Percutaneous cruciate repair of ruptured Achilles tendon.

J Orthop Surg Res

Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Open University, Rome, Italy.

Published: September 2023

AI Article Synopsis

  • Percutaneous repair is an effective and safe approach for treating acute Achilles tendon ruptures, showing fewer wound complications than traditional open surgery.
  • The novel technique involves five small skin incisions that strategically minimize nerve injury risk and uses 16 suture threads with an external knot to enhance strength and reduce re-rupture chances.
  • Further clinical studies are needed to determine if this new cruciate suture method leads to improved outcomes compared to existing percutaneous repair methods.

Article Abstract

Percutaneous repair is a safe and reliable method to restore continuity after acute Achilles tendon ruptures, with a lower incidence of wound complications compared to open techniques. We describe a novel percutaneous cruciate suture performed through 5 stab skin incisions, four of which are longitudinal and parallel to the course of the sural nerve to minimize the risk of injury and one transverse incision at the site of rupture, with a total of 16 suture threads and the knot outside the tendon body, increasing the tensile strength of the suture and minimizing the risk of re-rupture. Clinical studies are necessary to ascertain whether the theoretical advantages of the cruciate suture technique translate into better clinical outcomes compared to established percutaneous techniques.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10496360PMC
http://dx.doi.org/10.1186/s13018-023-04167-9DOI Listing

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