Early satisfactory results of percutaneous repair in neglected achilles tendon rupture
Abstract Purpose This investigation aimed to study the outcome of percutaneous repair of Achilles tendon ruptures regarding patient-reported and objective outcomes. Methods This is a retrospective review of a cohort of patients (n = 24) who underwent percutaneous repair of neglected Achilles rupture...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06561-0 |
| _version_ | 1797811974512312320 |
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| author | Mostafa Elsebai Hammad Aly Maher Fayed Mostafa Ahmed Ayoub Ali Mahmoud Emran |
| author_facet | Mostafa Elsebai Hammad Aly Maher Fayed Mostafa Ahmed Ayoub Ali Mahmoud Emran |
| author_sort | Mostafa Elsebai Hammad |
| collection | DOAJ |
| description | Abstract Purpose This investigation aimed to study the outcome of percutaneous repair of Achilles tendon ruptures regarding patient-reported and objective outcomes. Methods This is a retrospective review of a cohort of patients (n = 24) who underwent percutaneous repair of neglected Achilles rupture in the period between 2013 and 2019. Included patients were adults with closed injuries, presented 4–10 weeks after rupture, with intact deep sensation. All underwent clinical examination, X-rays to exclude bony injury and MRI for diagnosis confirmation. All underwent percutaneous repair by the same surgeon, using the same technique and rehabilitation protocol. The postoperative assessment was done subjectively using ATRS and AOFAS score and objectively using a percentage of heel rise comparison to the normal side and calf circumference difference. Results The mean follow-up period was 14.85 months ± 3 months. Average AOFAS scores at 6,12 months were 91 and 96, respectively, showing statistically significant improvement from pre-op level (P < 0.001). Percentage of heel rise on the affected side and calf circumference showed statistically significant improvement over the 12 month follow up period (P < 0.001). Superficial infection was reported in two patients (8.3%), and two cases reported transient sural nerve neuritis. Conclusion Percutaneous repair of neglected Achilles rupture using the index technique proved a satisfactory patient-reported and objective measurement at a one-year follow-up. With only minor transient complications. |
| first_indexed | 2024-03-13T07:31:42Z |
| format | Article |
| id | doaj.art-94fc58650e894b7a8fd87190378c10e1 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-13T07:31:42Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-94fc58650e894b7a8fd87190378c10e12023-06-04T11:04:11ZengBMCBMC Musculoskeletal Disorders1471-24742023-06-012411710.1186/s12891-023-06561-0Early satisfactory results of percutaneous repair in neglected achilles tendon ruptureMostafa Elsebai Hammad0Aly Maher Fayed1Mostafa Ahmed Ayoub2Ali Mahmoud Emran3Department of Orthopaedic surgery, Faculty of medicine, Tanta UniversityDepartment of Orthopaedic surgery, Faculty of medicine, Tanta UniversityDepartment of Orthopaedic surgery, Faculty of medicine, Tanta UniversityDepartment of Orthopaedic surgery, Faculty of medicine, Tanta UniversityAbstract Purpose This investigation aimed to study the outcome of percutaneous repair of Achilles tendon ruptures regarding patient-reported and objective outcomes. Methods This is a retrospective review of a cohort of patients (n = 24) who underwent percutaneous repair of neglected Achilles rupture in the period between 2013 and 2019. Included patients were adults with closed injuries, presented 4–10 weeks after rupture, with intact deep sensation. All underwent clinical examination, X-rays to exclude bony injury and MRI for diagnosis confirmation. All underwent percutaneous repair by the same surgeon, using the same technique and rehabilitation protocol. The postoperative assessment was done subjectively using ATRS and AOFAS score and objectively using a percentage of heel rise comparison to the normal side and calf circumference difference. Results The mean follow-up period was 14.85 months ± 3 months. Average AOFAS scores at 6,12 months were 91 and 96, respectively, showing statistically significant improvement from pre-op level (P < 0.001). Percentage of heel rise on the affected side and calf circumference showed statistically significant improvement over the 12 month follow up period (P < 0.001). Superficial infection was reported in two patients (8.3%), and two cases reported transient sural nerve neuritis. Conclusion Percutaneous repair of neglected Achilles rupture using the index technique proved a satisfactory patient-reported and objective measurement at a one-year follow-up. With only minor transient complications.https://doi.org/10.1186/s12891-023-06561-0Achilles tendonMinimally invasiveNeglected rupturePercutaneous repair |
| spellingShingle | Mostafa Elsebai Hammad Aly Maher Fayed Mostafa Ahmed Ayoub Ali Mahmoud Emran Early satisfactory results of percutaneous repair in neglected achilles tendon rupture BMC Musculoskeletal Disorders Achilles tendon Minimally invasive Neglected rupture Percutaneous repair |
| title | Early satisfactory results of percutaneous repair in neglected achilles tendon rupture |
| title_full | Early satisfactory results of percutaneous repair in neglected achilles tendon rupture |
| title_fullStr | Early satisfactory results of percutaneous repair in neglected achilles tendon rupture |
| title_full_unstemmed | Early satisfactory results of percutaneous repair in neglected achilles tendon rupture |
| title_short | Early satisfactory results of percutaneous repair in neglected achilles tendon rupture |
| title_sort | early satisfactory results of percutaneous repair in neglected achilles tendon rupture |
| topic | Achilles tendon Minimally invasive Neglected rupture Percutaneous repair |
| url | https://doi.org/10.1186/s12891-023-06561-0 |
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