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Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument

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Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument. / Manegold, Sebastian; Tsitsilonis, Serafim; Schumann, Jakob; Gehlen, Tobias; Agres, Alison N; Keller, Johannes; Gesslein, Markus; Wichlas, Florian.

In: J ORTHOP TRAUMATOL, Vol. 19, No. 1, 18.09.2018, p. 19.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Manegold, S, Tsitsilonis, S, Schumann, J, Gehlen, T, Agres, AN, Keller, J, Gesslein, M & Wichlas, F 2018, 'Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument', J ORTHOP TRAUMATOL, vol. 19, no. 1, pp. 19. https://doi.org/10.1186/s10195-018-0511-1

APA

Manegold, S., Tsitsilonis, S., Schumann, J., Gehlen, T., Agres, A. N., Keller, J., Gesslein, M., & Wichlas, F. (2018). Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument. J ORTHOP TRAUMATOL, 19(1), 19. https://doi.org/10.1186/s10195-018-0511-1

Vancouver

Manegold S, Tsitsilonis S, Schumann J, Gehlen T, Agres AN, Keller J et al. Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument. J ORTHOP TRAUMATOL. 2018 Sep 18;19(1):19. https://doi.org/10.1186/s10195-018-0511-1

Bibtex

@article{215bf7fa42344662853bb2591f4d5ee6,
title = "Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument",
abstract = "BACKGROUND: The aim of this study was to evaluate the outcome of patients with a rupture of the Achilles tendon (ATR) treated percutaneously with the Dresden instrument in the hands of surgeons others than its inventors.MATERIALS AND METHODS: 118 patients (FU rate: 77.1%) with an acute ATR treated with the Dresden instrument were retrospectively evaluated. The following data were evaluated: pain intensity, functional limitation, Hannover score, Achilles tendon total rupture score (ATRS), AOFAS ankle-hindfoot score, Tegner activity score, complications, maximum calf circumference (MCC) on both sides, and the Matles test for tendon lengthening. The effect of the time point of the surgery after trauma was examined.RESULTS: Hannover scores and ATRSs were good; AOFAS scores were excellent. Almost all patients returned to sporting activities postoperatively, and 66.1% were able to return to their previous level. The Tegner activity score revealed a slight posttraumatic decrease (p = 0.009) in the level of physical activity overall (pre-injury: 5.37 ± 0.15; postoperatively: 4.77 ± 0.15). The re-rupture rate was 2%. No sural nerve lesions and no infections were reported. Even after 3 years, there was still a difference in MCC that was correlated with inferior clinical score and AT lengthening. Patients treated within the first 2 days after ATR showed inferior clinical outcomes in terms of AOFAS score, ATRS, and functional limitations.CONCLUSIONS: Percutaneous ATR suture with the Dresden instrument is a safe and reliable method. Low complication and re-rupture rates, good clinical results, and a high rate of return to play support this fact. The time point of the operation may influence the outcome.",
keywords = "Achilles Tendon/injuries, Adult, Aged, Ankle Injuries/surgery, Equipment Design, Female, Follow-Up Studies, Humans, Male, Middle Aged, Orthopedic Procedures/methods, Retrospective Studies, Rupture, Suture Techniques/instrumentation, Sutures, Tendon Injuries/surgery, Time Factors, Treatment Outcome, Young Adult",
author = "Sebastian Manegold and Serafim Tsitsilonis and Jakob Schumann and Tobias Gehlen and Agres, {Alison N} and Johannes Keller and Markus Gesslein and Florian Wichlas",
year = "2018",
month = sep,
day = "18",
doi = "10.1186/s10195-018-0511-1",
language = "English",
volume = "19",
pages = "19",
journal = "J ORTHOP TRAUMATOL",
issn = "1590-9921",
publisher = "Springer-Verlag Italia",
number = "1",

}

RIS

TY - JOUR

T1 - Functional outcome and complication rate after percutaneous suture of fresh Achilles tendon ruptures with the Dresden instrument

AU - Manegold, Sebastian

AU - Tsitsilonis, Serafim

AU - Schumann, Jakob

AU - Gehlen, Tobias

AU - Agres, Alison N

AU - Keller, Johannes

AU - Gesslein, Markus

AU - Wichlas, Florian

PY - 2018/9/18

Y1 - 2018/9/18

N2 - BACKGROUND: The aim of this study was to evaluate the outcome of patients with a rupture of the Achilles tendon (ATR) treated percutaneously with the Dresden instrument in the hands of surgeons others than its inventors.MATERIALS AND METHODS: 118 patients (FU rate: 77.1%) with an acute ATR treated with the Dresden instrument were retrospectively evaluated. The following data were evaluated: pain intensity, functional limitation, Hannover score, Achilles tendon total rupture score (ATRS), AOFAS ankle-hindfoot score, Tegner activity score, complications, maximum calf circumference (MCC) on both sides, and the Matles test for tendon lengthening. The effect of the time point of the surgery after trauma was examined.RESULTS: Hannover scores and ATRSs were good; AOFAS scores were excellent. Almost all patients returned to sporting activities postoperatively, and 66.1% were able to return to their previous level. The Tegner activity score revealed a slight posttraumatic decrease (p = 0.009) in the level of physical activity overall (pre-injury: 5.37 ± 0.15; postoperatively: 4.77 ± 0.15). The re-rupture rate was 2%. No sural nerve lesions and no infections were reported. Even after 3 years, there was still a difference in MCC that was correlated with inferior clinical score and AT lengthening. Patients treated within the first 2 days after ATR showed inferior clinical outcomes in terms of AOFAS score, ATRS, and functional limitations.CONCLUSIONS: Percutaneous ATR suture with the Dresden instrument is a safe and reliable method. Low complication and re-rupture rates, good clinical results, and a high rate of return to play support this fact. The time point of the operation may influence the outcome.

AB - BACKGROUND: The aim of this study was to evaluate the outcome of patients with a rupture of the Achilles tendon (ATR) treated percutaneously with the Dresden instrument in the hands of surgeons others than its inventors.MATERIALS AND METHODS: 118 patients (FU rate: 77.1%) with an acute ATR treated with the Dresden instrument were retrospectively evaluated. The following data were evaluated: pain intensity, functional limitation, Hannover score, Achilles tendon total rupture score (ATRS), AOFAS ankle-hindfoot score, Tegner activity score, complications, maximum calf circumference (MCC) on both sides, and the Matles test for tendon lengthening. The effect of the time point of the surgery after trauma was examined.RESULTS: Hannover scores and ATRSs were good; AOFAS scores were excellent. Almost all patients returned to sporting activities postoperatively, and 66.1% were able to return to their previous level. The Tegner activity score revealed a slight posttraumatic decrease (p = 0.009) in the level of physical activity overall (pre-injury: 5.37 ± 0.15; postoperatively: 4.77 ± 0.15). The re-rupture rate was 2%. No sural nerve lesions and no infections were reported. Even after 3 years, there was still a difference in MCC that was correlated with inferior clinical score and AT lengthening. Patients treated within the first 2 days after ATR showed inferior clinical outcomes in terms of AOFAS score, ATRS, and functional limitations.CONCLUSIONS: Percutaneous ATR suture with the Dresden instrument is a safe and reliable method. Low complication and re-rupture rates, good clinical results, and a high rate of return to play support this fact. The time point of the operation may influence the outcome.

KW - Achilles Tendon/injuries

KW - Adult

KW - Aged

KW - Ankle Injuries/surgery

KW - Equipment Design

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Orthopedic Procedures/methods

KW - Retrospective Studies

KW - Rupture

KW - Suture Techniques/instrumentation

KW - Sutures

KW - Tendon Injuries/surgery

KW - Time Factors

KW - Treatment Outcome

KW - Young Adult

U2 - 10.1186/s10195-018-0511-1

DO - 10.1186/s10195-018-0511-1

M3 - SCORING: Journal article

C2 - 30229505

VL - 19

SP - 19

JO - J ORTHOP TRAUMATOL

JF - J ORTHOP TRAUMATOL

SN - 1590-9921

IS - 1

ER -