Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture
Abstract Background Minimally invasive repair is a better option for Achilles tendon rupture with low re-rupture and wound-related complications than conservative treatment or traditional open repair. The major problem is sural nerve injury. The purpose of this study was to evaluate the effect and a...
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-020-01776-6 |
| _version_ | 1811263148659834880 |
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| author | Yang Yongliang Jia Honglei Zhang Wupeng Xu Shihong Wang Fu Wang Bomin Li Qinghu Wang Yonghui Han Shumei |
| author_facet | Yang Yongliang Jia Honglei Zhang Wupeng Xu Shihong Wang Fu Wang Bomin Li Qinghu Wang Yonghui Han Shumei |
| author_sort | Yang Yongliang |
| collection | DOAJ |
| description | Abstract Background Minimally invasive repair is a better option for Achilles tendon rupture with low re-rupture and wound-related complications than conservative treatment or traditional open repair. The major problem is sural nerve injury. The purpose of this study was to evaluate the effect and advantage of the intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture. Methods A retrospective study was performed on 36 cases of acute Achilles tendon rupture treated with minimally invasive repair assisted with intraoperative ultrasonography from January 2015 to December 2017. The relationship of the sural nerve and small saphenous vein was confirmed on the preoperative MRI. The course of the small saphenous vein and the sural nerve was identified and marked by intraoperative ultrasonography. The ruptured Achilles tendon was repaired with minimally invasive Bunnell suture on the medial side of the small saphenous vein (SSV). Results All patients were followed up for at least 12 months. No sural nerve injury or other complications was found intraoperatively and postoperatively. All the patients returned to work and light sporting activities at a mean of 12.78 ± 1.40 weeks and 17.28 ± 2.34 weeks, respectively. The Mean American Orthopaedic Foot & Ankle Society (AOFAS) scores improved from 59.17 ± 5.31 preoperatively to 98.92 ± 1.63 at the time of 12 months follow-up. There was a statistically significant difference (P < 0.001). No patient complained of a negative effect on their life. Conclusions The minimally invasive repair assisted with intraoperative ultrasonography can yield good clinical outcomes, less surgical time, and less complications, especially sural nerve injury. It is an efficient, reliable, and safe method for acute Achilles tendon (AT) rupture. |
| first_indexed | 2024-04-12T19:40:42Z |
| format | Article |
| id | doaj.art-43b5855058054ee58cd8de5edc3cf4fc |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-12T19:40:42Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-43b5855058054ee58cd8de5edc3cf4fc2022-12-22T03:19:06ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-07-011511810.1186/s13018-020-01776-6Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon ruptureYang Yongliang0Jia Honglei1Zhang Wupeng2Xu Shihong3Wang Fu4Wang Bomin5Li Qinghu6Wang Yonghui7Han Shumei8Department of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong UniversityDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong UniversityDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong UniversityDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong UniversityDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong UniversityDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong UniversityDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong UniversityDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong UniversityDepartment of Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical SciencesAbstract Background Minimally invasive repair is a better option for Achilles tendon rupture with low re-rupture and wound-related complications than conservative treatment or traditional open repair. The major problem is sural nerve injury. The purpose of this study was to evaluate the effect and advantage of the intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture. Methods A retrospective study was performed on 36 cases of acute Achilles tendon rupture treated with minimally invasive repair assisted with intraoperative ultrasonography from January 2015 to December 2017. The relationship of the sural nerve and small saphenous vein was confirmed on the preoperative MRI. The course of the small saphenous vein and the sural nerve was identified and marked by intraoperative ultrasonography. The ruptured Achilles tendon was repaired with minimally invasive Bunnell suture on the medial side of the small saphenous vein (SSV). Results All patients were followed up for at least 12 months. No sural nerve injury or other complications was found intraoperatively and postoperatively. All the patients returned to work and light sporting activities at a mean of 12.78 ± 1.40 weeks and 17.28 ± 2.34 weeks, respectively. The Mean American Orthopaedic Foot & Ankle Society (AOFAS) scores improved from 59.17 ± 5.31 preoperatively to 98.92 ± 1.63 at the time of 12 months follow-up. There was a statistically significant difference (P < 0.001). No patient complained of a negative effect on their life. Conclusions The minimally invasive repair assisted with intraoperative ultrasonography can yield good clinical outcomes, less surgical time, and less complications, especially sural nerve injury. It is an efficient, reliable, and safe method for acute Achilles tendon (AT) rupture.http://link.springer.com/article/10.1186/s13018-020-01776-6Intraoperative ultrasonographyMinimally invasiveAcute Achilles tendon ruptureSural nerve injury |
| spellingShingle | Yang Yongliang Jia Honglei Zhang Wupeng Xu Shihong Wang Fu Wang Bomin Li Qinghu Wang Yonghui Han Shumei Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture Journal of Orthopaedic Surgery and Research Intraoperative ultrasonography Minimally invasive Acute Achilles tendon rupture Sural nerve injury |
| title | Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture |
| title_full | Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture |
| title_fullStr | Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture |
| title_full_unstemmed | Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture |
| title_short | Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture |
| title_sort | intraoperative ultrasonography assistance for minimally invasive repair of the acute achilles tendon rupture |
| topic | Intraoperative ultrasonography Minimally invasive Acute Achilles tendon rupture Sural nerve injury |
| url | http://link.springer.com/article/10.1186/s13018-020-01776-6 |
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