Outcomes of Limited Open Achilles Repair Using Modified Ring Forceps

Orthopaedic Journal of Sports Medicine
Jessica J M TelleriaEric M Bluman

Abstract

The optimal treatment of acute Achilles tendon ruptures remains controversial. When surgical repair is undertaken, the reported rate of infections and wound-healing complications ranges from 2% to 5%. Meta-analyses have demonstrated that minimally invasive approaches have equivalent rerupture rates, a significantly lower risk of superficial infections, and higher patient satisfaction rates compared with traditional open Achilles repair techniques. To review the clinical outcomes of acute, limited open Achilles tendon repair using modified ring forceps and to analyze functional results using foot and ankle-specific outcome measures. Case series; Level of evidence, 4. The clinical records of 32 consecutive patients (mean age, 44 years) with 33 acute Achilles tendon ruptures were retrospectively reviewed. All patients underwent limited open repair with modified ring forceps through a 2- to 3-cm midline incision. Suture placement into the tendon stumps was guided using a pair of ring forceps bent 30°. Three No. 2 nonabsorbable sutures were placed in the proximal and distal segments, the tendon ends were reapproximated, and the sutures were tied to secure the tendon. Outcomes from a 10-cm visual analog scale (VAS), the Foot and Ankl...Continue Reading

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Citations

Jul 28, 2019·Foot & Ankle Specialist·Seth W O'DonnellChristopher P Miller
Oct 7, 2021·The American Journal of Sports Medicine·Chul Hyun ParkMin Cheol Chang

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