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- Title
No difference in operative time, outcomes, cosmesis, or return to activity and/or sport after minimally invasive versus open repair of primary Achilles ruptures: a retrospective review.
- Authors
Savage-Elliott, Ian; Li, Zachary I.; Moore, Michael R.; Lezak, Bradley; Jazrawi, Taylor; Golant, Alexander; Meislin, Robert J.
- Abstract
Purpose: To compare clinical outcomes and the rate of return to sport among patients that have undergone minimally invasive repair versus open approach of an acute Achilles tendon rupture. Methods: Patients who underwent surgical repair of acute Achilles tendon rupture at a single urban academic institution from 2017 to 2020 with minimum 2-year follow-up were reviewed retrospectively. Preinjury sport participation and preinjury work activity information, the Achilles tendon Total Rupture Score (ATRS), the Tegner Activity Scale, Patient-Reported Outcomes Measurement Information System for mobility and pain interference were collected. Results: In total, 144 patients were initially included in the study. Of these, 63 patients were followed with a mean follow-up of 45.3 ± 29.2 months. The mean operative time did not significantly differ between groups (p = 0.938). Patients who underwent minimally invasive repair returned to sport at a rate of 88.9% at a mean of 10.6 ± 5.8 months, compared to return rate of open procedures of 83.7% at 9.5 ± 5.5 months. There were no significant differences in ATRS (p = 0.246), Tegner (p = 0.137) or VAS pain (p = 0.317) scores between groups. There was no difference in cosmetic satisfaction between PARS and open repair groups (88.4 vs. 76.0; p = 0.244). Conclusion: Patients who underwent minimally invasive repair of acute Achilles tendon ruptures demonstrate no significant differences with respect to cosmesis, operative time, patient-reported outcomes and the rate and level of return to activities when compared to an open approach. Level of evidence: III.
- Subjects
PAIN measurement; ACADEMIC medical centers; POSTOPERATIVE pain; QUESTIONNAIRES; MINIMALLY invasive procedures; TREATMENT effectiveness; TREATMENT duration; RETROSPECTIVE studies; SPORTS re-entry; OPERATIVE surgery; COSMETICS; SURGICAL complications; ACHILLES tendon rupture; METROPOLITAN areas; HEALTH outcome assessment; PATIENT satisfaction; PHYSICAL mobility; DISEASE risk factors
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2024, Vol 34, Issue 4, p1871
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-024-03859-0