A simple suture-guiding device for minimally invasive Achilles tendon repair
Background: Our hypothesis is to utilize a simple suture-guiding device for minimally invasive repair of Achilles tendon without any extra cost with a minimal risk of rerupture. The purpose of this study is to investigate the results of our minimally invasive technique for Achilles tendon repair usi...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-11-01
|
| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499017739484 |
| _version_ | 1818384925249765376 |
|---|---|
| author | Sinan Obut Alper Gultekin Meric Unal Ulaş Serarslan Ümit Tuhanioğlu |
| author_facet | Sinan Obut Alper Gultekin Meric Unal Ulaş Serarslan Ümit Tuhanioğlu |
| author_sort | Sinan Obut |
| collection | DOAJ |
| description | Background: Our hypothesis is to utilize a simple suture-guiding device for minimally invasive repair of Achilles tendon without any extra cost with a minimal risk of rerupture. The purpose of this study is to investigate the results of our minimally invasive technique for Achilles tendon repair using a simple ovarian clamp for suture guiding. Materials and Methods: Twenty patients with acute Achilles tendon rupture were treated with minimally invasive repair by an expert orthopaedic surgeon. Instead of an Achillon device, an ovarian clamp was directed to the proximal and distal parts of the Achilles tendon. All data relating to daily activities, walking, climbing stairs, sports activity, American Orthopaedic Foot and Ankle Society (AOFAS) and Thermannscores were recorded. Sural nerve was evaluated with physical examination for paraesthesia, hyperaesthesia, lateralis cruris and foot pain in all patient controls. Results: The average AOFAS score was 97.06 (76–100). All patients had intact Achilles tendon at last control. No rerupture was observed. Average time taken to return to work was 30.8 days (28–60 days). After 6 months, all patients returned to their previous sports activities. Conclusion: For Achilles tendon ruptures, minimally invasive repair techniques have shown successful results with low complication rates. Besides their success, some suture-guiding devices bring extra costs for patients or health insurance. Minimally invasive techniques may be performed with devices without any extra cost. Our new suture-guiding device provides knot placement under paratenon like Achillon device to improve outcomes, provides early return to work and minimizes the complications. Finally, our suture-guiding device has no extra cost. |
| first_indexed | 2024-12-14T03:30:00Z |
| format | Article |
| id | doaj.art-fb2ab527851d4924ba1819ad82c6da43 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-14T03:30:00Z |
| publishDate | 2017-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-fb2ab527851d4924ba1819ad82c6da432022-12-21T23:18:48ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902017-11-012510.1177/2309499017739484A simple suture-guiding device for minimally invasive Achilles tendon repairSinan Obut0Alper Gultekin1Meric Unal2Ulaş Serarslan3Ümit Tuhanioğlu4 Orthopaedics and Traumatology Department, Derince Research Hospital, Kocaeli, Turkey Orthopaedics and Traumatology Department, Derince Research Hospital, Kocaeli, Turkey Faculty of Medicine, Sports Medicine Department, Suleyman Demirel University, Isparta, Turkey Orthopaedics and Traumatology Department, Derince Research Hospital, Kocaeli, Turkey Orthopaedics and Traumatology Department, Adana Numune Research Hospital, Adana, TurkeyBackground: Our hypothesis is to utilize a simple suture-guiding device for minimally invasive repair of Achilles tendon without any extra cost with a minimal risk of rerupture. The purpose of this study is to investigate the results of our minimally invasive technique for Achilles tendon repair using a simple ovarian clamp for suture guiding. Materials and Methods: Twenty patients with acute Achilles tendon rupture were treated with minimally invasive repair by an expert orthopaedic surgeon. Instead of an Achillon device, an ovarian clamp was directed to the proximal and distal parts of the Achilles tendon. All data relating to daily activities, walking, climbing stairs, sports activity, American Orthopaedic Foot and Ankle Society (AOFAS) and Thermannscores were recorded. Sural nerve was evaluated with physical examination for paraesthesia, hyperaesthesia, lateralis cruris and foot pain in all patient controls. Results: The average AOFAS score was 97.06 (76–100). All patients had intact Achilles tendon at last control. No rerupture was observed. Average time taken to return to work was 30.8 days (28–60 days). After 6 months, all patients returned to their previous sports activities. Conclusion: For Achilles tendon ruptures, minimally invasive repair techniques have shown successful results with low complication rates. Besides their success, some suture-guiding devices bring extra costs for patients or health insurance. Minimally invasive techniques may be performed with devices without any extra cost. Our new suture-guiding device provides knot placement under paratenon like Achillon device to improve outcomes, provides early return to work and minimizes the complications. Finally, our suture-guiding device has no extra cost.https://doi.org/10.1177/2309499017739484 |
| spellingShingle | Sinan Obut Alper Gultekin Meric Unal Ulaş Serarslan Ümit Tuhanioğlu A simple suture-guiding device for minimally invasive Achilles tendon repair Journal of Orthopaedic Surgery |
| title | A simple suture-guiding device for minimally invasive Achilles tendon repair |
| title_full | A simple suture-guiding device for minimally invasive Achilles tendon repair |
| title_fullStr | A simple suture-guiding device for minimally invasive Achilles tendon repair |
| title_full_unstemmed | A simple suture-guiding device for minimally invasive Achilles tendon repair |
| title_short | A simple suture-guiding device for minimally invasive Achilles tendon repair |
| title_sort | simple suture guiding device for minimally invasive achilles tendon repair |
| url | https://doi.org/10.1177/2309499017739484 |
| work_keys_str_mv | AT sinanobut asimplesutureguidingdeviceforminimallyinvasiveachillestendonrepair AT alpergultekin asimplesutureguidingdeviceforminimallyinvasiveachillestendonrepair AT mericunal asimplesutureguidingdeviceforminimallyinvasiveachillestendonrepair AT ulasserarslan asimplesutureguidingdeviceforminimallyinvasiveachillestendonrepair AT umittuhanioglu asimplesutureguidingdeviceforminimallyinvasiveachillestendonrepair AT sinanobut simplesutureguidingdeviceforminimallyinvasiveachillestendonrepair AT alpergultekin simplesutureguidingdeviceforminimallyinvasiveachillestendonrepair AT mericunal simplesutureguidingdeviceforminimallyinvasiveachillestendonrepair AT ulasserarslan simplesutureguidingdeviceforminimallyinvasiveachillestendonrepair AT umittuhanioglu simplesutureguidingdeviceforminimallyinvasiveachillestendonrepair |