Chinese Journal of Tissue Engineering Research ›› 2023, Vol. 27 ›› Issue (17): 2687-2691.doi: 10.12307/2023.199

Previous Articles    

Limited-incision knotless repair for acute closed Achilles tendon ruptures

Zhou Weibo1, Zhang Yi2, Liang Wenwei3, Zhu Chunhui1, 3, Zhou Fulin1   

  1. 1Changzhou Second People’s Hospital Affiliated to Nanjing Medical University, Changzhou 213000, Jiangsu Province, China; 2Changzhou Wujin Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Changzhou 213000, Jiangsu Province, China; 3The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China
  • Received:2022-02-28 Accepted:2022-06-13 Online:2023-06-18 Published:2022-10-25
  • Contact: Zhou Fulin, Master, Associate chief physician, Changzhou Second People’s Hospital Affiliated to Nanjing Medical University, Changzhou 213000, Jiangsu Province, China
  • About author:Zhou Weibo, Master, Attending physician, Changzhou Second People’s Hospital Affiliated to Nanjing Medical University, Changzhou 213000, Jiangsu Province, China
  • Supported by:
    National Natural Science Foundation of China, No. 81601897 (to LWW); Young Talent Science and Technology Project of Changzhou Municipal Health Commission No. QN202118 (to ZCH); Health Youth Science and Technology Talent Support Project of Changzhou Medical Association, No. QT202112 (to ZCH)

PDF

43

Abstract: BACKGROUND: Achilles tendon rupture is a common orthopedic disease in clinical practice. The traditional surgical method results in a large incision and has the high probability of complications. Exploring a minimally invasive surgical treatment is helpful to enhance patient rapid recovery.
OBJECTIVE: To investigate the clinical efficacy and feasibility of limited-incision knotless bridging in the treatment of acute closed Achilles tendon rupture. 
METHODS: The clinical data of 22 patients with acute closed Achilles tendon rupture treated in Changzhou Second People’s Hospital Affiliated to Nanjing Medical University from January 2019 to May 2020 were retrospectively analyzed. All patients were treated with limited-incision knotless bridging surgery and were followed up for over 12 months. The amount of intraoperative bleeding, operation time, and hospital stay were recorded. The American Orthopaedic Foot & Ankle Society score for ankle-hindfoot function, visual analog scale score, Fugl-Meyer Rating Scale score for the lower limbs and Achilles tendon complete rupture score were compared before operation and at the last follow-up. The complications during follow-up and the curative effect at the last follow-up were analyzed as per the Amer Lindholm evaluation standard.
RESULTS AND CONCLUSION: All patients were followed up without incision complications. As per the Amer Lindholm evaluation standard, excellent was in 18 cases (82%) and good in 4 cases (18%). The excellent and good rate was 100%. At the last follow-up, the American Orthopaedic Foot & Ankle Society score, the Fugl-Meyer Rating Scale score for the lower limbs, and Achilles tendon complete rupture score were significantly higher than those before operation, and the visual analogy score was significantly lower than that before operation (P < 0.05). At the last follow-up, there was no significant difference between the affected and health sides in terms of the American Orthopaedic Foot & Ankle Society score for ankle-hindfoot function, visual analog scale score, Fugl-Meyer Rating Scale score for the lower limbs, and Achilles tendon complete rupture score (P > 0.05). To conclude, the limited-incision knotless bridging technique in the treatment of acute Achilles tendon rupture has the advantages of simple operation, less postoperative complications and satisfactory functional recovery.

Key words: Achilles tendon rupture, limited incision, knotless, bridging, follow-up, complication

CLC Number: