Low Invasive Achilles Tendon Suture in Outpatient Surgery Using Achillon System



Cite item

Full Text

Abstract

Experience in treatment of 10 patients with Achilles tendon subcutaneous traumatic rupture is presented. All patients were men aged from 30 to 54 years. Remoteness of injury was under 10 days. All operations were performed using Achillon system. Follow up period made up from 6 months to 2 years. In 9 patients complete restoration of tendon function with good excursion in the suture zone was confirmed by US examination. In 1 patient failed suture in 8 weeks after surgery required an open tendon suturing. Achillon system combines all possibilities of open suture and advantages of low invasive technique and can be recommended to application in outpatient practice.

About the authors

A. S Samkov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

V. T Zeinalov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

Email: zeinalov_vadim@mail.ru

D. E Panov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

N. A Koryshkov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

K. S Ivanov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

A. S Khodjiev

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

K. A Sobolev

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

References

  1. Khan R.J., Fick D., Brammar T.J., Crawford J., Parker M.J. Interventions for treating acute Achilles tendon ruptures. Cochrane Database Syst Rev. 2004; (3): CD003674. Review. Update in: Cochrane Database Syst Rev. 2009; (1): CD003674.
  2. Mulier T., Dereymaeker G., Reynders P., Broos P. The management of chronic achilles tendon ruptures: gastrocnemius turn down flap with or without flexor hallucis longus transfer. Foot Ankle Surg. 2003; 9: 151-6.
  3. Ufberg J., Harrigan R.A., Cruz T., Perron A.D. Orthopedic pitfalls in the ED: Achilles tendon rupture. Am. J. Emerg. Med. 2004; 22 (7): 596-600.
  4. Ingvar J., Tagil M., Eneroth M. Nonoperative treatment of Achilles tendon rupture. Acta Orthop. 2005; 76 (4); 597-601.
  5. Rhiaz J.K., Khan R.H., Fick D. Treatment of Achilles tendon ruptures. J. Bone Joint Surg. Am. 2005; 87 (10); 2202-10.
  6. Leppilahti J., Orava, S. Total Achilles tendon rupture. A review. Sports Med. 1998; 25: 79-100.
  7. Garden D.G., Noble J., Chalmers J., Lunn P., Ellis J. Rupture of the calcaneal tendon (the early and late management). J. Bone Joint Surg. Br. 1987; 69 (3): 416-20.
  8. Gillies H., Chalmers J. The management of fresh ruptures of the tendo achillis. J. Bone Joint Surg. Am. 1970; 52 (2): 337-43.
  9. Lea R.B., Smith L. Non-surgical treatment of tendo achillis rupture. J. Bone Joint Surg. Am. 1972; 54 (7): 1398-407.
  10. Nistor L. Surgical and non-surgical treatment of Achilles tendon rupture: a prospective randomized study. J. Bone Joint Surg. Am. 1981; 63 (3): 394-9.
  11. Stein S.R., Luekens C.A. Jr. Closed treatment of Achilles tendon ruptures. Orthop. Clin. North. Am. 1976; 7 (1): 241-6.
  12. Stein S.R., Luekens C.A. Methods and rationale for closed treatment of Achilles tendon ruptures. Am. J. Sports Med. 1976; 4: 162-9.
  13. Arner O, Lindholm E. Subcutaneous rupture of the achilles tendon: a study of 92 cases. Acta Chir. Scand. 1959; Suppl. 239: 51.
  14. Soldatis J.J., Goodfellow D.B., Wilber J.H. End-to-end operative repair of Achilles tendon rupture. Am. J. Sports Med. 1997; 25: 90-95.
  15. Haertsch P.A. The blood supply to the skin of the leg: a post-mortem investigation. Br. J. Plast. Surg. 1981; 34: 470-7.
  16. Saleh M., Marshall P. D, Senior R, MacFarlane A. The Sheffield splint for controlled early mobilisation after rupture of the calcaneal tendon. A prospective, randomised comparison with plaster treatment. J. Bone Joint Surg. Br. 1992; 74 (2): 206-9.
  17. Assal M., Jung M., Stern R., Rippstein P., Delmi M., Hoffmeyer P. Limited open repair of Achilles tendon ruptures: a technique with a new instrument and findings of a prospective multicenter study. J. Bone Joint Surg. Am. 2002; 84 (2): 161-70.
  18. Bhattacharyya M., Gerber B. Mini-invasive surgical repair of the Achilles tendon-does it reduce postoperative morbidity? Int. Orthop. 2009; 33 (1): 151-6.
  19. Huffard B., O’Loughlin P.F., Wright T., Deland J., Kennedy J.G. Achilles tendon repair: Achillon system vs. Krackow suture: an anatomic in vitro biomechanical study. Clin. Biomech. (Bristol, Avon). 2008; 23 (9): 115864.
  20. Jung H.G., Lee K.B., Cho S.G., Yoon T.R. Outcome of achilles tendon ruptures treated by a limited open technique. Foot Ankle Int. 2008; 29 (8): 803-7.
  21. Bomler J., Sturup J. Achilles tendon rupture. An 8-year follow up. Acta Orthop. Belgica. 1989; 55: 307-10.
  22. Gillespie H.S., George E.A. Results of surgical repair of spontaneous rupture of the Achilles tendon. J. Trauma. 1969; 9: 247-9.
  23. Jacobs D., Martens M., Van Andekercke R., Mulier J.C., Mulier F. Comparison of conservative and operative treatment of Achilles tendon rupture. Am. J. Sports Med. 1978; 6 (2): 107-11.
  24. Cetti R., Christensen S.-E. Surgical treatment under local anaesthesia of Achilles tendon rupture. Clin. Orthop. Relat. Res. 1983; 173: 204-8.
  25. Goldman S., Linscheid R.L., Bickel W.H. Disruptions of the tendo achillis. Analysis of 33 cases. Pros. Mayo Clin. 1969; 44 (1): 28-35.
  26. Hooker C.H. Rupture of tendo calcaneus. J. Bone Joint Surg. 1963; 45 (2): 360-3.
  27. Beskin J.L., Sanders R.A., Hunter S.C., Hughston J.C. Surgical repair of Achilles tendon ruptures. Am. J. Sports Med. 1987; 15: 1-8.
  28. Calder J.D., Saxby T.S. Independent evaluation of a recently described Achilles tendon repair technique. Foot Ankle Int. 2006; 27 (2): 93-6.
  29. Nyyssonen T., Luthje P., Kroger H. The increasing incidence and difference in sex distribution of Achilles tendon rupture in Finland in 1987-1999. Scand. J. Surg. 2008; 97 (3): 272-5

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2014 Eco-Vector


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-76249 от 19.07.2019.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies