Jigless knotless internal brace technique for acute Achilles tendon rupture: a case series study
Abstract Purpose To mitigate the risk of poor wound healing and of infection associated with the open repair of Achilles tendon midsubstance ruptures, minimally invasive techniques have been developed. We report our preliminary results after reviewing our “jigless knotless internal brace technique.”...
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-019-1471-8 |
| _version_ | 1798034753991999488 |
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| author | Po-Yen Ko Ming-Tung Huang Chia-Lung Li Wei-Ren Su I-Ming Jou Po-Ting Wu |
| author_facet | Po-Yen Ko Ming-Tung Huang Chia-Lung Li Wei-Ren Su I-Ming Jou Po-Ting Wu |
| author_sort | Po-Yen Ko |
| collection | DOAJ |
| description | Abstract Purpose To mitigate the risk of poor wound healing and of infection associated with the open repair of Achilles tendon midsubstance ruptures, minimally invasive techniques have been developed. We report our preliminary results after reviewing our “jigless knotless internal brace technique.” Methods Patients were placed in prone position and a transverse 3-cm incision was made proximal to the palpable ruptured end. The proximal ruptured end was pulled out, gently debrided, and sutured using Krackow locking loops. Percutaneous sutures were crisscrossed through the distal tendon stump and looped around the Krackow sutures over the proximal stump. The ipsilateral Krackow sutures and the contralateral crisscrossed sutures were subcutaneously passed through two mini-incisions over the posterior calcaneus tuberosity and seated at the tuberosity with two 4.5-mm knotless suture anchors. All patients underwent the same post-operative rehabilitation protocol and regular follow-ups for at least 1 year. Results We recruited 10 patients (mean age, 37.3 years) who scored 100 points on the American Orthopaedic Foot and Ankle Society (AOFAS) scale, and who returned to their preoperative exercise levels 1-year post-operatively with no complications. Conclusion Our method is simple, effective, and requires no special tools. It might be a reliable option for Achilles tendon repair. Level of evidence III |
| first_indexed | 2024-04-11T20:48:39Z |
| format | Article |
| id | doaj.art-c5c5626e8ace455cb077049f8ec12973 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T20:48:39Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-c5c5626e8ace455cb077049f8ec129732022-12-22T04:03:56ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-12-011411810.1186/s13018-019-1471-8Jigless knotless internal brace technique for acute Achilles tendon rupture: a case series studyPo-Yen Ko0Ming-Tung Huang1Chia-Lung Li2Wei-Ren Su3I-Ming Jou4Po-Ting Wu5Department of Biomedical Engineering, National Cheng Kung UniversityDepartment of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityDepartment of Orthopedics, National Cheng Kung University Hospital Dou-Liu Branch, College of Medicine, National Cheng Kung UniversityDepartment of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityDepartment of Orthopedics, E-Da HospitalDepartment of Biomedical Engineering, National Cheng Kung UniversityAbstract Purpose To mitigate the risk of poor wound healing and of infection associated with the open repair of Achilles tendon midsubstance ruptures, minimally invasive techniques have been developed. We report our preliminary results after reviewing our “jigless knotless internal brace technique.” Methods Patients were placed in prone position and a transverse 3-cm incision was made proximal to the palpable ruptured end. The proximal ruptured end was pulled out, gently debrided, and sutured using Krackow locking loops. Percutaneous sutures were crisscrossed through the distal tendon stump and looped around the Krackow sutures over the proximal stump. The ipsilateral Krackow sutures and the contralateral crisscrossed sutures were subcutaneously passed through two mini-incisions over the posterior calcaneus tuberosity and seated at the tuberosity with two 4.5-mm knotless suture anchors. All patients underwent the same post-operative rehabilitation protocol and regular follow-ups for at least 1 year. Results We recruited 10 patients (mean age, 37.3 years) who scored 100 points on the American Orthopaedic Foot and Ankle Society (AOFAS) scale, and who returned to their preoperative exercise levels 1-year post-operatively with no complications. Conclusion Our method is simple, effective, and requires no special tools. It might be a reliable option for Achilles tendon repair. Level of evidence IIIhttps://doi.org/10.1186/s13018-019-1471-8Achilles tendon ruptureMinimally invasiveKnotlessInternal brace |
| spellingShingle | Po-Yen Ko Ming-Tung Huang Chia-Lung Li Wei-Ren Su I-Ming Jou Po-Ting Wu Jigless knotless internal brace technique for acute Achilles tendon rupture: a case series study Journal of Orthopaedic Surgery and Research Achilles tendon rupture Minimally invasive Knotless Internal brace |
| title | Jigless knotless internal brace technique for acute Achilles tendon rupture: a case series study |
| title_full | Jigless knotless internal brace technique for acute Achilles tendon rupture: a case series study |
| title_fullStr | Jigless knotless internal brace technique for acute Achilles tendon rupture: a case series study |
| title_full_unstemmed | Jigless knotless internal brace technique for acute Achilles tendon rupture: a case series study |
| title_short | Jigless knotless internal brace technique for acute Achilles tendon rupture: a case series study |
| title_sort | jigless knotless internal brace technique for acute achilles tendon rupture a case series study |
| topic | Achilles tendon rupture Minimally invasive Knotless Internal brace |
| url | https://doi.org/10.1186/s13018-019-1471-8 |
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