Minimally invasive repair of acute closed Achilles tendon rupture with two-way needle suture technique
10.3760/cma.j.cn115530-20230618-00297
- VernacularTitle:双向针缝合技术微创修复急性闭合性跟腱断裂的疗效分析
- Author:
Changsong CAO
1
;
Zhe LEI
;
Jianjun WU
;
Song YANG
;
Jie CHEN
;
Liangliang ZHAO
;
Junfang ZHU
;
Aiguo WANG
Author Information
1. 郑州市骨科医院，郑州 450000
- Keywords:
Achilles tendon;
Minimally invasive technique;
Acute;
Two-way needle suture technique
- From:
Chinese Journal of Orthopaedic Trauma
2023;25(7):584-588
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of two-way needle suture technique (TNST) in the minimally invasive repair of acute closed Achilles tendon rupture.Methods:From June 2019 to June 2021, 26 patients with acute closed Achilles tendon rupture were treated at Zhengzhou Orthopedic Hospital. They were 20 males and 6 females, with a mean age of 28 (23, 31) years. The rupture end was (4.2±1.3) cm away from the calcaneal insertion, and the interval from injury to operation 4.3 (2.0, 5.0) d. Preoperative MRI examinations revealed in all the patients closed Achilles tendon rupture which was to be repaired by TNST. The operation time, incision length, incidence of complications, ankle dorsiflexion and plantar flexion were recorded. The Arner-Lindholm scoring was used to evaluate the clinical efficacy.Results:The operation time was (20.0±5.0) min and the incision length (2.5±0.4) cm. Postoperatively, all incisions healed by the first stage, with no complications like incision infection, skin edge necrosis, deep vein thrombosis at lower limbs, injury to the sural nerve, or re-rupture of the Achilles tendon. All patients were followed up for (12.0±6.0) months. At the last follow-up, the patients walked normally, their incisions healed well, the continuity of the Achilles tendon was good by palpation, their heel lift was strong, and all their activities were restored to the levels before rupture of the Achilles tendon. The ankle dorsiflexion was 22.6°±3.7° and the plantar flexion 25.3°±3.7°, According to the Arner-Lindholm evaluation, the clinical efficacy was rated as excellent in 25 cases and as good in 1 case, giving an excellent and good rate of 100% (26/26).Conclusion:In the minimally invasive repair of acute closed Achilles tendon rupture, TNST shows the advantages of limited surgical invasion, a low incidence of postoperative complications, and reliable curative effects.
