ArticleOrthopaedic journal of sports medicine2017
Functional Outcomes of Achilles Tendon Minimally Invasive Repair Using 4- and 6-Strand Nonabsorbable Suture: A Cohort Comparison Study.
Article in Orthopaedic journal of sports medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Achilles tendon elongation after acute rupture: is it a problem? A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Pooled it
- Recent developments in Achilles tendon risk-analyzing rupture factors for enhanced injury prevention and clinical guidance: Current implications of regenerative medicine.Journal of orthopaedic translation · 2024Review
- The option of transosseous distal suture placement during minimally invasive Achilles tendon repair for high-risk patients can improve outcomes, however does not prevent re-rupture.BMC musculoskeletal disorders · 2024Article
- Are Prospective Criteria or Objective Clinical Measures Utilized in Return to Play (RTP) Decision Making After Ankle Surgery? A Scoping Review.Foot & ankle orthopaedics · 2023Article
- Achilles tendon resting angle is able to detect deficits after an Achilles tendon rupture, but it is not a surrogate for direct measurements of tendon elongation, function or symptoms.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The release of adhesions improves outcome following minimally invasive repair of Achilles tendon rupture.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Persistent Deficits after an Achilles Tendon Rupture: A Narrative Review.Translational sports medicine · 2022Review
- Achilles Tendon Rupture: Mechanisms of Injury, Principles of Rehabilitation and Return to Play.Journal of functional morphology and kinesiology · 2020Review
- No difference in strength and clinical outcome between early and late repair after Achilles tendon rupture.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Age and Tightness of Repair Are Predictors of Heel-Rise Height After Achilles Tendon Rupture.Orthopaedic journal of sports medicine · 2020Article
- Achilles tendon cross-sectional area at 12 weeks post-rupture relates to 1-year heel-rise height.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Defining Components of Early Functional Rehabilitation for Acute Achilles Tendon Rupture: A Systematic Review.Orthopaedic journal of sports medicine · 2019Review
- The recovery after Achilles tendon rupture: a protocol for a multicenter prospective cohort study.BMC musculoskeletal disorders · 2019Article
- Achilles Tendon Resting Angle Relates to Tendon Length and Function.Foot & ankle international · 2018Article
- Tendon end separation with loading in an Achilles tendon repair model: comparison of non-absorbable vs. absorbable sutures.Journal of experimental orthopaedics · 2017Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of management of Achilles tendon rupture is to reduce tendon lengthening and maximize function while reducing the rerupture rate and minimizing other complications. PURPOSE: To determine changes in Achilles tendon resting angle (ATRA), heel-rise height, patient-reported outcomes, return to play, and occurrence of complications after minimally invasive repair of Achilles tendon ruptures using nonabsorbable sutures. STUDY
designCohort study; Level of evidence, 3.
methodsBetween March 2013 and August 2015, a total of 70 patients (58 males, 12 females) with a mean age of 42 ± 8 years were included and evaluated at 6 weeks and 3, 6, 9, and 12 months after repair of an Achilles tendon rupture. Surgical repair was performed using either 4-strand or 6-strand nonabsorbable sutures. After surgery, patients were mobilized, fully weightbearing using a functional brace. Early active movement was permitted starting at 2 weeks.
resultsThere were no significant differences in the ATRA, Achilles Tendon Total Rupture Score (ATRS), and Heel-Rise Height Index (HRHI) between the 4- and 6-strand repairs. The mean (SD) relative ATRA was -13.1° (6.6°) (dorsiflexion) following injury; this was reduced to 7.6° (4.8°) (plantar flexion) directly after surgery. During initial rehabilitation at 6 weeks, the relative ATRA was 0.6° (7.4°) (neutral) and -7.0° (5.3°) (dorsiflexion) at 3 months, after which ATRA improved significantly with time to 12 months (
conclusionIncreasing the number of suture strands from 4 to 6 does not alter the ATRA or HRHI after minimally invasive Achilles tendon repair. The use of a nonabsorbable suture during minimally invasive repair when used together with accelerated rehabilitation did not prevent the development of an increased relative ATRA. The ATRA at 3 months after surgery correlated with heel-rise height at 12 months.
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Registered trials
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