Comparison of different surgical suture methods in the treatment of acute closed Achilles tendon rupture
10.3760/cma.j.cn115455-20240229-00194
- VernacularTitle:不同缝合方式在急性闭合性跟腱断裂中的应用比较
- Author:
Qinglin ZHANG
1
;
Lei CHEN
;
Hongjin FAN
;
Baoqiang XU
;
Qingluan HAN
;
Lei ZHANG
Author Information
1. 济宁医学院附属医院手足外科，济宁 272029
- Publication Type:Journal Article
- Keywords:
Achilles tendon;
Suture techniques;
Traditional open suture;
Modified Kessler method;
Minimally invasive suture with threaded rivets
- From:
Chinese Journal of Postgraduates of Medicine
2025;48(8):707-711
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy and safety among traditional open suture, modified Kessler method, and minimally invasive suture with threaded rivets in acute closed Achilles tendon rupture.Methods:A total of 60 patients with acute closed Achilles tendon rupture diagnosed and treated in the Affiliated Hospital of Jining Medical College from January 2018 to August 2022 were selected retrospectively as the study subjects and divided into group A (20 patients with traditional open suture), group B (20 patients with modified Kessler method) and group C (20 patients with minimally invasive suture with threaded rivets) according to operative method. The clinical efficacy, perioperative indexes, Achilles tendon activity, postoperative recovery work and exercise time, visual analog scale (VAS) score and complications were compared among the three groups.Results:The total effective rate in the group C was higher than that in the group A : 18/20 vs. 12/20, there was statistical difference ( χ2 = 4.80, P<0.05). The total effective rate in the group B and group C had no statistical difference ( P>0.05). The operation time, intraoperative blood loss, incision length, hospitalization time, time to return to work, exercise and VAS scores in the group B and group C were lower than those in the group A: (49.32 ± 4.74), (48.12 ± 4.68) min vs. (66.71 ± 5.84) min; (15.32 ± 1.01), (15.62 ± 0.79) ml vs.(19.86 ± 1.20) ml; (7.69 ± 0.57), (3.76 ± 0.50) cm vs. (8.98 ± 0.62) cm; (7.01 ± 0.91), (6.82 ± 0.83) d vs.(8.74 ± 1.12) d; (56.32 ± 8.01), (55.17 ± 7.84) d vs. (63.17 ± 6.68) d; (6.13 ± 1.20), (5.94 ± 1.04) months vs. (8.21 ± 1.20) months; (2.76 ± 0.50), (2.55 ± 0.76) scores vs. (3.98 ± 0.62) scores, there were statistical differences ( P<0.05). At 1, 6 and 12 months after surgery, the American Society for Foot and Ankle Surgery (AOFAS) scores in the three groups were significantly increased, and the AOFAS scores in the group B and group C were higher than those in the group A, there were statistical differences ( P<0.05). The total incidence of complications in the group C was lower than that in the group A: 2/20 vs. 8/20, there was statistical difference ( χ2 = 4.80, P<0.05). The total incidence of complications in the group B and group C had no statistical difference ( P>0.05). Conclusions:Modified Kessler method and minimally invasive suture with threaded rivets have the advantages of high efficiency and safety in the treatment of acute closed Achilles tendon rupture, and their efficacy is higher than that of traditional open suture.
