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Comparison between tenocutaneous suture and Kessler suture techniques in treating acute closed Achilles tendon
Wen-Ge Ding1, Huan Li1, Ya-Ping Zhu1
1Department of Orthopaedic Surgery, Third Affiliated Hospital of Suzhou University, China.
Background:
To compare the effectiveness of tenocutaneous suture and conventional Kessler suture techniques in treating acute closed Achilles tendon rupture.
Methods:
A total of 33 patients with acute closed Achilles tendon rupture who were admitted to our hospital from February 1998 to December 2008 underwent repair with either a tenocutaneous suture or Kessler suture technique. All patients were followed up for 1-5 years (mean, 3 years).
Results:
According to the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, the excellence rate was 91% in the Kessler suture group and 98% in the tenocutaneous suture group, with a significant difference between groups.
Conclusion:
Our tenocutaneous suture technique is an effective method for treating Achilles tendon rupture. It has certain advantages compared with the conventional incision method and is worthy of wide clinical application.
