Evidence map›Paper›PMID 40330411›Full record

ReviewCureus2025

Outcomes of the Mini-Open Technique for Achilles Tendon Repair: An Updated Systematic Review.

Jimmy Wen, Mouhamad Shehabat, Daniel I Razick, Ihab Abed, Zohaer Muttalib, Vince Thomas, Isabel Taguinod, Denise Nadora, Megan Kou, Soham Kondle and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Jimmy WenPhysical Medicine and Rehabilitation, California Northstate University College of Medicine, Elk Grove, USA.
Mouhamad ShehabatSurgery, California Northstate University College of Medicine, Elk Grove, USA.
Daniel I RazickSurgery, California Northstate University College of Medicine, Elk Grove, USA.
Ihab AbedSurgery, California Northstate University College of Medicine, Elk Grove, USA.
Zohaer MuttalibMedicine, California Northstate University College of Medicine, Elk Grove, USA.
Vince ThomasInternal Medicine, California Northstate University College of Medicine, Elk Grove, USA.
Isabel TaguinodEmergency Medicine, California Northstate University College of Medicine, Elk Grove, USA.
Denise NadoraNeurology, California Northstate University College of Medicine, Elk Grove, USA.
Megan KouOrthopedic Surgery, California Northstate University College of Medicine, Elk Grove, USA.
Soham KondleSurgery, California Northstate University College of Medicine, Elk Grove, USA.
Bruce LehnertPodiatry, SOAR Spine and Orthopedics, Redwood City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is much debate regarding the optimal treatment for acute Achilles tendon rupture. Surgical repair consists of open repair, percutaneous repair, and mini-open repair. The purpose of this review is to evaluate studies reporting outcomes after mini-open Achilles tendon repair (ATR) through evaluation of return to activity (RTA), complication rates, and postoperative patient-reported outcomes (PROs). A systematic review search following the guidelines established by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses was performed in three databases for studies including mini-open ATR. Study variables included title, author, publication date, study year, number of patients/Achilles, mean age, mean follow-up time, time to RTA/return to sport (RTS)/return to work (RTW), PROs, and rates of complications. Twenty-five studies, including 957 patients with a mean age of 39.34 ± 6.84 years and a mean follow-up time of 29.48 ± 17.64 months, were included in this study. The overall rates (range) of RTA (eight studies), RTS (12 studies), and RTW (eight studies) were 96.46% (82.3%-100%) at four months (3.8-7), 92.7% (82.3%-100%) at 5.4 months (4.3-6.1), and 100% at 2.2 months (0.6-4.5), respectively. The mean postoperative PROs of the American Orthopedic Foot and Ankle Score (11 studies), Achilles Tendon Total Rupture Score (eight studies), and Visual Analog Pain (four studies) were 95.5 (90.1-99.2), 90.3 (86-94.6), and 3.35 (0.2-8.85), respectively. The overall complication rate for mini-open repair was 8.05%, with the most common being sural nerve injury, rerupture, and skin adhesions. The mean rates of sural nerve injury and rerupture were 1.67% and 1.25%. Patients undergoing mini-open ATR demonstrated high rates of return to baseline activity, low rates of complications, and excellent postoperative PRO scores. Mini-open repair is a reliable technique with comparable functional outcomes to traditional open repair, with lower rates of infections and wound healing issues.

Indexed as

achilles tendon repairachilles tendon ruptureaofasatrsmini-open approach

Identifiers

PMID40330411
PMCPMC12050353

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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.