ArticleFrontiers in surgery2026
Modified overlapping suture technique for the repair of horse-tail-like achilles tendon tears: technical description and clinical results.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To discuss the clinical efficacy of the modified overlapping suture technique to treat horse-tail-like Achilles tendon tears. Methods: A retrospective analysis was conducted on data from 57 patients with horse-tail-like Achilles tendon tears treated with the overlapping suture technique from May 2020 to May 2024. Calculate the final Arner-Lindholm scores and compare the AOFAS scores, maximum plantar flexion angle, and dorsiflexion angle of the ankle joint before and after surgery, and record the muscle strength of the plantar flexor muscles of the ankle joint and compare it with that before the surgery. Results: On average, 57 patients completed follow-up within 2 years. One patient experienced delayed wound healing after surgery, two patients re-ruptured their Achilles tendons three weeks post-surgery due to accidental falls, and one patient had a contralateral Achilles tendon rupture 2-4 years post-surgery. In addition, there were no symptoms of peroneal nerve injury after the surgery. The excellent and good rate of the Arner-Lindholm score after surgery was 98.2%; the postoperative AOFAS scores were (92.56 ± 6.71) points, (95% CI, 90.81-94.30), which showed a significant difference compared to the preoperative score of (64.92 ± 9.08) points, (95% CI, 62.56-67.27) ( Conclusions: The modified overlapping suture technique can be used to treat patients with horse-tail-like Achilles tendon tears. After treatment, the motor function of their lower limbs can be restored. In addition, there are a few complications.
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