title: [Repair of acute avulsion-type achilles tendon rupture by locking-loop stereoscopic suture].
abstract: OBJECTIVE
  To summarize the clinical application and experience of repairing acute avulsion-type achilles tendon rupture by locking-loop stereoscopic suture.
  
  
  METHODS
  Between January 2006 and June 2010, 41 cases of acute avulsion-type achilles tendon rupture were treated by locking-loop stereoscopic suture. Among 41 patients, 33 were male and 8 were female with an average age of 41 years (range, 18-56 years); the locations were left side in 27 cases and right side in 14 cases. There was palpable defect in 33 cases, 7 cases underwent B-ultrasound, and 1 case underwent MRI to confirm the diagnosis. The time from injury to operation was 36 hours to 7 days. All cases were restored by locking-loop stereoscopic suture.
  
  
  RESULTS
  All incisions healed by first intention. Thirty-one cases were followed up 12 months to 3 years and 10 months with an average of 17 months. The muscle strength reached grade 5; the patients could walk normally, and the heel raising was powerful at 1 year after operation. The circumference difference between wrong leg and good leg was less than 3 cm, and the ankle dorsiflexion was 20-30 degrees, plantar flexion was 40-50 degrees. No re-rupture of achilles tendon or deep infection occurred during follow-up period. At last follow-up, according to evaluation of curative effects by Arner-Lindholm standard, the results were excellent in 21 cases and good in 10 cases with an excellent and good rate of 100%.
  
  
  CONCLUSIONS
  Locking-loop stereoscopic suturing is a safe and effective method with avulsion-type control ability, tensile strength, little effect on the blood supply of the achilles tendon for repairing acute avulsion-type achilles tendon rupture.
authors.affiliation: Department of Emergency, Tangshan No.2 Hospital, Orthopedic Hospital Affiliated to North China Coal Medical College, Tangshan Hebei, P.R. China.
authors.forename: Chunjiang
authors.initials: C
authors.lastname: Li
authors.forename: Xiaona
authors.initials: X
authors.lastname: Feng
authors.forename: Wenhong
authors.initials: W
authors.lastname: Li
mesh_terms: D000125:Achilles Tendon / Q000293:injuries*; D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture / Q000601:surgery; D013536:Suture Techniques; D013537:Sutures; D013708:Tendon Injuries / Q000601:surgery*; D013718:Tensile Strength; D055815:Young Adult