Transverse versus longitudinal incision for minimally invasive Achilles tendon repair:

Foot & Ankle Orthopaedics

DanielBohl¹ 

关键词: Minimally invasive;    percutaneous;    achilles tendon;    repair;    rupture;    dehiscence;    surgical site infection;    sural neuritis;   

DOI  :  10.1177/2473011418S00161

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:SportsIntroduction/Purpose:The rate of wound complications following traditional open Achilles tendon repair is reported at 7-8%. In an effort to reduce the rate of wound complications, orthopaedic surgeons have adopted novel minimally invasive techniques. The purpose of this study is to characterize the rate of wound and other early complications following a minimally invasive Achilles tendon repair, to identify any factors associated with increased risk.Methods:The postoperative courses of 55 patients who underwent minimally invasive Achilles tendon repair by two surgeons at separate academic medical centers were retrospectively reviewed. Repair technique was similar in all cases, making use of the same commercially available suture-guidance jig, silicone-impregnated deep suture material, and locking stitch technique. However, 31 procedures used a longitudinal incision and a tourniquet (one surgeon’s preference), while 24 procedures used a transverse incision and no tourniquet (the second surge...

【 授权许可】

CC BY