Mini-Invasive, Ultrasound Guided Repair of the Achilles Tendon Rupture—A Pilot Study
Percutaneous acute Achilles tendon rupture suturing has become a leading treatment option in recent years. A common complication after this mini-invasive procedure is sural nerve injury, which can reduce the patients’ satisfaction and final outcomes. High-resolution ultrasound is a reliable method f...
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doaj-a1223c8b730c4485a6337a4900eff01b2021-06-01T01:25:03ZengMDPI AGJournal of Clinical Medicine2077-03832021-05-01102370237010.3390/jcm10112370Mini-Invasive, Ultrasound Guided Repair of the Achilles Tendon Rupture—A Pilot StudyŁukasz Paczesny0Jan Zabrzyński1Marcin Domżalski2Maciej Gagat3Miron Termanowski4Dawid Szwedowski5Łukasz Łapaj6Jacek Kruczyński7Orvit Clinic, Citomed Healthcare Center, 87-100 Torun, PolandOrvit Clinic, Citomed Healthcare Center, 87-100 Torun, PolandOrthopedic and Trauma Department Medical, Veteran’s Memorial Hospital, University of Lodz, 90-137 Lodz, PolandDepartment of Histology and Embryology, Faculty of Medicine, Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, 87-100 Torun, PolandOrvit Clinic, Citomed Healthcare Center, 87-100 Torun, PolandOrvit Clinic, Citomed Healthcare Center, 87-100 Torun, PolandDepartment of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, University of Medical Sciences, 61-701 Poznan, PolandDepartment of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, University of Medical Sciences, 61-701 Poznan, PolandPercutaneous acute Achilles tendon rupture suturing has become a leading treatment option in recent years. A common complication after this mini-invasive procedure is sural nerve injury, which can reduce the patients’ satisfaction and final outcomes. High-resolution ultrasound is a reliable method for localizing the sural nerve, and it can be performed intra-operatively; however, the long-term results are yet unknown. The aim of the study was to retrospectively evaluate the long-term results of percutaneous Achilles tendon repair supported with real-time ultrasound imaging. We conducted 57 percutaneous sutures of acute Achilles tendon rupture between 2005 and 2015; 30 were sutured under sonographic guidance, while 27 were performed without sonographic assistance. The inclusion criteria were acute (less than 7 days) full tendon rupture, treatment with the percutaneous technique, age between 18 and 65 years, and a body mass index (BMI) below 35. The operative procedure was carried out by two surgeons, according to the surgical technique reported by Maffulli et al. In total, 35 patients were available for this retrospective assessment; 20 (16 men and 4 women) were treated with sonographic guidance, while 15 (12 men and 3 women) underwent the procedure without it. The mean follow-up was 8 years (range, 3–13 years). The sural nerve was localized 10 mm to 20 mm (mean, 15.8; SD, 3.02) laterally from the scar of the Achilles tendon tear. There was no significant difference between groups with respect to the FAOQ score (<i>P</i> < 0.05). High-resolution ultrasounds performed intra-operatively can minimize the risk of sural nerve injury during percutaneous Achilles tendon repair.https://www.mdpi.com/2077-0383/10/11/2370Achilles tendonsural nervepercutaneous repairultrasound guidance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Łukasz Paczesny Jan Zabrzyński Marcin Domżalski Maciej Gagat Miron Termanowski Dawid Szwedowski Łukasz Łapaj Jacek Kruczyński |
spellingShingle |
Łukasz Paczesny Jan Zabrzyński Marcin Domżalski Maciej Gagat Miron Termanowski Dawid Szwedowski Łukasz Łapaj Jacek Kruczyński Mini-Invasive, Ultrasound Guided Repair of the Achilles Tendon Rupture—A Pilot Study Journal of Clinical Medicine Achilles tendon sural nerve percutaneous repair ultrasound guidance |
author_facet |
Łukasz Paczesny Jan Zabrzyński Marcin Domżalski Maciej Gagat Miron Termanowski Dawid Szwedowski Łukasz Łapaj Jacek Kruczyński |
author_sort |
Łukasz Paczesny |
title |
Mini-Invasive, Ultrasound Guided Repair of the Achilles Tendon Rupture—A Pilot Study |
title_short |
Mini-Invasive, Ultrasound Guided Repair of the Achilles Tendon Rupture—A Pilot Study |
title_full |
Mini-Invasive, Ultrasound Guided Repair of the Achilles Tendon Rupture—A Pilot Study |
title_fullStr |
Mini-Invasive, Ultrasound Guided Repair of the Achilles Tendon Rupture—A Pilot Study |
title_full_unstemmed |
Mini-Invasive, Ultrasound Guided Repair of the Achilles Tendon Rupture—A Pilot Study |
title_sort |
mini-invasive, ultrasound guided repair of the achilles tendon rupture—a pilot study |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-05-01 |
description |
Percutaneous acute Achilles tendon rupture suturing has become a leading treatment option in recent years. A common complication after this mini-invasive procedure is sural nerve injury, which can reduce the patients’ satisfaction and final outcomes. High-resolution ultrasound is a reliable method for localizing the sural nerve, and it can be performed intra-operatively; however, the long-term results are yet unknown. The aim of the study was to retrospectively evaluate the long-term results of percutaneous Achilles tendon repair supported with real-time ultrasound imaging. We conducted 57 percutaneous sutures of acute Achilles tendon rupture between 2005 and 2015; 30 were sutured under sonographic guidance, while 27 were performed without sonographic assistance. The inclusion criteria were acute (less than 7 days) full tendon rupture, treatment with the percutaneous technique, age between 18 and 65 years, and a body mass index (BMI) below 35. The operative procedure was carried out by two surgeons, according to the surgical technique reported by Maffulli et al. In total, 35 patients were available for this retrospective assessment; 20 (16 men and 4 women) were treated with sonographic guidance, while 15 (12 men and 3 women) underwent the procedure without it. The mean follow-up was 8 years (range, 3–13 years). The sural nerve was localized 10 mm to 20 mm (mean, 15.8; SD, 3.02) laterally from the scar of the Achilles tendon tear. There was no significant difference between groups with respect to the FAOQ score (<i>P</i> < 0.05). High-resolution ultrasounds performed intra-operatively can minimize the risk of sural nerve injury during percutaneous Achilles tendon repair. |
topic |
Achilles tendon sural nerve percutaneous repair ultrasound guidance |
url |
https://www.mdpi.com/2077-0383/10/11/2370 |
work_keys_str_mv |
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