Percutaneous Achilles tendon repair with the Dresden instrument. Clinical and MRI evaluation of 90 patients.
Foot Ankle Surg
; 26(2): 209-217, 2020 Feb.
Article
en En
| MEDLINE
| ID: mdl-30853390
ABSTRACT
BACKGROUND:
This study aims at evaluating a substantial number of patients treated with a percutaneous, paratenon preserving technique for Achilles tendon repair using three different incisions with clinical follow-up and magnetic resonance imaging (MRI).METHODS:
Ninety patients with percutaneous Achilles tendon repair using the Dresden technique for acute rupture were evaluated. Fifteen patients were treated using a central approach, 15 patients using a posterolateral approach and the original posteromedial approach was used in 60 patients. All patients were followed clinically and with MRI after 1 and 6 months post-operatively.RESULTS:
Using the standard posteromedial approach no complications were seen. With the central approach 4 (27%) wound healing problems were observed and with the posterolateral approach 2 (13%) sural nerve lesions occurred. One patient (1.1%) had a rerupture. MRI revealed an increased diameter at the rupture site and distal to it as well as an increasingly homogeneous signal over time.CONCLUSIONS:
Percutaneous Achilles tendon repair with the Dresden technique yields excellent clinical results and a low complication rate. Modification of the original incision is discouraged.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
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Tendón Calcáneo
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Traumatismos de los Tendones
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Procedimientos de Cirugía Plástica
Tipo de estudio:
Etiology_studies
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Incidence_studies
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Observational_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Foot Ankle Surg
Asunto de la revista:
ORTOPEDIA
Año:
2020
Tipo del documento:
Article