Comparison of semi-invasive "internal splinting" and open suturing techniques in achilles tendon rupture surgery

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dc.authorid0000-0003-2221-4731en_US
dc.authorid0000-0001-5820-6456en_US
dc.authorid0000-0001-9395-1881
dc.contributor.authorSarman, Hakan
dc.contributor.authorMüezzinoğlu, Ümit Sefa
dc.contributor.authorMemişoğlu, Kaya
dc.contributor.authorAydın, Adem
dc.contributor.authorAtmaca, Halil
dc.date.accessioned2021-06-23T19:43:09Z
dc.date.available2021-06-23T19:43:09Z
dc.date.issued2016
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractThe goal of the present study was to evaluate the semi-invasive "internal splinting" (SIIS) method for repair of Achilles tendon rupture relative to open repair with Krakow sutures. Efficacy was evaluated based on the clinical and functional outcomes, postoperative magnetic resonance imaging measurements, isokinetic results, and surgical complication rates. Functional measurements included the Thermann and American Orthopaedic Foot and Ankle Society (AOFAS) ankle scores, bilateral ankle dorsiflexion, and plantar flexion measurements. Magnetic resonance imaging was used to compare the bilateral length and thickness of each Achilles tendon. The isokinetic outcomes were evaluated using a Biodex System 3 dynamometer. Of the 45 patients meeting the inclusion criteria, 24 were treated by SIIS and 21 by the open Krackow suture technique. The mean follow-up time for all patients was 43.7 (range 6 to 116) months. In the SIIS group, patients returned to normal daily activities after 7.2 (range 6 to 8) weeks compared with 14.3 (range 12 to 15) weeks in the open surgery group. The AOFAS ankle scores were 93.5 (range 82 to 100) points in the open repair group and 96.2 (range 86 to 100) points in the SIIS group. The Thermann scores were 80.4 (range 53 to 91) points for the open repair group and 87.9 (range 81 to 100) points for the SIIS method. The mean Achilles length on the operated side measured using magnetic resonance imaging was 175.06 (range 110 to 224) mm and 177.76 (range 149 to 214) mm for the open surgery and SIIS groups, respectively. Sensory impairment in the territory of the sural nerve was identified in 1 patient immediately after SIIS surgery, although this defect had completely resolved within 12 months. SIIS yielded better outcomes relative to the open surgery group according to the isokinetic measurements. Taken together, these data indicate the SIIS method for Achilles tendon ruptures performed better in terms of both functional and objective outcomes compared with open surgery. (C) 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.en_US
dc.identifier.doi10.1053/j.jfas.2016.04.014
dc.identifier.endpage970en_US
dc.identifier.issn1067-2516
dc.identifier.issn1542-2224
dc.identifier.issue5en_US
dc.identifier.pmid27338652en_US
dc.identifier.scopus2-s2.0-84990857393en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage965en_US
dc.identifier.urihttps://doi.org/10.1053/j.jfas.2016.04.014
dc.identifier.urihttps://hdl.handle.net/20.500.12491/8707
dc.identifier.volume55en_US
dc.identifier.wosWOS:000382257000017en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorSarman, Hakan
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Foot & Ankle Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAchilles Tendonen_US
dc.subjectElongationen_US
dc.subjectInternal Splinten_US
dc.subjectIsokinetic Studyen_US
dc.subjectMagnetic Resonance Imagingen_US
dc.subjectSurgical Techniqueen_US
dc.titleComparison of semi-invasive "internal splinting" and open suturing techniques in achilles tendon rupture surgeryen_US
dc.typeArticleen_US

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