Cic edizioni internazionali
Muscle, Ligaments and Tendons Journal

Mini open versus open repair techniques in Achilles tendon rupture: clinical and isokinetic evaluation

Original Article, 554 - 561
doi: 10.11138/mltj/2017.7.3.554
Tag this article
Abstract
Enhanced HTML Full text PDF
Background: The aim of the study was to compare the mini-open to the classic open repair techniques for Achilles tendon ruptures.
Methods: We retrospectively evaluated at a minimum of 2 years follow-up 32 subcutaneous Achilles tendon ruptures; 17 underwent mini-open surgery (Group A) and 15 the open technique (Group B).
Results: No difference in Achilles Tendon Total Rupture Score and in modified Leppillahti score was observed. With respect to the contralateral side the width of the operated Achilles tendon was 4.07 mm thicker in Group A and 7.67 mm in Group B (p<.05); the calf circumference reduction was respectively 10 mm and 23.75 mm (p<.05). Iso - kinetic peak force measurement of the calf muscle strength showed a loss of 8.21% in Group A versus 17.25% in Group B (p <.05). The mean Patient Satisfaction Score was 96.76 in Group A and 88.67 in Group B (p<.01); respectively 82.3% vs 66.7% of patients were able to return to previous levels of sporting activity. There were two post-operative complications in Group B and one in Group A.
Conclusion: Mini-open technique minimizes the risk of complications, leads to an improved tendon healing process and functional recovery with higher patient satisfaction.
Level of evidence: IV.

Vol. 7 (No. 4) 2017 October/December

  1. Arthroscopy and sport
    Volpi P.
    doi: 10.11138/mltj/2017.7.4.490
  2. Biomechanics: a fundamental tool with a long history (and even longer future!)
    Innocenti B.
    doi: 10.11138/mltj/2017.7.4.491
  3. Multibody modelling of ligamentous and bony stabilizers in the human elbow
    Terzini M., Zanetti E.M., Audenino A.L., Putame G., Gastaldi L., Pastorelli S., Panero E., Sard A., Bignardi C.
    doi: 10.11138/mltj/2017.7.4.493
  4. Biomechanical response of the plantar tissues of the foot in healthy and degenerative conditions
    Fontanella C.G., Carniel E.L., Macchi V., Porzionato A., De Caro R., Natali A.N.
    doi: 10.11138/mltj/2017.7.4.503
  5. Finite element comparison between the human and the ovine lumbar intervertebral disc
    Casaroli G., Villa T., Galbusera F.
    doi: 10.11138/mltj/2017.7.4.510
  6. Tibiofemoral wear in standard and non-standard squat: implication for total knee arthroplasty
    Fekete G., Sun D., Gu Y., Neis P.D., Ferreira N.F., Innocenti B., Csizmadia B.M.
    doi: 10.11138/mltj/2017.7.4.520
  7. Automatic characterization of soft tissues material properties during mechanical tests
    Innocenti B., Larrieu J.-C., Lambert P., Pianigiani S.
    doi: 10.11138/mltj/2017.7.4.529
  8. Full-field in vitro investigation of hard and soft tissue strain in the spine by means of Digital Image Correlation
    Ruspi M.L., Palanca M., Faldini C., Cristofolini L.
    doi: 10.11138/mltj/2017.7.4.538
  9. Sensitivity analysis of the material properties of different soft-tissues: implications for a subjectspecific knee arthroplasty
    Pianigiani S., Croce D., D'Aiuto M., Pascale W., Innocenti B.
    doi: 10.11138/mltj/2017.7.4.546
  10. Mechanoreceptors of the Achilles tendon: a histomorphological study in pigs with clinical significance for humans
    Kapetanakis S., Gkasdaris G., Daneva E., Givissis G., Papathanasiou J., Xanthos T.
    doi: 10.11138/mltj/2017.7.4.558
  11. Tripled semitendinosus with single harvesting is as effective but less invasive compared to standard gracilis-semitendinosus harvesting
    Drocco L., Camazzola D., Ferracini R., Lustig S., Ravera L., Graziano E., Massè A., Bistolfi A.
    doi: 10.11138/mltj/2017.7.4.564
  12. Differences between the sexes in athletes’ body composition and lower limb bioimpedance values
    Mascherini G., Castizo-Olier J., Irurtia A., Petri C., Galanti G.
    doi: 10.11138/mltj/2017.7.4.573
  13. Flexibility responses to different stretching methods in young elite basketball players
    Notarnicola A., Perroni F., Campese A., Maccagnano G., Monno A., Moretti B., Tafuri S.
    doi: 10.11138/mltj/2017.7.4.582
  14. The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study
    Atesok K., MacDonald P., Leiter J., McRae S., Singh M., Stranges G., Old J.
    doi: 10.11138/mltj/2017.7.4.590
  15. Lower limb strength, but not sensorial integration, explains the age-associated postural control impairment
    Andrade H.B., Costa S.M., Pirôpo U.S., Schettino L., Casotti C.A., Pereira R.
    doi: 10.11138/mltj/2017.7.4.598
  16. Trapeziometacarpal joint osteoarthritis: a prospective trial on two widespread conservative therapies
    Rocchi L., Merolli A., Giordani L., Albensi C., Foti C.
    doi: 10.11138/mltj/2017.7.4.603
  17. Unicompartmental knee replacement in patients aged 70 years and older
    Ventura A., Legani C., Borgo E.
    doi: 10.11138/mltj/2017.7.4.611
Last Viewed articles: la lista degli ultimi x visitati.
  1. Mini open versus open repair techniques in Achilles tendon rupture: clinical and isokinetic evaluation
    Munegato D., Gridavilla G., Guerrasio S., Turati M., Cazzaniga C., Zanchi N., Zatti G., Bigoni M.
    doi: 10.11138/mltj/2017.7.3.554
credits