title: Percutaneous Repair Technique for Acute Achilles Tendon Rupture with Assistance of Kirschner Wire.
abstract: The aim of this study is to introduce a self-designed, minimally invasive technique for repairing an acute Achilles tendon rupture percutaneously. Comparing with the traditional open repair, the new technique provides obvious advantages of minimized operation-related lesions, fewer wound complications as well as a higher healing rate. However, a percutaneous technique without direct vision may be criticized by its insufficient anastomosis of Achilles tendon and may also lead to the lengthening of the Achilles tendon and a reduction in the strength of the gastrocnemius. To address the potential problems, we have improved our technique using a percutaneous Kirschner wire leverage process before suturing, which can effectively recover the length of the Achilles tendon and ensure the broken ends are in tight contact. With this improvement in technique, we have great confidence that it will become the treatment of choice for acute Achilles tendon ruptures.
authors.affiliation: Department of Orthopaedic Surgery and Key Biomechanical Laboratory of Orthopaedics, Third Hospital of Hebei Medical University, Shijiazhuang, China.
authors.forename: Ze-yang
authors.initials: ZY
authors.lastname: He
authors.affiliation: First Affiliated Hospital of Xinxiang Medical College, Xinxiang, China.
authors.forename: Ming-xiang
authors.initials: MX
authors.lastname: Chai
authors.affiliation: Department of Orthopaedic Surgery and Key Biomechanical Laboratory of Orthopaedics, Third Hospital of Hebei Medical University, Shijiazhuang, China.
authors.forename: Yue-ju
authors.initials: YJ
authors.lastname: Liu
authors.affiliation: Department of Orthopaedic Surgery and Key Biomechanical Laboratory of Orthopaedics, Third Hospital of Hebei Medical University, Shijiazhuang, China.
authors.forename: Xiao-ran
authors.initials: XR
authors.lastname: Zhang
authors.affiliation: Department of Orthopaedic Surgery and Key Biomechanical Laboratory of Orthopaedics, Third Hospital of Hebei Medical University, Shijiazhuang, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Zhang
authors.affiliation: Department of Orthopaedic Surgery and Key Biomechanical Laboratory of Orthopaedics, Third Hospital of Hebei Medical University, Shijiazhuang, China.
authors.forename: Lian-xin
authors.initials: LX
authors.lastname: Song
authors.affiliation: Department of Orthopaedic Surgery and Key Biomechanical Laboratory of Orthopaedics, Third Hospital of Hebei Medical University, Shijiazhuang, China.
authors.forename: Zhi-xin
authors.initials: ZX
authors.lastname: Ren
authors.affiliation: Department of Orthopaedic Surgery and Key Biomechanical Laboratory of Orthopaedics, Third Hospital of Hebei Medical University, Shijiazhuang, China.
authors.forename: Xi-rui
authors.initials: XR
authors.lastname: Wu
mesh_terms: D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery; D000208:Acute Disease; D001864:Bone Wires; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D015865:Racquet Sports / Q000293:injuries; D012421:Rupture / Q000601:surgery; D013536:Suture Techniques; D013708:Tendon Injuries / Q000209:etiology / Q000601:surgery*
keywords: Acute Achilles tendon rupture; Kirschner wire; Percutaneous repair