Healing of the Achilles tendon: an experimental study.
Biomechanical properties of healing ruptures in the Achilles tendon of rabbits were examined after two, four, eight and 12 weeks. Treatment modalities were (n7): a) suture, b) fibrin-glue, c) non-surgical treatment. All animals received a functional aftertreatment consisting of a special orthotic support and free ambulation. For biomechanical testing a fixation-technique was applied that guaranteed intratendinous rupture. After two weeks, the tendons treated with fibrin glue showed better results (stiffness, maximum force to rupture, tensile stress to rupture) compared with the non-surgically treated group. The results for sutured tendons were in between those for the other groups. After four weeks, the results for sutured and for glued tendons were nearly equal and slightly better than the tendons in the non-surgical group. Late results revealed comparable biomechanical properties among all treatment groups and control tendons, suggesting our conclusion that non-surgical treatment is equal to repair using sutures or using fibrin glue as measured by stiffness and tensile stress.
Thermann
H
H
Trauma Department Hannover Medical School, Germany. thermann@atos.de
Frerichs
O
O
Biewener
A
A
Krettek
C
C
D000125:Achilles Tendon / Q000293:injuries* / Q000503:physiopathology* / Q000601:surgery; D000818:Animals; D001696:Biomechanical Phenomena; D004195:Disease Models, Animal; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D007103:Immobilization; D011817:Rabbits; D012421:Rupture; D013708:Tendon Injuries / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D014945:Wound Healing / Q000502:physiology
D015718:Fibrin Tissue Adhesive