Evidence map›Paper›PMID 29499741›Full record

ArticleJournal of orthopaedic surgery and research2018

Does elasticity of Achilles tendon change after suture applications? Evaluation of repair area by acoustic radiation force impulse elastography.

Yavuz Selim Karatekin, Bedri Karaismailoglu, Gokhan Kaynak, Tahir Ogut, Atilla Suleyman Dikici, Emel Ure Esmerer, Onder Aydingoz, Huseyin Botanlioglu

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  6. Sonoelastographic Findings in Clubfeet.International journal of general medicine · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Yavuz Selim KaratekinDepartment of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Medical Faculty, Kocamustafapasa Cad. No:53, Fatih, Istanbul, Turkey.
Bedri KaraismailogluDepartment of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Medical Faculty, Kocamustafapasa Cad. No:53, Fatih, Istanbul, Turkey.
Gokhan KaynakDepartment of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Medical Faculty, Kocamustafapasa Cad. No:53, Fatih, Istanbul, Turkey.
Tahir OgutDepartment of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Medical Faculty, Kocamustafapasa Cad. No:53, Fatih, Istanbul, Turkey.
Atilla Suleyman DikiciDepartment of Radiology, Istanbul University Cerrahpasa Medical Faculty, Kocamustafapasa Cad. No: 53, Fatih, Istanbul, Turkey.
Emel Ure EsmererDepartment of Radiology, Istanbul University Cerrahpasa Medical Faculty, Kocamustafapasa Cad. No: 53, Fatih, Istanbul, Turkey.
Onder AydingozDepartment of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Medical Faculty, Kocamustafapasa Cad. No:53, Fatih, Istanbul, Turkey.
Huseyin BotanliogluDepartment of Orthopaedics and Traumatology, Istanbul University Cerrahpasa Medical Faculty, Kocamustafapasa Cad. No:53, Fatih, Istanbul, Turkey. huseyinbotanlioglu@gmail.com.
Istanbul University · TRIstanbul University-Cerrahpaşa · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchilles tendon injuries are one of the most common tendon injuries. Surgical treatment is preferred in young and active patients. Although there are studies which evaluate the repair area with magnetic resonance imaging and ultrasonography after surgical treatment, there are very few studies which analyzes the elasticity of the tendon by quantitative methods. ARFI (acoustic radiation force impulse) elastography is a simple and non-invasive method that can quantitatively measure the elasticity of the soft tissues. Our study aims to evaluate the elasticity in the repair area of the surgically treated Achilles tendons, compare them to the non-injured side, and evaluate the effect of the suture method to the elasticity of the repaired tendons by using ARFI elastography.

methodsIn our retrospectively designed study, 19 patients who underwent surgical treatment with Krackow and modified Kessler suture methods after the Achilles tendon rupture between 2006 and 2014 were included. Shear wave velocity (SWV) of the repaired and non-injured Achilles tendons were measured by ARFI elastography in four different positions of the ankle.

resultsIt was determined that SWV in the surgically repaired tendons were significantly higher in each four different position of the ankle, compared to the non-injured side (p < 0.01), indicating less elasticity in the repaired tendons. There was no statistically significant difference between the SWV of Krackow and modified Kessler suture method groups at four different positions of the ankle (p > 0.05). AOFAS Ankle-Hindfoot, VISA-A, VAS, and FAOS scores were not also statistically different between these two suture methods (p > 0.05).

conclusionsIn the repaired Achilles tendon, there is a decrease in the elasticity compared to the non-injured side. The functional and elastographic results of Krackow and modified Kessler suture methods are similar in long-term follow-ups of the patients.

Indexed as

Achilles TendonActivities of Daily LivingAdultAnkle JointElasticityElasticity Imaging TechniquesHumansMaleMiddle AgedQuality of LifeRange of Motion, ArticularRetrospective StudiesRuptureSuturesSuture TechniquesTendon InjuriesAchilles tendon ruptureAcoustic radiation force impulseElasticityElastographyKrackow methodModified Kessler methodShear wave velocitySurgical repair

Identifiers

PMID29499741
PMCPMC5834878
OpenAlexW2796006601

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.