Avoiding sural nerve injuries during percutaneous Achilles tendon repair

The American Journal of Sports Medicine
Martin MajewskiPeter Ochsner

Abstract

Sural nerve injury is a reported risk during percutaneous repair of the Achilles tendon. Exposure of the sural nerve during percutaneous repair can minimize the risk of nerve injury. Case control study; Level of evidence, 3. The authors retrospectively examined the results of 84 patients who were treated for acute Achilles tendon rupture at 2 different hospitals. Both hospitals used the same percutaneous repair technique, except that the sural nerve was exposed in the 38 patients (mean age, 38 years; range, 23-68 years) of one hospital; the nerve was not exposed in the 46 patients (mean age, 42 years; range, 24-71 years) of the other hospital (the nonexposure group). All patients recovered and returned to work after 44 days (range, 5-202 days). All patients returned to their previous sports levels within 1 year. On the 100-point Hannover Achilles Tendon Score, the mean score was 81 points (range, 44-100 points). The overall incidence of sural nerve related complications was 18%. All sural nerve lesions occurred in the nonexposure group. In the total study population, there were 3 cases of deep vein thrombosis, 1 rerupture, and 1 case of infection. Sural nerve injuries can be minimized during surgery by carefully placing the sta...Continue Reading

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