Long-term follow-up of achilles tendon repair with an absorbable polymer carbon fiber composite.
In this cooperative multicenter study for surgical repair of Achilles tendon rupture using a composite implant, 48 patients underwent 52 procedures. This implant is composed of filamentous uniaxially aligned carbon fibers coated with an absorbable polymer. This highly biocompatible implant acts as a scaffold for regrowth of collagenous tissue. The early strength of this repair is provided by the composite implant and by the rapid ingrowth and attachment of new tissue, which allows for an earlier and more vigorous rehabilitation program. Patients with a minimum follow-up of 1 year form the basis of this article. The overall average follow-up is 2.1 years. Three cohort groups were observed on a temporal basis and quantitatively evaluated at 1 year (N = 29), 18 months (N = 22), and 2 years (N = 20), respectively. These three groups demonstrated continuous improvement during the first postoperative year. A high level of function was maintained throughout the second year. Repair of chronic injuries (N = 15) was compared with repair of acute injuries (N = 12) at 1 year following surgery. Both groups greatly improved. However, the acute group had more serious preoperative deficits but improved to a slightly better overall level. Of the patients having at least 1 year follow-up, 86% had a good or excellent result. There was no increased morbidity associated with the use of the carbon implant.
Parsons
J R
JR
University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Section of Orthopaedic Surgery, Newark.
Weiss
A B
AB
Schenk
R S
RS
Alexander
H
H
Pavlisko
F
F
D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery; D000328:Adult; D001672:Biocompatible Materials; D002244:Carbon; D000077482:Carbon Fiber; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D011108:Polymers; D019736:Prostheses and Implants; D012421:Rupture
D001672:Biocompatible Materials; D000077482:Carbon Fiber; D011108:Polymers; D002244:Carbon