Jigless knotless internal brace technique for acute Achilles tendon rupture: A case series study

Po Yen Ko, Ming Tung Huang, Chia Lung Li, Wei Ren Su, I. Ming Jou, Po Ting Wu

研究成果: Article同行評審

6 引文 斯高帕斯(Scopus)


Purpose: To mitigate the risk of poor wound healing and of infection associated with the open repair of Achilles tendon midsubstance ruptures, minimally invasive techniques have been developed. We report our preliminary results after reviewing our "jigless knotless internal brace technique." Methods: Patients were placed in prone position and a transverse 3-cm incision was made proximal to the palpable ruptured end. The proximal ruptured end was pulled out, gently debrided, and sutured using Krackow locking loops. Percutaneous sutures were crisscrossed through the distal tendon stump and looped around the Krackow sutures over the proximal stump. The ipsilateral Krackow sutures and the contralateral crisscrossed sutures were subcutaneously passed through two mini-incisions over the posterior calcaneus tuberosity and seated at the tuberosity with two 4.5-mm knotless suture anchors. All patients underwent the same post-operative rehabilitation protocol and regular follow-ups for at least 1 year. Results: We recruited 10 patients (mean age, 37.3 years) who scored 100 points on the American Orthopaedic Foot and Ankle Society (AOFAS) scale, and who returned to their preoperative exercise levels 1-year post-operatively with no complications. Conclusion: Our method is simple, effective, and requires no special tools. It might be a reliable option for Achilles tendon repair. Level of evidence: III.

期刊Journal of Orthopaedic Surgery and Research
出版狀態Published - 2019 12月 5

All Science Journal Classification (ASJC) codes

  • 手術
  • 骨科和運動醫學


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