Comparison of percutaneous and open repair of Achilles tendon rupture: results and complications from a single institution

Znanstveni rad - Izvorni znanstveni rad

• Autor: Fabijan Čukelj jr
• Autor: Dejan Blažević
• Autor: Fabijan Čukelj
• Autor: Srećko Sabalić
• Autor: Ivan Benčić
• Autor: Tomislav Ćuti
• Autor: Dinko Pivalica
• Autor: Bore Bakota
• Autor: Dinko Vidović
• Autorova ustanova: (Klinički bolnički centar Sestre milosrdnice)
• Autorova ustanova: (Klinički bolnički centar Split)
• Autorova ustanova: Sveučilište u Splitu; Medicinski fakultet
• Autorova ustanova: Sveučilište u Zagrebu; Stomatološki fakultet
• Znanstveno / umjetničko područje, polje i grana: BIOMEDICINA I ZDRAVSTVO; Dentalna medicina

Sažetak (engleski)

The Achilles tendon is the strongest tendon in the human body, but it is prone to injury, especially in modern times when recreational sports are growing in popularity. As a result, Achilles tendon rupture is becoming an increasingly common medical problem in modern society. The main objective of this study was to compare the outcomes of percutaneous repair and open repair for the treatment of Achilles tendon rupture.MethodsA retrospective study was conducted involving a total of 316 patients who had undergone surgical treatment for Achilles tendon rupture between 2013 and 2021. The data collected from the medical history of these patients included the type of surgical procedure, the mechanism of injury, the age and sex of the patients, the time spent in the hospital, and any possible complications of the surgical treatment (such as infections, reruptures, or sural nerve injuries).ResultsThe study revealed that there was no significant difference between percutaneous and open surgical approaches in terms of sural nerve injury. However, there was a statistically significant advantage of the percutaneous method in terms of the number of infections, which was significantly lower than that of the open method. Additionally, the median length of hospital stay was found to be four days longer with the open approach. However, the study noted that a statistically significant advantage of the percutaneous method for rerupture could not be established due to the small number of patients with rerupture and the insufficient ratio of patients with rerupture in relation to the size of the observed population.ConclusionsPercutaneous repair is an effective treatment option for Achilles tendon rupture and has outcomes equal to or better than those of open repair. Therefore, this approach is recommended as the preferred method of treatment due to the presence of fewer complications, provided that the indications for this technique are appropriate.

• Ključne riječi (engleski): Achilles tendon; Achilles tendon rupture; Open repair; Percutaneous repair
• Jezik: engleski
• Vrsta publikacije: Znanstveni rad - Izvorni znanstveni rad
• Status objave: Objavljen
• Vrsta recenzije: Recenziran - međunarodna recenzija
• Verzija publikacije: Objavljena verzija rada (izdavačev PDF)
• Naslov časopisa: BMC Surgery
• Brojčani podaci: vol. 24, br. 1, 47
• e-ISSN: 1471-2482
• DOI: https://doi.org/10.1186/s12893-024-02333-2
• URN:NBN: urn:nbn:hr:127:751096
• Datum objave publikacije: 2024-02-06
• URL dokumenta: https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-024-02333-2
• Vrsta resursa: Tekst
• Prava pristupa: Otvoreni pristup
• Datum i vrijeme pohrane: 2024-07-01 10:07:31