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Mini-Open Achilles Tendon Repair: Improving Outcomes While Decreasing Complications.

Tyler Hoskins1, Jay Patel1, Joseph H Choi2

  • 1Department of Orthopaedic Surgery, Morristown Medical Center, Atlantic Health System, Morristown, New Jersey.

Foot & Ankle Specialist
|March 7, 2022
PubMed
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The mini-open Achilles tendon repair technique offers comparable functional outcomes to traditional open repair, with a trend towards fewer complications and reruptures. This method provides a viable surgical option for acute Achilles tendon ruptures.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Sports Medicine

Background:

  • Acute Achilles tendon rupture is a common injury leading to significant morbidity and functional impairment.
  • Surgical repair aims to restore function but carries risks such as infection, wound complications, and nerve injury.
  • The mini-open repair technique has emerged as a potentially less invasive alternative.

Purpose of the Study:

  • To compare the functional outcomes and complication rates of mini-open versus traditional open repair for acute Achilles tendon ruptures.
  • To evaluate the efficacy of the mini-open technique in reducing postoperative complications and rerupture rates.
  • To assess patient-reported outcomes using standardized scoring systems.

Main Methods:

  • Retrospective review of patients with acute Achilles tendon ruptures treated by a single surgeon.
Keywords:
achillesminimally invasiverepairrupture

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  • Comparison of mini-open repair (n=81) versus traditional open repair (n=22) between 2013 and 2020.
  • Functional outcomes assessed via American Orthopaedic Foot and Ankle (AOFAS) and Achilles Tendon Rupture Score (ATRS).

    • Main Results:

    • Both techniques showed significant improvement in AOFAS and ATRS scores post-surgery (p < .05).
    • The mini-open group achieved a statistically higher postoperative AOFAS score (90.30 vs. 85.27, p < .05).
    • Overall complication rates were low (2.9%), with no significant difference between groups (mini-open 2.4% vs. open 4.5%, p > .05). No sural nerve injuries were reported.

    Conclusions:

    • The mini-open repair technique is a safe and effective option for acute Achilles tendon ruptures.
    • It demonstrates comparable functional recovery to traditional open repair, with a trend towards lower complication and rerupture rates.
    • The mini-open approach offers potential benefits including improved cosmetic results and reduced surgical morbidity.