Abstract:
BACKGROUND:The Krackow locking loop technique has been used for Achilles tendon repair with documented success in allowing early range of motion with stable fixation. Previous studies documented failure at the rupture site by knot failure. We propose a modification of the traditional Krackow technique where the knots of the suture are tied away from the rupture site (aka the Giftbox technique). We compared the tensile strength of Achilles tendons repaired using the traditional Krackow technique with those repaired using the Giftbox technique. MATERIALS AND METHODS:Thirteen pairs of fresh frozen cadaveric Achilles tendons were harvested. An Achilles tendon rupture was created 4 cm from the calcaneal insertion. Thirteen Achilles ruptures were repaired using the traditional Krackow technique and 13 pairs were repaired using the Giftbox technique. The Achilles tendons were then tested to failure as defined as a gap of 1 cm. RESULTS:The mean force to failure for the tendons using the Giftbox technique was 168 N, whereas the mean for the traditional Krackow technique was 81 N (p < 0.0001). CONCLUSION:Based on our biomechanical study, Achilles tendons repaired using the Giftbox technique are more than twice as strong as those repaired using the traditional Krackow technique. CLINICAL RELEVANCE:We recommend the Giftbox modification to minimize gap formation and improve the strength of the repair of a ruptured Achilles tendon.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Labib SA,Rolf R,Dacus R,Hutton WCdoi
10.3113/FAI-2009-0410subject
Has Abstractpub_date
2009-05-01 00:00:00pages
410-4issue
5eissn
1071-1007issn
1944-7876pii
50024047journal_volume
30pub_type
杂志文章abstract::Contemporary methods of bone grafting osteochondral defects, in which the remaining overlying cartilage is relatively well preserved, have inherent problems. The bony defects are often saucer-shaped and the cylindrical graft may not fill the void, leaving areas of cartilage with no underlying scaffold and obviating ea...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0616
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Both the percutaneous technique with arthroscopic assistance, also known as arthroscopic Broström (AB), and the arthroscopic all-inside ligament repair (AI) are widely used to treat chronic lateral ankle instability. The aim of this study was to compare the clinical outcomes of these 2 arthroscopic stabilizi...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720938672
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abstract::Twenty-three biopsies from patients with the typical symptoms of intermetatarsal neuroma (so-called Morton's metatarsalgia) were compared histologically and semi-quantitatively with 25 plantar nerves from the intermetatarsal space III/IV gained at autopsies from cases where no problems in the forefoot had been recorde...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002100705
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100714522027
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200509
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abstract::Three hundred and eleven patients have been enrolled in a multi-center prospective study evaluating the outcome of hallux valgus surgery by the members of the American Orthopaedic Foot and Ankle Society. One hundred seventy-nine of these patients have completed six-month follow-up questionnaires, and 195 have complete...
journal_title:Foot & ankle international
pub_type: 杂志文章,多中心研究
doi:10.1177/107110070102201205
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:It is still unknown how ankle range of motion changes following total ankle arthroplasty. This study was undertaken to more accurately address patient expectations, guide postoperative rehabilitation, and improve our understanding of how ankle range of motion changes with time. METHODS:119 total ankle repla...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713481433
更新日期:2013-05-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章,评审
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:There is a paucity of literature on the effect of calcaneal fractures on subtalar joint motion and patient satisfaction. The objective of this study was to determine the relationship between subtalar joint motion and outcome satisfaction in patients who had displaced intraarticular calcaneal fractures. The d...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110070402500912
更新日期:2004-09-01 00:00:00
abstract::Thirty-three patients treated for tumors of the foot and ankle at one cancer institution over a 14-year period were reviewed. There were 15 females and 18 males, with an age range of 1 to 64 years (average 22.6 years). Twenty-one tumors were benign, 11 were malignant, and 1 tumor had metastasized. The most common diag...
journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:1994-04-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715595696
更新日期:2015-12-01 00:00:00
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pub_type: 杂志文章
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abstract:BACKGROUND:The modified Broström procedure is commonly used for anatomic repair of chronic lateral ankle instability. However, no studies have compared outcomes of gender-based differences after the modified Broström procedure. We compared outcomes of the modified Broström procedure in men and women. METHODS:A total o...
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pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2003-07-01 00:00:00
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079401500801
更新日期:1994-08-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2013-06-01 00:00:00