ArticleJournal of orthopaedic surgery and research2025
Functional outcomes following minimally invasive Achilles rupture repair: a retrospective comparative study of PARS and midsubstance speedbridge techniques.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Biomechanical comparison of innovative suture techniques for repair of Achilles tendon rupture in a porcine flexor tendon model.Archives of orthopaedic and trauma surgery · 2026Article
- Fear of reinjury is associated with failure to return to preinjury level of activity after operative repair of ankle fractures.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Return to Sport and Return to Self-Reported Preinjury Level After Surgical Repair of Acute Achilles Tendon Rupture: A 2-Year Prospective Cohort Analysis.Journal of clinical medicine · 2026Article
- Parsing Through the Data on Achilles Tendon Rupture Management, Rehab and Sports Return Criteria: a Current Literature Review.Current reviews in musculoskeletal medicine · 2026Review
- Fear of Reinjury Is Associated With Worse Physical Function Measured by PROMIS Following Minimally Invasive Achilles Rupture Repair.Foot & ankle orthopaedics · 2026Article
- Weber Classification Does Not Correlate with PROMIS Outcome Measures.Foot & ankle orthopaedics · 2026Article
- Preoperative patient-reported depression and anxiety may affect short-term surgical outcomes in women with hallux valgus.Journal of orthopaedic surgery and research · 2026Article
- Surgical Treatment of Anchor-induced Heel Pain after Minimally Invasive Repair of Acute Achilles Tendon Rupture Using Percutaneous Achilles Repair System Achilles Midsubstance SpeedBridge™ Repair: A Case Report.Journal of orthopaedic case reports · 2026Article
- Review
- All-inside endoscopic and minimally invasive modified Bunnell suture yield favourable outcomes in acute midsubstance Achilles tendon ruptures: a comparative study.Journal of orthopaedic surgery and research · 2026Article
- Evaluation of a modified Bunnell suture technique with sequential tensioning for tension-offloading in Achilles tendon rupture repair: a case series and description of the surgical technique.Journal of surgical case reports · 2026Article
- Article
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8 authors.
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Abstract
backgroundPrior studies have compared patient-reported outcomes between open repair and one of either the two minimally invasive techniques for Achilles tendon rupture: Percutaneous Achilles Repair System (PARS) and Midsubstance Speedbridge Implant System (MSB). However, no study has compared patient-reported outcomes measured by Patient Reported Outcomes Measurement Information System (PROMIS) physical function (PF) and PROMIS pain interference (PI) and the Achilles Tendon Total Rupture Score (ATRS) between PARS and MSB. Our study compared patient-reported outcomes measured by PROMIS and ATRS scores between PARS and MSB. We hypothesized that patient-reported outcomes would be similar between groups.
methodsThis was a retrospective review of 434 patients who underwent Achilles rupture repair from 2018 to 2023 at a single institution. Tendinopathies, open injuries, concomitant fractures, tendon transfers, gastrocnemius recessions, and open repairs were excluded. A total of 316 patients met inclusion criteria and were contacted to complete a postoperative questionnaire containing PROMIS and ATRS. 119 (78 PARS and 41 MSB) completed all surveys and were included for final analysis. Wilcoxon rank-sum and Kruskal-Wallis tests were used to assess differences in mean scores. Chi-squared and Fisher's exact tests were used to compare incidence of complications. All tests were conducted at a significance level of α = 0.05.
resultsAverage follow-up was 30 months at time of survey completion. There were no significant differences in PROMIS PF, PROMIS PI, and ATRS measures between groups (p > 0.05). Mean PARS PROMIS PF, PROMIS PI, and ATRS were 58.8, 44.2, and 86.0, respectively. Mean MSB PROMIS PF, PROMIS PI, and ATRS were 55.3, 44.0, and 82.5, respectively. No significant differences existed in incidence of each postoperative complication between groups (p > 0.05).
conclusionIn the largest study to compare patient-reported outcomes between PARS and MSB, outcomes were similar between both groups. Both techniques resulted in PROMIS PF greater than the population mean and PROMIS PI lower than the population mean. Each had similar ATRS scores. Overall, both MSB and PARS were safe and effective strategies for surgically managing Achilles ruptures.
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