Percutaneous suturing of the ruptured Achilles tendon with endoscopic control

Introduction: A prospective study of modified percutaneous Achilles tendon repair performed between 1999 and 2005 under local infiltration anesthesia is presented; the study evaluated the results of percutaneous repair technique by visualization of the synovia under endoscopic control, followed by early functional postoperative treatment for surgical intervention of acute Achilles tendon ruptures. Patients: Sixty-two patients (58 males, 4 females, mean age 32) were treated by percutaneous suturing with modified Bunnel technique under endoscopic control within 10 days after acute total rupture. Physiotherapy was initiated immediately after the operation and patients were encouraged to weight-bearing ambulation with a walking brace-moon boot as tolerated. Full weight-bearing was allowed minimum after 3 weeks postoperatively without brace. Results: The procedure was tolerated in all patients. There were no significant ROM limitation was observed. Two patients experienced transient hypoesthesia in the region of sural nerve that spontaneously resolved in 6 months. Fifty-nine patients (95%) including professional athletes returned to their previous sportive activities, while 18 of them (29%) had some minor complaints. The interval from injury to return to regular work and rehabilitation training was 11.7 weeks (10-13 weeks). At the latest follow-up (mean: 46 months; range: 12-78 months), all the patients had satisfactory results with a mean American Orthopedic Foot and Ankle Society's ankle-hindfoot score of 94.6. No re-ruptures, deep venous thrombosis or wound problems occurred. Conclusion: The proposed method offers a reasonable treatment option for acute total Achilles tendon rupture with a low number of complications. The rerupture rate and return to preinjury activities are comparable to open and percutaneous without endoscopic control procedures. © Springer-Verlag 2009.

Yazar Doral M.N.
Bozkurt M.
Turhan E.
Ayvaz M.
Atay O.A.
Üzümcügil A.
Leblebicioglu G.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/6947
Tek Biçim Adres 10.1007/s00402-009-0880-2
Konu Başlıkları Achilles tendon rupture
Endoscopy control
Percutaneous repair
Surgical procedure
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı Archives of Orthopaedic and Trauma Surgery
Dergi Cilt Bilgisi 129
Dergi Sayısı 8
Sayfalar 1093 - 1101
Yayın Yılı 2009
Eser Adı
[dc.title]
Percutaneous suturing of the ruptured Achilles tendon with endoscopic control
Yazar
[dc.contributor.author]
Doral M.N.
Yazar
[dc.contributor.author]
Bozkurt M.
Yazar
[dc.contributor.author]
Turhan E.
Yazar
[dc.contributor.author]
Ayvaz M.
Yazar
[dc.contributor.author]
Atay O.A.
Yazar
[dc.contributor.author]
Üzümcügil A.
Yazar
[dc.contributor.author]
Leblebicioglu G.
Yayın Yılı
[dc.date.issued]
2009
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Introduction: A prospective study of modified percutaneous Achilles tendon repair performed between 1999 and 2005 under local infiltration anesthesia is presented; the study evaluated the results of percutaneous repair technique by visualization of the synovia under endoscopic control, followed by early functional postoperative treatment for surgical intervention of acute Achilles tendon ruptures. Patients: Sixty-two patients (58 males, 4 females, mean age 32) were treated by percutaneous suturing with modified Bunnel technique under endoscopic control within 10 days after acute total rupture. Physiotherapy was initiated immediately after the operation and patients were encouraged to weight-bearing ambulation with a walking brace-moon boot as tolerated. Full weight-bearing was allowed minimum after 3 weeks postoperatively without brace. Results: The procedure was tolerated in all patients. There were no significant ROM limitation was observed. Two patients experienced transient hypoesthesia in the region of sural nerve that spontaneously resolved in 6 months. Fifty-nine patients (95%) including professional athletes returned to their previous sportive activities, while 18 of them (29%) had some minor complaints. The interval from injury to return to regular work and rehabilitation training was 11.7 weeks (10-13 weeks). At the latest follow-up (mean: 46 months; range: 12-78 months), all the patients had satisfactory results with a mean American Orthopedic Foot and Ankle Society's ankle-hindfoot score of 94.6. No re-ruptures, deep venous thrombosis or wound problems occurred. Conclusion: The proposed method offers a reasonable treatment option for acute total Achilles tendon rupture with a low number of complications. The rerupture rate and return to preinjury activities are comparable to open and percutaneous without endoscopic control procedures. © Springer-Verlag 2009.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Achilles tendon rupture
Konu Başlıkları
[dc.subject]
Endoscopy control
Konu Başlıkları
[dc.subject]
Percutaneous repair
Konu Başlıkları
[dc.subject]
Surgical procedure
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0936-8051
İlk Sayfa Sayısı
[dc.identifier.startpage]
1093
Son Sayfa Sayısı
[dc.identifier.endpage]
1101
Dergi Adı
[dc.relation.journal]
Archives of Orthopaedic and Trauma Surgery
Dergi Sayısı
[dc.identifier.issue]
8
Dergi Cilt Bilgisi
[dc.identifier.volume]
129
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s00402-009-0880-2
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/6947
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
9
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
10 Şubat 2024 00:57
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Tıklayınız
patients percutaneous endoscopic control tendon Achilles modified without weight-bearing tolerated rupture treatment return repair activities technique results months injury weeks) latest follow-up sportive (10-13 training rehabilitation previous regular complaints interval Introduction rerupture method offers reasonable
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