous repair (modified Bunnell suture) and open repair (bundle-to-bundle suture) for treatment of acute Achilles tendon rupture.Methods: Seventy-two consecutive patients who underwent surgical treatment of Achilles tendon rupture were evaluated. Thirty-six patients were treated by the bundle-to-bundle suture technique (Group A), and 36 patients were treated by the modified Bunnell suture technique (Group B). Functional examination included measurement of the calf muscle circumference and performance of the single-leg heel-rise test. The length and diameter of the Achilles tendon were compared between the injured and uninjured sides using magnetic resonance imaging. The number of single-leg heel rises (height of >5 cm) performed within 15 s was compared between the injured and uninjured sides. The ankle joint range of motion was also recorded. The Achilles tendon total rupture score (ATRS), American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale score, and visual analog scale (VAS) pain score were used to evaluate the clinical outcome after a minimum 12-month postoperative follow-up period.Results: In total, 61 patients were followed up. The mean follow-up time was not significantly different between Group A (23.73 ± 2.81 months) and Group B (22.61 ± 3.96 months). However, there were significant differences in the heel-rise test (Group A, 1.74 ± 0.96; Group B, 2.37 ± 1.42) and length of the Achilles tendon (Group A, 11.98 ± 1.64 cm; Group B, 11.11 ± 1.74 cm). The calf circumference of the injured side was significantly larger in Group A than B (p = 0.043). The cross-sectional diameter of the Achilles tendon after open repair was significantly different from that after percutaneous repair. There were no significant differences in the ATRS, AOFAS score, or VAS score at the final follow-up between the two groups. One patient in Group A had delayed wound healing, which resolved in about 40 days.Conclusions: Both suture methods described in this report can provide good clinical results. The bundle-to-bundle suture technique is more effective for restoration of the Achilles tendon length and muscle function. This method is safe, effective, and worthy of promotion.

scholarly journals Comparison of Two Surgical Methods in the Treatment of Acute Achilles Tendon Rupture: a Case-control Study

2021 ◽  
Author(s):  
Hao Yu ◽  
Fangyuan Wang ◽  
Jia Xie ◽  
Junfeng Zhan ◽  
Yunfeng Yao ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Treatment Method ◽  
Suture Technique ◽  
Demographic Characteristics ◽  
Vein Thrombosis ◽  
Surgical Methods ◽  
Operative Recovery

Abstract Background: The Achilles tendon is the strongest tendon in the human body but also prone to injury and rupture, thereby requiring early diagnosis and treatment to prevent the development of lower limb dysfunction. Currently, the best treatment method for acute Achilles tendon rupture remains controversial. As both traditional incision repair and minimally invasive repair have limitations, we propose a new surgical method: the modified Ma-Griffith method combined with minimally invasive small incision(M-G/MISI). This study aimed to compare the efficacy of M-G/MISI and the modified suture technique (MST) for the treatment of acute Achilles tendon rupture.Methods: We conducted a retrospective review of the medical records of all patients who underwent treatment for acute Achilles tendon rupture between January 2012 and January 2020 at our hospital. A total of 67 patients were included and divided into two groups: 34 males in the M-G/MISI treatment group and 33 patients (2 females and 31 males) in the MST group. Demographic characteristics, operative details, and postoperative complications were recorded, and data were statistically analysed using SPSS 24.0 for Windows (IBM Corp. Released 2016. IBM SPSS Statistics for Windows, Version 24.0) to compare the treatment efficacy of the two surgical methods.Results: Although there was no difference in demographic characteristics between the two groups, there were significant differences in the incision length, intra-operative blood loss, post-operative Achilles tendon total rupture score, and post-operative American Orthopedic Foot and Ankle Society score. Post-operatively, there was one case of traumatic Achilles tendon rupture in the M-G/MISI group and one case each of infection and deep vein thrombosis in the modified suture group.Conclusion: After follow-up, the post-operative recovery of acute Achilles tendon rupture treated with M-G/MISI is better than that with the MST.

Arthroscopically Assisted Percutaneous Repair of Fresh Closed Achilles Tendon Rupture by Kessler's Suture

2007 ◽  
Vol 35 (4) ◽  
pp. 589-596 ◽  
Author(s):  
Kang-lai Tang ◽  
Hajo Thermann ◽  
Gang Dai ◽  
Guang-xing Chen ◽  
Lin Guo ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Percutaneous Repair ◽  
Arthroscopically Assisted

scholarly journals Acute Achilles Tendon Rupture: Ultrasonography and Endoscopy-Assisted Percutaneous Repair

2019 ◽  
Vol 8 (5) ◽  
pp. e489-e493
Author(s):  
Mathieu Severyns ◽  
Tsiry Andriamananaivo ◽  
Marie-Eva Rollet ◽  
Charles Kajetanek ◽  
Ronny Lopes ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Percutaneous Repair

A safe percutaneous repair of Achilles tendon rupture

2017 ◽  
Vol 52 (3) ◽  
pp. 215
Author(s):  
Emad Zayed ◽  
Ahmed Akar ◽  
Tarek Abd-El-Ghafar
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Percutaneous Repair

Alterations in structure of the muscle-tendon unit and gait pattern after percutaneous repair of Achilles tendon rupture with the Dresden instrument

2019 ◽  
Vol 25 (4) ◽  
pp. 529-533 ◽  
Author(s):  
Sebastian Manegold ◽  
Serafim Tsitsilonis ◽  
Tobias Gehlen ◽  
Sebastian Kopf ◽  
Georg N. Duda ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Gait Pattern ◽  
Percutaneous Repair
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