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Minimally invasive repair of ruptured Achilles tendon
S K Chan1, Stephen C Y Chung, Y F Ho
1Department of Orthopaedics and Traumatology, Caritas Medical Centre, Kowloon, Hong Kong. drpcsk@yahoo.com.hk
Objective:
To study the clinical outcomes of minimally invasive repair of ruptured Achilles tendon.
Design:
Retrospective study.
Setting:
Orthopaedics and Traumatology Department of a public hospital in Hong Kong.
Patients:
Fifteen consecutive patients admitted to the hospital from August 2002 to April 2005 with closed Achilles tendon rupture, had it repaired by a minimally invasive method. Parameters including patient epidemiology, nature of injuries, and isometric force measurement of ankle plantar flexion were recorded to justify the effectiveness of the Achilles tendon repair.
Results:
Isometric peak force measurement of ankle plantar flexion 1 year after injury showed an average regain of 95% of the calf muscle strength, compared to the normal side. All wounds healed well, without major complications such as deep infection, sural nerve injury, or re-rupture of the Achilles tendon. All patients were able to resume their pre-injury activity level and previous occupation.
Conclusion:
This minimally invasive surgical technique using the Achillon suture guide produces encouraging results in the operative management of ruptured Achilles tendon.
