Skip to main content

Advertisement

SpringerLink
Log in

Different Sutures in the Surgical Treatment of Acute Closed Achilles Tendon Rupture

  • Original Article
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

The aim was to compare the postoperative efficacy of the PDS II and Ethibond W4843 sutures in fresh, closed Achilles tendon rupture. With methods of random grouping (level of evidence II b), a total of 128 patients with fresh Achilles tendon rupture were operated on with PDS II or Ethibond W4843 suture. Postoperative objective examination and the American Orthopaedic Foot & Ankle Society (AOFAS) scoring system were used for the evaluation. Group A underwent 12–39 months of follow-up, for an average of 22 months. Group B underwent 12–37 months of follow-up, for an average of 23 months. The postoperative AOFAS score of group A within 3 months was 93 ± 9.6 points. One case exhibited re-rupture, five cases exhibited incision infection, one case manifested deep infection, and seven cases exhibited Achilles tendon adhesion. The postoperative AOFAS score of group B within 3 months was 97 ± 7.8 points. Eleven cases had incision infection, and 13 cases manifested Achilles tendon adhesion. Minimal differences were observed in the incision infection, re-rupture rate, and Achilles tendon adhesion in the study of the PDS II and Ethibond W4843 sutures. But, based on the AOFAS score and pain score, the Ethibond suture performed better.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Ames PR, Longo UG, Denaro V, Maffulli N (2008) Achilles tendon problems: not just an orthopaedic issue. Disabil Rehabil 30:1646–1650

    Article  PubMed  Google Scholar 

  2. Maffulli N, Waterston SW, Squair J, Reaper J, Douglas AS (1999) Changing incidence of Achilles tendon rupture in Scotland: a 15-year study. Clin J Sport Med 9:157–160

    Article  CAS  PubMed  Google Scholar 

  3. Metz R, Verleisdonk EJ, van der Heijden GJ, Clevers GJ, Hammacher ER, Verhofstad MH, van der Werken C (2008) Acute Achilles tendon rupture: minimally invasive surgery versus nonoperative treatment with immediate full weightbearing—a randomized controlled trial. Am J Sports Med 36:1688–1694

    Article  PubMed  Google Scholar 

  4. Longo UG, Ronga M, Maffulli N (2009) Acute ruptures of the Achilles tendon. Sports Med Arthrosc 17:127–138

    Article  PubMed  Google Scholar 

  5. Jiang N, Wang BW, Chen AF, Dong F, Yu B (2012) Operative versus nonoperative treatment for acute Achilles tendon rupture: a meta-analysis based on current evidence. Int Orthop 36:765–773

    Article  PubMed  PubMed Central  Google Scholar 

  6. Kocher MS, Bishop J, Marshall R, Briggs KK, Hawkins RJ (2002) Operative versus nonoperative management of acute Achilles tendon rupture: expected-value decision analysis. Am J Sports Med 30:783–790

    PubMed  Google Scholar 

  7. Lea RB, Smith L (1972) Non-surgical treatment of tendo Achilles rupture. J Bone Joint Surg Am 54:1398–1407

    CAS  PubMed  Google Scholar 

  8. Wong J, Barrass V, Maffulli N (2002) Quantitative review of operative and nonoperative management of Achilles tendon ruptures. Am J Sports Med 30:565–575

    PubMed  Google Scholar 

  9. van der Linden-van der Zwaag HM, Nelissen RG, Sintenie JB (2004) Results of surgical versus non-surgical treatment of Achilles tendon rupture. Int Orthop 28:370–373

    Article  PubMed  PubMed Central  Google Scholar 

  10. Schneppendahl J, Thelen S, Schek A, Bala I, Hakimi M, Grassmann JP, Eichler C, Windolf J, Wild M (2012) Initial stability of two different adhesives compared to suture repair for acute Achilles tendon rupture—a biomechanical evaluation. Int Orthop 36:627–632

    Article  PubMed  PubMed Central  Google Scholar 

  11. Nilsson-Helander K, Silbernagel KG, Thomeé R (2012) Surgical versus nonsurgical treatment of acute Achilles tendon rupture. Clin J Sport Med 22:169–170

    Article  Google Scholar 

  12. Cetti R, Christensen SE, Ejsted R, Jensen NM, Jorgensen U (1993) Operative versus nonoperative treatment of Achilles tendon rupture: a prospective randomized study and review of the literature. Am J Sports Med 21:791–799

    Article  CAS  PubMed  Google Scholar 

  13. Coutts A, MacGregor A, Gibson J, Maffulli N (2002) Clinical and functional results of open operative repair for Achilles tendon rupture in a non-specialist surgical unit. J R Coll Surg Edinb 47:753–762

    CAS  PubMed  Google Scholar 

  14. Gigante A, Moschini A, Verdenelli A, Del Torto M, Ulisse S, de Palma L (2008) Open versus percutaneous repair in the treatment of acute Achilles tendon rupture: a randomized prospective study. Knee Surg Sports Traumatol Arthrosc 16:204–209

    Article  CAS  PubMed  Google Scholar 

  15. Ma GW, Griffith TG (1977) Percutaneous repair of acute closed ruptured Achilles tendon: a new technique. Clin Orthop Relat Res 128:247–255

    PubMed  Google Scholar 

  16. Wapner KL (2011) Achilles tendon rupture and subsequent repair. Orthopedics 34:530–531

    Article  PubMed  Google Scholar 

  17. McCoy BW, Haddad SL (2010) The strength of Achilles tendon repair: a comparison of three suture techniques in human cadaver tendons. Foot Ankle Int 31:701–705

    Article  PubMed  Google Scholar 

  18. Strom AC, Casillas MM (2009) Achilles tendon rehabilitation. Foot Ankle Clin 14:773–782

    Article  PubMed  Google Scholar 

  19. Cetti R, Henriksen LO, Jacobsen KS (1994) A new treatment of ruptured Achilles tendons. A prospective randomized study. Clin Orthop Relat Res 308:155–165

    PubMed  Google Scholar 

  20. Maffulli N, Tallon C, Wong J, Lim KP, Bleakney R (2003) Early weightbearing and ankle mobilization after open repair of acute midsubstance tears of the Achilles tendon. Am J Sports Med 31:692–700

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedics, Shanghai Changning District Central Hospital, 200336, Shanghai, China

    Yunhan Ji

  2. Department of Orthopedics, Huashan Hospital Affiliated to Fudan University, 12, Middle Urumqi Road, Jingan Dist, 200040, Shanghai, China

    Xin Ma, Xu Wang, Jiazhang Huang, Chao Zhang & Li Chen

Authors
  1. Yunhan Ji
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Xin Ma
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Xu Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jiazhang Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Chao Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Li Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Xin Ma.

Additional information

This study was conducted in accordance with the Declaration of Helsinki and with approval from the Ethics Committee of Shanghai Changning District Central Hospital and Huashan Hospital affiliated to Fudan University. Written informed consent was obtained from all participants.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ji, Y., Ma, X., Wang, X. et al. Different Sutures in the Surgical Treatment of Acute Closed Achilles Tendon Rupture. Indian J Surg 77 (Suppl 3), 936–940 (2015). https://doi.org/10.1007/s12262-014-1068-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-014-1068-8

Keywords

Search

Navigation