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The Archives of Bone and Joint Surgery، جلد ۷، شماره ۵، صفحات ۰-۰
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عنوان انگلیسی Minimally Invasive Repair of Acute Achilles Tendon Rupture Using Gift-Box Technique
چکیده انگلیسی مقاله Abstract Purpose: In this study, a modified technique was introduced for minimally invasive Achilles tendon (AT) repair using gift box sutures. The preliminary clinical and functional outcomes were investigated in a number of patients. Methods: In a consecutive case series study, 24 patients with acute AT rupture underwent modified minimally invasive AT repair using two mini-incisions and gift box sutures. Patients were followed for 24 months. The Achilles tendon rupture score (ATRS) and American orthopedic foot and ankle society (AOFAS) score were completed for all the patients. Other measured variables including pain intensity and satisfaction using visual analogue scale (VAS), calf atrophy and range of sagittal ankle motion, development of wound complications, sural nerve injury and re-rupture were investigated. Results: After two years, AOFAS and ATRS averaged 83±4 and 81.9±6.3, respectively. Approximately 87.5 % of patients regained their previous level of activity. The VAS averaged 7.7±0.9 for satisfaction of outcomes. Isokinetic plantar- and dorsi-flexion strength was 82.7±5.8 and 87.7±4.1% as compared to the normal side. The calf atrophy was not statistically significant. Five patients reported pain during their activities. Range of operated ankle motion decreased significantly as compared to the other side, however, the differences were not important functionally. There was no patient with wound complications, nerve injury or complaint about problem with footwear. Conclusions: Minimally invasive repair of acute AT rupture using two mini-incisions and gift box sutures offers good functional and clinical outcomes without wound complications usually seen following open repair of AT ruptures.
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نویسندگان مقاله | Mohammadhossein Chegini kord
Shahid Beheshti University of Medical Sciences,Tehran,Iran


| Adel Ebrahimpour
Shahid Beheshti Univeristy of Medical Sciences, Tehran, Iran


| Mehrdad Sadighi
Shahid Beheshti University of Medical Sciences .Tehran,Iran


| Arvin Najafi
Alborz University of Medical Sciences ,Tehran,Iran


| Mohammadreza Chehrassan
Shahid Beheshti University of Medical Sciences ,Tehran,Iran


| Leili Nazari
Shahid Beheshti University of Medical sciences,Tehran,Iran
نشانی اینترنتی http://abjs.mums.ac.ir/article_13643.html
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-1868154.pdf
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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