Percutaneous repair of Achilles tendon rupture: is it safe and reliable?

Harun Yasin Tüzün; Ömer Erşen; Selim Türkkan; Arsen Arsenishvili; Mustafa Kürklü

doi:10.19161/etd.790413

TR EN

Perkütan Aşil tendon rüptürü tamiri: güvenli ve güvenilir mi?

Öz

Amaç: Aşil tendon rüptürü en sık görülen tendon rüptürüdür ve akut Aşil tendon rüptürleri için en iyi tedavi tartışmalıdır. Mini açık veya perkütan onarım teknikleri erken iyileşme ve günlük yaşama erken dönme sağlar. Ancak sural sinir hasarı ve yeniden rüptür gibi bazı dezavantajları vardır. Bu çalışmanın amacı, akut Aşil tendon rüptürünün perkütan onarımının sural siniri anatomik konumunda bulup koruyarak yapılmasının güvenliğini ve güvenilirliğini belirlemektir. Gereç ve Yöntem: Kasım 2013-Şubat 2017 tarihleri arasında perkütan Aşil tendonu onarımı yapılan 24 hasta çalışmaya dâhil edildi. Hastalarda postoperatif erken dönemde ve son kontrollerinde yara iyileşme problemleri, komplikasyonları, ayak bileği hareket açıklıkları ve Amerikan Ayak ve Ayak Bileği Derneği skorları (AOFAS) değerlendirildi. Bulgular: Ortalama takip süresi 23 aydı. Hastaların son kontrollerinde etkilenen ayak bileklerinde 47,9 ± 3,1° plantar fleksiyon ve 20,1 ± 2,6° dorsifleksiyon olduğu görüldü. Ölçümler istatistiksel olarak sağlam tarafla benzerdi. Ortalama AOFAS skoru 91 ± 9,6 idi. Sonuç: Perkütan Aşil tendon onarımı, sural sinir anatomik konumunda tanımlandığında daha güvenli ve güvenilir bir yöntemdir.

Anahtar Kelimeler

Percutaneous repair of Achilles tendon rupture: is it safe and reliable?

Abstract

Aim: Achilles tendon rupture is the most common tendon rupture and the best treatment for acute Achilles tendon ruptures remains controversial. Mini open or percutaneous repair techniques offer early recovery and return to daily life, but have some disadvantages such as sural nerve injury and re-rupture. The aim of this study is to determine the safety and reliability of percutaneous repair of Achilles tendon rupture with identifying and retracting the sural nerve on its anatomical location. Materials and Methods: Twenty-four patients who had undergone percutaneous Achilles tendon repair between November 2013 and February 2017 were included in this study. Wound healing problems, complications, ankle range of motions, and American Foot and Ankle Society score in early postoperative period and at the last follow-up were assessed. Results: The average follow up period was 23 months. At last follow up injured ankles had 47.9±3.1° plantar flexion and 20.1±2.6° dorsiflexion statistically similar to the uninjured side. The average AOFAS score was 91±9.6. Conclusion: Percutaneous Achilles tendon repair is safer and more reliable method when the sural nerve was identified at its anatomical location.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Harun Yasin Tüzün
0000-0001-7348-9976
Türkiye

Ömer Erşen ^*
0000-0001-7351-6305
Türkiye

Selim Türkkan
0000-0002-2001-2370
Türkiye

Arsen Arsenishvili
0000-0001-8315-2285
Türkiye

Mustafa Kürklü
0000-0002-4228-3016
Türkiye

Publication Date

September 30, 2020

Submission Date

August 23, 2019

Acceptance Date

December 17, 2019

Published in Issue

Year 2020 Volume: 59 Number: 3

DOI

https://doi.org/10.19161/etd.790413

IZ

https://izlik.org/JA36KX42CT

Cite

RIS / Bibtex

Vancouver

1.Harun Yasin Tüzün, Ömer Erşen, Selim Türkkan, Arsen Arsenishvili, Mustafa Kürklü. Percutaneous repair of Achilles tendon rupture: is it safe and reliable? EJM. 2020 Sep. 1;59(3):155-9. doi:10.19161/etd.790413