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Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument

BACKGROUND: The aim of this study was to evaluate the outcome of patients with a rupture of the Achilles tendon (ATR) treated percutaneously with the Dresden instrument in the hands of surgeons others than its inventors. MATERIALS AND METHODS: 118 patients (FU rate: 77.1%) with an acute ATR treated...

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Autores principales: Manegold, Sebastian, Tsitsilonis, Serafim, Schumann, Jakob, Gehlen, Tobias, Agres, Alison N., Keller, Johannes, Gesslein, Markus, Wichlas, Florian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143488/
https://www.ncbi.nlm.nih.gov/pubmed/30229505
http://dx.doi.org/10.1186/s10195-018-0511-1
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author Manegold, Sebastian
Tsitsilonis, Serafim
Schumann, Jakob
Gehlen, Tobias
Agres, Alison N.
Keller, Johannes
Gesslein, Markus
Wichlas, Florian
author_facet Manegold, Sebastian
Tsitsilonis, Serafim
Schumann, Jakob
Gehlen, Tobias
Agres, Alison N.
Keller, Johannes
Gesslein, Markus
Wichlas, Florian
author_sort Manegold, Sebastian
collection PubMed
description BACKGROUND: The aim of this study was to evaluate the outcome of patients with a rupture of the Achilles tendon (ATR) treated percutaneously with the Dresden instrument in the hands of surgeons others than its inventors. MATERIALS AND METHODS: 118 patients (FU rate: 77.1%) with an acute ATR treated with the Dresden instrument were retrospectively evaluated. The following data were evaluated: pain intensity, functional limitation, Hannover score, Achilles tendon total rupture score (ATRS), AOFAS ankle-hindfoot score, Tegner activity score, complications, maximum calf circumference (MCC) on both sides, and the Matles test for tendon lengthening. The effect of the time point of the surgery after trauma was examined. RESULTS: Hannover scores and ATRSs were good; AOFAS scores were excellent. Almost all patients returned to sporting activities postoperatively, and 66.1% were able to return to their previous level. The Tegner activity score revealed a slight posttraumatic decrease (p = 0.009) in the level of physical activity overall (pre-injury: 5.37 ± 0.15; postoperatively: 4.77 ± 0.15). The re-rupture rate was 2%. No sural nerve lesions and no infections were reported. Even after 3 years, there was still a difference in MCC that was correlated with inferior clinical score and AT lengthening. Patients treated within the first 2 days after ATR showed inferior clinical outcomes in terms of AOFAS score, ATRS, and functional limitations. CONCLUSIONS: Percutaneous ATR suture with the Dresden instrument is a safe and reliable method. Low complication and re-rupture rates, good clinical results, and a high rate of return to play support this fact. The time point of the operation may influence the outcome.
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spelling pubmed-61434882018-09-19 Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument Manegold, Sebastian Tsitsilonis, Serafim Schumann, Jakob Gehlen, Tobias Agres, Alison N. Keller, Johannes Gesslein, Markus Wichlas, Florian J Orthop Traumatol Original Article BACKGROUND: The aim of this study was to evaluate the outcome of patients with a rupture of the Achilles tendon (ATR) treated percutaneously with the Dresden instrument in the hands of surgeons others than its inventors. MATERIALS AND METHODS: 118 patients (FU rate: 77.1%) with an acute ATR treated with the Dresden instrument were retrospectively evaluated. The following data were evaluated: pain intensity, functional limitation, Hannover score, Achilles tendon total rupture score (ATRS), AOFAS ankle-hindfoot score, Tegner activity score, complications, maximum calf circumference (MCC) on both sides, and the Matles test for tendon lengthening. The effect of the time point of the surgery after trauma was examined. RESULTS: Hannover scores and ATRSs were good; AOFAS scores were excellent. Almost all patients returned to sporting activities postoperatively, and 66.1% were able to return to their previous level. The Tegner activity score revealed a slight posttraumatic decrease (p = 0.009) in the level of physical activity overall (pre-injury: 5.37 ± 0.15; postoperatively: 4.77 ± 0.15). The re-rupture rate was 2%. No sural nerve lesions and no infections were reported. Even after 3 years, there was still a difference in MCC that was correlated with inferior clinical score and AT lengthening. Patients treated within the first 2 days after ATR showed inferior clinical outcomes in terms of AOFAS score, ATRS, and functional limitations. CONCLUSIONS: Percutaneous ATR suture with the Dresden instrument is a safe and reliable method. Low complication and re-rupture rates, good clinical results, and a high rate of return to play support this fact. The time point of the operation may influence the outcome. Springer International Publishing 2018-09-18 2018-12 /pmc/articles/PMC6143488/ /pubmed/30229505 http://dx.doi.org/10.1186/s10195-018-0511-1 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Manegold, Sebastian
Tsitsilonis, Serafim
Schumann, Jakob
Gehlen, Tobias
Agres, Alison N.
Keller, Johannes
Gesslein, Markus
Wichlas, Florian
Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument
title Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument
title_full Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument
title_fullStr Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument
title_full_unstemmed Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument
title_short Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument
title_sort functional outcome and complication rate after percutaneous suture of fresh achilles tendon ruptures with the dresden instrument
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143488/
https://www.ncbi.nlm.nih.gov/pubmed/30229505
http://dx.doi.org/10.1186/s10195-018-0511-1
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