Evidence map›Paper›PMID 39466410›Full record

SynthesisInternational orthopaedics2025

Mini-open versus percutaneous surgical repair for acute Achilles tendon rupture: a systematic review and meta-analysis.

Marian Andrei Melinte, Dan Viorel Nistor, Rodrigo Arruda de Souza Conde, Ricardo González Hernández, Prajna Wijaya, Kabuye Marvin, Alexia Nicola Moldovan, Razvan Marian Melinte

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
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.

Marian Andrei MelintePharmacy, Science, and Technology of Targu Mures, "George Emil Palade" University of Medicine, Strada Rasaritului nr. 10, Targu Mures, 540143, Romania. marianmelinte01@gmail.com.ORCID 0009-0002-8399-0785
Dan Viorel Nistor1st Department of Orthopedics and Traumatology, "Iuliu Hațieganu" University of Medicine and Pharmacy, 8 Victor Babes Street, Cluj-Napoca, 400012, Romania.ORCID 0000-0003-2987-0766
Rodrigo Arruda de Souza CondeFundación Barceló - Instituto Universitario de Ciencias de la Salud, Buenos Aires, Argentina.ORCID 0009-0000-9818-4968
Ricardo González HernándezDepartment of Orthopedics and Traumatology, Clinica General Del Norte, 70th Street 35th Avenue, Barranquilla, 080020, Colombia.
Prajna WijayaFaculty of Medicine, Universitas Indonesia, Jakarta, 40115, Indonesia.ORCID 0000-0001-5465-6871
Kabuye MarvinFaculty of Medicine, Azerbaijan Medical University, Samad Vurghun, Baku, Nasimi, AZ1022, Azerbaijan.ORCID 0009-0002-8775-3090
Alexia Nicola MoldovanPharmacy, Science, and Technology of Targu Mures, "George Emil Palade" University of Medicine, Strada Rasaritului nr. 10, Targu Mures, 540143, Romania.
Razvan Marian Melinte1st Department of Orthopedics and Traumatology, "Iuliu Hațieganu" University of Medicine and Pharmacy, 8 Victor Babes Street, Cluj-Napoca, 400012, Romania.ORCID 0000-0002-6965-4649

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the clinical outcomes and complications of mini-open (MOT) and percutaneous techniques (PT) in the surgical repair of acute Achilles tendon rupture (AATR).

methodsWe systematically searched PubMed, Scopus, Web of Science, Clinical Trials, and the Cochrane Library for studies comparing MOT with PT for AATR. We assessed functional outcomes, complication rates, and operation time. Statistical analyses were performed using RevMan Web. Odds ratios (ORs) and mean difference (MD) with 95% confidence intervals (CIs) were pooled with a fixed-effects model for dichotomous and continuous endpoints, respectively. Heterogeneity was evaluated with I

resultsEight studies, comprising 484 patients, were included, of whom 226 (46%) underwent MOT. MOT was associated with a significantly lower re-rupture rate (1.48% vs. 6.11%; OR 0.28; 95% CI 0.09-0.86; p = 0.03; I

conclusionsMOT for AATR repair seems to reduce re-ruptures and sural nerve injuries while improving AOFAS scores, with no significant differences in other complications compared to PT. These findings suggest that the MOT may offer a safer and equally effective alternative to PT for AATR.

Indexed as

Achilles TendonMinimally Invasive Surgical ProceduresOrthopedic ProceduresRuptureTendon InjuriesHumansOperative TimePostoperative ComplicationsTreatment OutcomeAchillesAOFASLimited openMeta-analysisMini-openPercutaneous

Identifiers

PMID39466410
PMCPMC11703899

What OpenQuestion holds

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Registered trials

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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.