Simple end-to-end suture versus augmented repair in acute Achilles tendon ruptures: a retrospective comparison in 98 patients.
We retrospectively compared the results in 98 patients with an acute Achilles tendon rupture treated with an augmented tendon repair (n = 59) to patients with an end-to-end suture (n = 39) after an average follow-up of 44 (22-69) months. 7 patients were operated on more than 2 weeks after the rupture, all with augmention. The complication rates in the augmention group were 0.1 and in the end-to-end suture group 0.2. We found no differences in subjective outcome or rerupture rate between the groups. In the augmentation group, the rate of complications was higher in those operated on after 2 weeks than in those operated on before. A simple end-to-end suture seems sufficient.
Nyyssönen
Timo
T
Department of Orthopaedic Surgery, Kuusankoski District Hospital, Sairaalantie 1, FI-45750 Kuusankoski, Finland. timo.nyyssonen@tiny.pp.fi
Saarikoski
Hanna
H
Kaukonen
Juha-Pekka
JP
Lüthje
Peter
P
Hakovirta
Harri
H
D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery*; D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D012421:Rupture / Q000601:surgery; D013536:Suture Techniques