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Research article
Intraoperative Ultrasonography assistance for minimally invasive repair of the acute Achilles Tendon Rupture
Yonghui Wang
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at Journal of Orthopaedic Surgery and Research.
Background: Minimally invasive repair is a better option for Achilles tendon rupture with low re-rupture and wound-related complications than conservative treatment or traditional open repair. The major problem is sural nerve injury. The purpose of this study was to evaluate the effect and advantage of the intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture.
Methods: A retrospective study was performed on 36 cases of acute Achilles tendon rupture treated with minimally invasive repair assisted with intraoperative ultrasonography from January 2015 to December 2017. The relationship of the sural nerve and small saphenous vein was confirmed on the preoperative MRI. The course of the small saphenous vein and sural nerve were identified and marked by intraoperative ultrasonography. The ruptured Achilles tendon was repaired with minimally invasive Bunnell suture on the medial side of the small saphenous vein (SSV).
Results: All patients were followed up for at least 12 months. No sural nerve injury or other complications was found intraoperatively and postoperatively. All the patients returned to work and light sporting activities at a mean of 12.78±1.40 weeks and 17.28±2.34 weeks, respectively. The Mean American Orthopaedic Foot & Ankle Society (AOFAS) scores improved from 59.17±5.31 preoperatively to 98.92±1.63 at the time of 12 months follow-up. There was statistically significant difference (P<0.001). No patient complained a negative effect on their life.
Conclusions: The minimally invasive repair assisted with intraoperative ultrasonography can yield good clinical outcomes, less surgical time and less complications, especially sural nerve injury. It is an efficient, reliable and safe method for acute Achilles Tendon (AT) rupture.
Keywords
Intraoperative Ultrasonography; minimally invasive; acute Achilles Tendon Rupture; Sural nerve injury;
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CURRENT STATUS: Published
Version 2
Posted 05 Jun, 2020
Published
On 11 Jul, 2020
No community comments so far
Editorial decision: Accept
On 28 Jun, 2020
Reviewer #1 agreed
On 13 Jun, 2020
Editor assigned
On 01 Jun, 2020
Reviewers invited
Invitations sent on 01 Jun, 2020
Submission checks complete
On 31 May, 2020
Editor invited
On 31 May, 2020
No comments provided
Editorial decision: Major revision
On 03 May, 2020
Review #3 received
Received 02 May, 2020
Reviewer #5 agreed
On 25 Apr, 2020
Reviewer #4 agreed
On 19 Apr, 2020
Reviewer #3 agreed
On 15 Apr, 2020
Reviewer #2 agreed
On 18 Mar, 2020
Review #2 received
Received 18 Mar, 2020
Review #1 received
Received 17 Mar, 2020
Reviewer #1 agreed
On 10 Mar, 2020
Reviewers invited
Invitations sent on 09 Mar, 2020
Editor assigned
On 05 Mar, 2020
Editor invited
On 04 Mar, 2020
Submission checks complete
On 03 Mar, 2020
First submitted
On 28 Feb, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
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This preprint is under consideration at Journal of Orthopaedic Surgery and Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Intraoperative Ultrasonography assistance for minimally invasive repair of the acute Achilles Tendon Rupture
Yonghui Wang
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 2
Posted 05 Jun, 2020
Published
On 11 Jul, 2020
No community comments so far
Editorial decision: Accept
On 28 Jun, 2020
Reviewer #1 agreed
On 13 Jun, 2020
Editor assigned
On 01 Jun, 2020
Reviewers invited
Invitations sent on 01 Jun, 2020
Submission checks complete
On 31 May, 2020
Editor invited
On 31 May, 2020
No comments provided
Editorial decision: Major revision
On 03 May, 2020
Review #3 received
Received 02 May, 2020
Reviewer #5 agreed
On 25 Apr, 2020
Reviewer #4 agreed
On 19 Apr, 2020
Reviewer #3 agreed
On 15 Apr, 2020
Reviewer #2 agreed
On 18 Mar, 2020
Review #2 received
Received 18 Mar, 2020
Review #1 received
Received 17 Mar, 2020
Reviewer #1 agreed
On 10 Mar, 2020
Reviewers invited
Invitations sent on 09 Mar, 2020
Editor assigned
On 05 Mar, 2020
Editor invited
On 04 Mar, 2020
Submission checks complete
On 03 Mar, 2020
First submitted
On 28 Feb, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at Journal of Orthopaedic Surgery and Research.
Background: Minimally invasive repair is a better option for Achilles tendon rupture with low re-rupture and wound-related complications than conservative treatment or traditional open repair. The major problem is sural nerve injury. The purpose of this study was to evaluate the effect and advantage of the intraoperative ultrasonography assistance for minimally invasive repair of the acute Achilles tendon rupture.
Methods: A retrospective study was performed on 36 cases of acute Achilles tendon rupture treated with minimally invasive repair assisted with intraoperative ultrasonography from January 2015 to December 2017. The relationship of the sural nerve and small saphenous vein was confirmed on the preoperative MRI. The course of the small saphenous vein and sural nerve were identified and marked by intraoperative ultrasonography. The ruptured Achilles tendon was repaired with minimally invasive Bunnell suture on the medial side of the small saphenous vein (SSV).
Results: All patients were followed up for at least 12 months. No sural nerve injury or other complications was found intraoperatively and postoperatively. All the patients returned to work and light sporting activities at a mean of 12.78±1.40 weeks and 17.28±2.34 weeks, respectively. The Mean American Orthopaedic Foot & Ankle Society (AOFAS) scores improved from 59.17±5.31 preoperatively to 98.92±1.63 at the time of 12 months follow-up. There was statistically significant difference (P<0.001). No patient complained a negative effect on their life.
Conclusions: The minimally invasive repair assisted with intraoperative ultrasonography can yield good clinical outcomes, less surgical time and less complications, especially sural nerve injury. It is an efficient, reliable and safe method for acute Achilles Tendon (AT) rupture.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5