title: Comparison between tenocutaneous suture and Kessler suture techniques in treating acute closed Achilles tendon rupture.
abstract: BACKGROUND
  To compare the effectiveness of tenocutaneous suture and conventional Kessler suture techniques in treating acute closed Achilles tendon rupture.
  
  
  METHODS
  A total of 33 patients with acute closed Achilles tendon rupture who were admitted to our hospital from February 1998 to December 2008 underwent repair with either a tenocutaneous suture or Kessler suture technique. All patients were followed up for 1-5 years (mean, 3 years).
  
  
  RESULTS
  According to the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, the excellence rate was 91% in the Kessler suture group and 98% in the tenocutaneous suture group, with a significant difference between groups.
  
  
  CONCLUSIONS
  Our tenocutaneous suture technique is an effective method for treating Achilles tendon rupture. It has certain advantages compared with the conventional incision method and is worthy of wide clinical application.
authors.affiliation: Department of Orthopaedic Surgery, Third Affiliated Hospital of Suzhou University, China.
authors.forename: Wen-Ge
authors.initials: WG
authors.lastname: Ding
authors.affiliation: Department of Orthopaedic Surgery, Third Affiliated Hospital of Suzhou University, China.
authors.forename: Huan
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Orthopaedic Surgery, Third Affiliated Hospital of Suzhou University, China.
authors.forename: Ya-Ping
authors.initials: YP
authors.lastname: Zhu
authors.affiliation: Department of Orthopaedic Surgery, Third Affiliated Hospital of Suzhou University, China. Electronic address: flying_ding@126.com.
authors.forename: Zhi-wei
authors.initials: ZW
authors.lastname: Liu
mesh_terms: D000125:Achilles Tendon / Q000293:injuries / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*; D055815:Young Adult
keywords: Acute Achilles tendon rupture; Kessler suture; Tenocutaneous suture