Mini-invasive surgical repair of the Achilles tendon--does it reduce post-operative morbidity?

Abstract:

:The surgical benefit of minimally invasive tendo Achilles repair (n = 25) with early weight-bearing mobilisation after rupture of the tendo Achilles was compared with operative treatment using an open technique (n = 34) with full weight-bearing after 8 weeks of surgical repair. The minimally invasive technique provided no evidence of wound problems and a functional benefit from early weight-bearing mobilisation. However, we noted that increased post-operative morbidity in terms of wound infection (n = 7) leading to delayed wound healing and wound pain requiring opiate-based analgesia post-operatively in the open repair group may have an additional impact on the patients and health care providers. This study showed that the mini-invasive open surgical repair of the Achilles tendon with the Achillon instrument and early weight-bearing mobilisation in an orthosis for the accelerated rehabilitation may offer cost-effectiveness and less financial burden on the health care provider in terms of associated nursing and physiotherapy costs.

journal_name

Int Orthop

authors

Bhattacharyya M,Gerber B

doi

10.1007/s00264-008-0564-5

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

151-6

issue

1

eissn

0341-2695

issn

1432-5195

journal_volume

33

pub_type

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