"Mini-open" repair of acute tendo Achilles ruptures--the solution?

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
C MukundanA Budgen

Abstract

The standard surgical exposure for repair of acute tendo Achilles rupture gives favourable results, but such extensive exposure increases the possibility of peritendinous adhesion, wound breakdown and infections which increases morbidity and impairs functional outcome. Open repair also increases post-operative hospital stay and hence encroaches on valuable bed space availability. To evade this mini-open technique was developed which provide anatomic apposition of the tendon ends and minimal damage to epitendon. We describe a retrospective case series of 21 patients who were treated with mini-open technique as a day case, between 2004 and 2007 operated by a single surgeon. They were followed up for a year. Both the Leppilahti score and the American Orthopaedic Foot and Ankle Society for the Ankle Hind foot Clinical Rating System (AOFAS) were calculated. The patients (8 males and 13 females) had a mean age of 43.4 years. Post-operatively the leg was placed in an air cast boot with 3 heel wedges allowing 30 degrees of plantar flexion. The foot is brought into plantigrade position by 6 weeks with serial removal of heel wedges followed by a rehabilitative training programme. There was one superficial infection which settled on oral ...Continue Reading

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Citations

Nov 16, 2011·Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology : SMARTT·Michael R CarmontPhilippe Beaufils
Sep 10, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Annette F P BartelThomas S Roukis
Oct 8, 2013·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Gazi HuriYoon Suk Hyun
Jul 28, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·R JallageasC Coste
Jun 5, 2016·British Journal of Sports Medicine·Jennifer A ZellersKarin Grävare Silbernagel
Oct 16, 2012·Foot & Ankle Specialist·Erin E KleinJessica Knight
Dec 6, 2019·Orthopaedic Journal of Sports Medicine·Jennifer A ZellersKarin Grävare Silbernagel
Oct 7, 2021·The American Journal of Sports Medicine·Chul Hyun ParkMin Cheol Chang

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