Evidence map›Paper›PMID 32653002›Full record

ArticleJournal of orthopaedic surgery and research2020

Intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture.

Yang Yongliang, Jia Honglei, Zhang Wupeng, Xu Shihong, Wang Fu, Wang Bomin, Li Qinghu, Wang Yonghui, Han Shumei

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

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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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Percutaneous cruciate repair of ruptured Achilles tendon.Journal of orthopaedic surgery and research · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
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  10. Article
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

9 authors.

Yang YongliangDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong University, No. 324 of Jingwu Road, 250021, Jinan, People's Republic of China.
Jia HongleiDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong University, No. 324 of Jingwu Road, 250021, Jinan, People's Republic of China.
Zhang WupengDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong University, No. 324 of Jingwu Road, 250021, Jinan, People's Republic of China.
Xu ShihongDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong University, No. 324 of Jingwu Road, 250021, Jinan, People's Republic of China.
Wang FuDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong University, No. 324 of Jingwu Road, 250021, Jinan, People's Republic of China.
Wang BominDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong University, No. 324 of Jingwu Road, 250021, Jinan, People's Republic of China.
Li QinghuDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong University, No. 324 of Jingwu Road, 250021, Jinan, People's Republic of China.
Wang YonghuiDepartment of Trauma and Emergency, Shandong Provincial Hospital affiliated to Shandong University, No. 324 of Jingwu Road, 250021, Jinan, People's Republic of China. trauma1973@hotmail.com.
Han ShumeiDepartment of Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, 250021, China. 15553115908@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive repair is a better option for Achilles tendon rupture with low re-rupture and wound-related complications than conservative treatment or traditional open repair. The major problem is sural nerve injury. The purpose of this study was to evaluate the effect and advantage of the intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture.

methodsA retrospective study was performed on 36 cases of acute Achilles tendon rupture treated with minimally invasive repair assisted with intraoperative ultrasonography from January 2015 to December 2017. The relationship of the sural nerve and small saphenous vein was confirmed on the preoperative MRI. The course of the small saphenous vein and the sural nerve was identified and marked by intraoperative ultrasonography. The ruptured Achilles tendon was repaired with minimally invasive Bunnell suture on the medial side of the small saphenous vein (SSV).

resultsAll patients were followed up for at least 12 months. No sural nerve injury or other complications was found intraoperatively and postoperatively. All the patients returned to work and light sporting activities at a mean of 12.78 ± 1.40 weeks and 17.28 ± 2.34 weeks, respectively. The Mean American Orthopaedic Foot & Ankle Society (AOFAS) scores improved from 59.17 ± 5.31 preoperatively to 98.92 ± 1.63 at the time of 12 months follow-up. There was a statistically significant difference (P < 0.001). No patient complained of a negative effect on their life.

conclusionsThe minimally invasive repair assisted with intraoperative ultrasonography can yield good clinical outcomes, less surgical time, and less complications, especially sural nerve injury. It is an efficient, reliable, and safe method for acute Achilles tendon (AT) rupture.

Indexed as

Suture TechniquesAchilles TendonAdultFemaleFollow-Up StudiesHumansIntraoperative PeriodMaleMiddle AgedMinimally Invasive Surgical ProceduresPeripheral Nerve InjuriesPostoperative ComplicationsRetrospective StudiesRuptureSaphenous VeinSural NerveAcute Achilles tendon ruptureIntraoperative ultrasonographyMinimally invasiveSural nerve injury

Identifiers

PMID32653002
PMCPMC7353778

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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.