Re-rupture rate and complications after percutaneous Tenolig® repair in acute midsubstance rupture of Achilles tendon.

IF 1.4 Q3 ORTHOPEDICS

European Journal of Orthopaedic Surgery and Traumatology Pub Date : 2024-12-21 DOI:10.1007/s00590-024-04115-1

Pierre Capdevielle, Alexandre Couraudon, Laurie Steinmuller, Camille Fabbri, Mathias Kirsch, Didier Mainard

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引用次数: 0

Abstract

Purpose: Acute midsubstance Achilles tendon ruptures are the most common tendon injuries in adults and the choice of surgical technique is still debated. The objective of this study is to evaluate the rate of iterative ruptures and postoperative complications at a minimum follow-up of one year of percutaneous sutures of the Achilles tendon, as well as to investigate the risk factors for rupture.

Methods: In this single-center retrospective study, 142 patients (119 men and 23 women, mean age of 46 years) were reviewed at a mean follow-up of 24 (12-38) months. Percutaneous sutures with the Tenolig® device was performed by several senior surgeons. We studied the rate of re-ruptures, scar-related complications, sural nerve damage, and thromboembolic complications. The mechanism leading to the rupture was also identified, as were the risk factors.

Results: 3 patients (2.11%) presented a re-rupture. No damage of the sural nerve was found. Three superficial skin ulcerations were identified, and three patients presented superficial venous thrombosis of the lower limb. Football was the highest risk activity (34.51%). The risk factors for a first episode of rupture were smoking and a BMI over than 25 kg/m². Nevertheless, no statistically significant risk factors could be identified for re-ruptures.

Conclusion: Percutaneous sutures of the Achilles tendon using Tenolig® provides a low risk of re-rupture, a low complication rate, particularly scar-related complications, and a respect for tendon vascularization.

Level of clinical evidence: 3.

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急性跟腱中间断裂经皮Tenolig®修复术后再破裂率及并发症。

目的：急性中物质跟腱断裂是成人最常见的跟腱损伤，手术技术的选择仍有争议。本研究的目的是评估经皮跟腱缝合术至少随访一年的反复断裂率和术后并发症，并探讨断裂的危险因素。方法：在这项单中心回顾性研究中，142例患者（男性119例，女性23例，平均年龄46岁）平均随访24（12-38）个月。Tenolig®装置的经皮缝合由几位资深外科医生完成。我们研究了再破裂、疤痕相关并发症、腓肠神经损伤和血栓栓塞并发症的发生率。还确定了导致破裂的机制，以及危险因素。结果：3例（2.11%）出现再破裂。未发现腓肠神经损伤。发现3例浅表皮肤溃疡，3例下肢浅表静脉血栓形成。足球是风险最高的活动（34.51%）。首次破裂的危险因素是吸烟和BMI超过25 kg/m2。然而，没有统计学上显著的危险因素可以确定再破裂。结论：使用Tenolig®进行跟腱经皮缝合具有再断裂风险低，并发症发生率低，特别是疤痕相关并发症，并且尊重跟腱血管化的特点。临床证据等级：3。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Orthopaedic Surgery and Traumatology 医学-整形外科

CiteScore

3.00

自引率

5.90%

发文量

265

审稿时长

3-8 weeks

期刊介绍： The European Journal of Orthopaedic Surgery and Traumatology (EJOST) aims to publish high quality Orthopedic scientific work. The objective of our journal is to disseminate meaningful, impactful, clinically relevant work from each and every region of the world, that has the potential to change and or inform clinical practice.