Krackow Locking Loop Technique Combined With the Modified Kessler Suture Technique for the Treatment of Acute Closed Achilles Tendon Rupture
10.3969/j.issn.1009-6604.2024.03.003
- VernacularTitle:Krackow锁定缝合法联合改良Kessler缝合法治疗急性闭合性跟腱体部断裂
- Author:
Yuan CAO
1
;
Zengzhen CUI
;
Yuliang FU
;
Liangyu BAI
;
Yang LÜ
Author Information
1. 北京大学第三医院骨科 骨与关节精准医学教育部工程研究中心,北京 100191
- Keywords:
Achilles tendon rupture;
Krackow locking loop technique;
Modified Kessler suture technique
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(3):173-177
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of Krackow locking loop technique combined with the modified Kessler suture technique in the treatment of acute closed Achilles tendon rupture.Methods From January 2020 to January 2022,162 cases of acute closed Achilles tendon rupture were treated with Krackow locking loop technique combined with the modified Kessler suture technique.The patients were treated with the same postoperative rehabilitation plans.The American Orthopaedic Foot and Ankle Society(AOFAS)hindfoot score and Achilles Tendon Total Rupture Score(ATRS)were collected to evaluate the functions.Results The operation time was 24-40 min(mean,31.9±4.6 min).All incisions healed in one stage without infection or sural nerve injury.Complications occurred in 2 patients,including 1 case of deep venous thrombosis and 1 case of trauma-related re-rupture.The recovery time of ankle flexion and extension motion was4-12 weeks(mean,7.6±1.9 weeks),the recovery time of single-legged heel rise height on the affected side was 10-18 weeks(mean,13.3±1.8 weeks),and the recovery time of fast walking or jogging was 14-26 weeks(mean,19.1±1.8 weeks).The 162 patients was followed up for 14-25 months(mean,19.0 months).The AOFAS hindfoot score increased from(54.4±4.4)points preoperatively to(98.0±4.0)points at the last follow-up(t =-104.402,P =0.000).The ATRS score increased from(52.0±8.3)points preoperatively to(91.2±2.4)points at the last follow-up(t =-62.823,P = 0.000).Conclusions For young and middle-aged patients with acute closed Achilles tendon rupture,Krackow locking loop technique combined with the modified Kessler suture technique can achieve good clinical outcomes.Early functional exercise is required to return to work and life.
