Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Higher re-rupture rate
2%
8/472
Higher complication rate
73%
344/472
Higher incidence of sural nerve injury
11%
52/472
Slower return to sports
13%
61/472
Lower outcome scores
1%
5/472
Select Answer to see Preferred Response
Open Achilles repair has been found to have a higher overall complication rate compared with minimally invasive techniques (answer choice 2). Achilles tendon ruptures are common tendon injuries that occur due to sudden dorsiflexion of a plantarflexed foot. They are most commonly associated with sporting events. Diagnosis can be made clinically with weakness of plantarflexion and patients will have a positive Thompson's test. MRI studies may be indicated for surgical management of chronic injuries. Treatment may be nonoperative or operative depending on patient age, patient activity demands and chronicity of injury. Traditional open techniques have been shown to have higher overall complication rates but no differences in re-rupture rates, sural nerve injury, return to sports, or outcome scores.Alcelik et al. reviewed the minimally invasive surgery (MIS) approach as an alternative to the standard open approach in acute Achilles tendon repair. They reported that MIS allows for earlier functional recovery due to reduced trauma to adjacent soft tissues. They noted that although re-rupture rates were not significantly different between the groups, there were significantly more complications in the open surgery group. They concluded that MIS in acute Achilles tendon ruptures result in similar re-rupture rates, sural nerve injury rates and return to sport time in comparison with open surgical method, but with significantly less post-operative complications.Alcelik et al. performed a systematic review and meta-analysis comparing open versus minimally invasive Achilles tendon repair. They reported that total complication rates were significantly reduced in the MIS patients. They noted that there were no significant differences in re-rupture rate, sural nerve injury, return to sports and AOFAS scores following repair between the two groups. They concluded that MIS has fewer overall complications compared with open repair. Incorrect Answers:Answers 1,3-5: Traditional open techniques have been shown to have higher overall complication rates but no differences in re-rupture rates, sural nerve injury, return to sports, or outcome scores.
4.0
(3)
Please Login to add comment