Re-ruptures and early outcomes after surgical repair of acute Achilles tendon ruptures: prospective, comparative multicenter study
Purpose The primary objective of this study was to compare the re-rupture rate, clinical results, and functional outcomes six months after the surgical repair of an acute Achilles tendon rupture between three different techniques (open repair, percutaneous repair with the Tenolig®, and minimally inv...
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| Veröffentlicht in: | International orthopaedics 2023-07, Vol.47 (7), p.1855-1861 |
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| container_title | International orthopaedics |
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| creator | Laboute, E. Thoreux, P. Beldame, J. Caubere, A. Giunta, J.C. Coursier, R. Saab, M. |
| description | Purpose
The primary objective of this study was to compare the re-rupture rate, clinical results, and functional outcomes six months after the surgical repair of an acute Achilles tendon rupture between three different techniques (open repair, percutaneous repair with the Tenolig®, and minimally invasive repair).
Methods
A prospective, comparative, multicenter, non-randomized study was performed and included 111 patients who had an acute ruptured Achilles tendon: 74 underwent an open repair, 22 underwent a percutaneous repair using the Tenolig® and 15 had a minimally invasive repair. At six months follow-up we analyzed the number of re-ruptures, phlebitis, infections, complex regional pain syndrome, clinical outcomes (muscle atrophy, ankle dorsal flexion), functional scores (ATRS, VISA-A, EFAS, SF-12), and return to running.
Results
There were more re-ruptures (
p
=0.0001) after repair with the Tenolig® (27%) than with open repairs (1.3%) and minimally invasive repairs (0%). The rate of other complications was not different. No clinical differences were found between the three groups. Only some functional scores EFAS Total (
p
=0.006), and VISA-A (
p
=0.015) were worse in the Tenolig® group. All the other results were similar between the three groups.
Conclusion
Despite heterogeneous studies in literature, the results of this comparative and prospective study between three surgical techniques of Achilles tendon repair confirmed that Tenolig® repair increased the rate of early re-rupture compared to open or minimally invasive techniques. |
| doi_str_mv | 10.1007/s00264-023-05827-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2813560917</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2813560917</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-b14844a5edc83428cbe61845f953680dabcfa25267f55b2e9d7ea83a8c101d5d3</originalsourceid><addsrcrecordid>eNp9kElPHDEQRq0oURggfyCHyMccMHhtu7khFBYJCSkKZ8ttV5NGveEl0lz55fEwkGNOVrlePVV9CH1l9JRRqs8SpbyRhHJBqDJcE_UBbZgUnCjWqo9oQ4VkhDetOkCHKT1RynRj2Gd0IDTThvN2g15-AollzSVCwm4OGFwct3gp2S_T7qvPEHEq8XHwbsQRVjdEvPTY-ZIBX_jfwzhWLsMclhm_q87xGpe0gs_DHzjB1bW66HYFnsqYBw_zqzeXsD1Gn3o3Jvjy9h6hh6sfvy5vyN399e3lxR3xQupMOiaNlE5B8EZIbnwHDTNS9a0SjaHBdb53XPFG90p1HNqgwRnhjGeUBRXEEfq-99bVngukbKcheRhHN8NSkuWGCdXQlumK8j3q6xUpQm_XOEwubi2jdpe93Wdva_b2NXur6tC3N3_pJgj_Rt7DroDYA6m25keI9mkpca43_0_7FzVqkqI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2813560917</pqid></control><display><type>article</type><title>Re-ruptures and early outcomes after surgical repair of acute Achilles tendon ruptures: prospective, comparative multicenter study</title><source>EZB-FREE-00999 freely available EZB journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Laboute, E. ; Thoreux, P. ; Beldame, J. ; Caubere, A. ; Giunta, J.C. ; Coursier, R. ; Saab, M.</creator><creatorcontrib>Laboute, E. ; Thoreux, P. ; Beldame, J. ; Caubere, A. ; Giunta, J.C. ; Coursier, R. ; Saab, M.</creatorcontrib><description>Purpose
The primary objective of this study was to compare the re-rupture rate, clinical results, and functional outcomes six months after the surgical repair of an acute Achilles tendon rupture between three different techniques (open repair, percutaneous repair with the Tenolig®, and minimally invasive repair).
Methods
A prospective, comparative, multicenter, non-randomized study was performed and included 111 patients who had an acute ruptured Achilles tendon: 74 underwent an open repair, 22 underwent a percutaneous repair using the Tenolig® and 15 had a minimally invasive repair. At six months follow-up we analyzed the number of re-ruptures, phlebitis, infections, complex regional pain syndrome, clinical outcomes (muscle atrophy, ankle dorsal flexion), functional scores (ATRS, VISA-A, EFAS, SF-12), and return to running.
Results
There were more re-ruptures (
p
=0.0001) after repair with the Tenolig® (27%) than with open repairs (1.3%) and minimally invasive repairs (0%). The rate of other complications was not different. No clinical differences were found between the three groups. Only some functional scores EFAS Total (
p
=0.006), and VISA-A (
p
=0.015) were worse in the Tenolig® group. All the other results were similar between the three groups.
Conclusion
Despite heterogeneous studies in literature, the results of this comparative and prospective study between three surgical techniques of Achilles tendon repair confirmed that Tenolig® repair increased the rate of early re-rupture compared to open or minimally invasive techniques.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-023-05827-5</identifier><identifier>PMID: 37178229</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Medicine ; Medicine & Public Health ; Original Paper ; Orthopedics</subject><ispartof>International orthopaedics, 2023-07, Vol.47 (7), p.1855-1861</ispartof><rights>The Author(s) under exclusive licence to SICOT aisbl 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s) under exclusive licence to SICOT aisbl.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-b14844a5edc83428cbe61845f953680dabcfa25267f55b2e9d7ea83a8c101d5d3</citedby><cites>FETCH-LOGICAL-c347t-b14844a5edc83428cbe61845f953680dabcfa25267f55b2e9d7ea83a8c101d5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-023-05827-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-023-05827-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37178229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Laboute, E.</creatorcontrib><creatorcontrib>Thoreux, P.</creatorcontrib><creatorcontrib>Beldame, J.</creatorcontrib><creatorcontrib>Caubere, A.</creatorcontrib><creatorcontrib>Giunta, J.C.</creatorcontrib><creatorcontrib>Coursier, R.</creatorcontrib><creatorcontrib>Saab, M.</creatorcontrib><title>Re-ruptures and early outcomes after surgical repair of acute Achilles tendon ruptures: prospective, comparative multicenter study</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
The primary objective of this study was to compare the re-rupture rate, clinical results, and functional outcomes six months after the surgical repair of an acute Achilles tendon rupture between three different techniques (open repair, percutaneous repair with the Tenolig®, and minimally invasive repair).
Methods
A prospective, comparative, multicenter, non-randomized study was performed and included 111 patients who had an acute ruptured Achilles tendon: 74 underwent an open repair, 22 underwent a percutaneous repair using the Tenolig® and 15 had a minimally invasive repair. At six months follow-up we analyzed the number of re-ruptures, phlebitis, infections, complex regional pain syndrome, clinical outcomes (muscle atrophy, ankle dorsal flexion), functional scores (ATRS, VISA-A, EFAS, SF-12), and return to running.
Results
There were more re-ruptures (
p
=0.0001) after repair with the Tenolig® (27%) than with open repairs (1.3%) and minimally invasive repairs (0%). The rate of other complications was not different. No clinical differences were found between the three groups. Only some functional scores EFAS Total (
p
=0.006), and VISA-A (
p
=0.015) were worse in the Tenolig® group. All the other results were similar between the three groups.
Conclusion
Despite heterogeneous studies in literature, the results of this comparative and prospective study between three surgical techniques of Achilles tendon repair confirmed that Tenolig® repair increased the rate of early re-rupture compared to open or minimally invasive techniques.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Orthopedics</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kElPHDEQRq0oURggfyCHyMccMHhtu7khFBYJCSkKZ8ttV5NGveEl0lz55fEwkGNOVrlePVV9CH1l9JRRqs8SpbyRhHJBqDJcE_UBbZgUnCjWqo9oQ4VkhDetOkCHKT1RynRj2Gd0IDTThvN2g15-AollzSVCwm4OGFwct3gp2S_T7qvPEHEq8XHwbsQRVjdEvPTY-ZIBX_jfwzhWLsMclhm_q87xGpe0gs_DHzjB1bW66HYFnsqYBw_zqzeXsD1Gn3o3Jvjy9h6hh6sfvy5vyN399e3lxR3xQupMOiaNlE5B8EZIbnwHDTNS9a0SjaHBdb53XPFG90p1HNqgwRnhjGeUBRXEEfq-99bVngukbKcheRhHN8NSkuWGCdXQlumK8j3q6xUpQm_XOEwubi2jdpe93Wdva_b2NXur6tC3N3_pJgj_Rt7DroDYA6m25keI9mkpca43_0_7FzVqkqI</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Laboute, E.</creator><creator>Thoreux, P.</creator><creator>Beldame, J.</creator><creator>Caubere, A.</creator><creator>Giunta, J.C.</creator><creator>Coursier, R.</creator><creator>Saab, M.</creator><general>Springer Berlin Heidelberg</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230701</creationdate><title>Re-ruptures and early outcomes after surgical repair of acute Achilles tendon ruptures: prospective, comparative multicenter study</title><author>Laboute, E. ; Thoreux, P. ; Beldame, J. ; Caubere, A. ; Giunta, J.C. ; Coursier, R. ; Saab, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-b14844a5edc83428cbe61845f953680dabcfa25267f55b2e9d7ea83a8c101d5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Laboute, E.</creatorcontrib><creatorcontrib>Thoreux, P.</creatorcontrib><creatorcontrib>Beldame, J.</creatorcontrib><creatorcontrib>Caubere, A.</creatorcontrib><creatorcontrib>Giunta, J.C.</creatorcontrib><creatorcontrib>Coursier, R.</creatorcontrib><creatorcontrib>Saab, M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Laboute, E.</au><au>Thoreux, P.</au><au>Beldame, J.</au><au>Caubere, A.</au><au>Giunta, J.C.</au><au>Coursier, R.</au><au>Saab, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Re-ruptures and early outcomes after surgical repair of acute Achilles tendon ruptures: prospective, comparative multicenter study</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>47</volume><issue>7</issue><spage>1855</spage><epage>1861</epage><pages>1855-1861</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
The primary objective of this study was to compare the re-rupture rate, clinical results, and functional outcomes six months after the surgical repair of an acute Achilles tendon rupture between three different techniques (open repair, percutaneous repair with the Tenolig®, and minimally invasive repair).
Methods
A prospective, comparative, multicenter, non-randomized study was performed and included 111 patients who had an acute ruptured Achilles tendon: 74 underwent an open repair, 22 underwent a percutaneous repair using the Tenolig® and 15 had a minimally invasive repair. At six months follow-up we analyzed the number of re-ruptures, phlebitis, infections, complex regional pain syndrome, clinical outcomes (muscle atrophy, ankle dorsal flexion), functional scores (ATRS, VISA-A, EFAS, SF-12), and return to running.
Results
There were more re-ruptures (
p
=0.0001) after repair with the Tenolig® (27%) than with open repairs (1.3%) and minimally invasive repairs (0%). The rate of other complications was not different. No clinical differences were found between the three groups. Only some functional scores EFAS Total (
p
=0.006), and VISA-A (
p
=0.015) were worse in the Tenolig® group. All the other results were similar between the three groups.
Conclusion
Despite heterogeneous studies in literature, the results of this comparative and prospective study between three surgical techniques of Achilles tendon repair confirmed that Tenolig® repair increased the rate of early re-rupture compared to open or minimally invasive techniques.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37178229</pmid><doi>10.1007/s00264-023-05827-5</doi><tpages>7</tpages></addata></record> |
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| subjects | Medicine Medicine & Public Health Original Paper Orthopedics |
| title | Re-ruptures and early outcomes after surgical repair of acute Achilles tendon ruptures: prospective, comparative multicenter study |
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