Comparison between minimally invasive achilles tendon repair assisted by porous metal plate and traditional open treatment for acute closed achilles tendon rupture
Objective To compare the efficacy of minimally invasive Achilles tendon repair assisted by porous metal plates with traditional open surgery in the treatment of acute closed Achilles tendon rupture.Methods One hun-dred and twenty-six patients with acute closed Achilles tendon rupture admitted to the Orthopedics Department of the Fourth People's Hospital of Hengshui from March 2019 to August 2023 were randomly divided into an open group and a minimally invasive group.The open group consisted of 63 patients who underwent traditional open surgery,while the min-imally invasive group consisted of 63 patients who underwent minimally invasive Achilles tendon repair assisted by por-ous metal plates.Compare the clinical indicators(surgical duration,incision length,intraoperative bleeding,time to get out of bed,length of hospital stay),ankle joint function(AOFAS-AH score),ankle joint range of motion(ankle dorsi-flexion,plantar flexion),clinical efficacy,and complications(sural nerve injury,incision infection,Achilles tendon re rupture,tendon adhesion,deep vein thrombosis)between the two groups.Results The duration of surgery,incision length,intraoperative bleeding,time to get out of bed activity,and hospitalization days in the minimally invasive group were all lower than those in the control group(P＜0.05).The AOFAS-AH scores of both groups increased at 3 months after surgery(P＜0.05),and the AOFAS-AH scores of the minimally invasive group were higher than those of the open group at 3 months after surgery(P＜0.05).The activity of ankle dorsiflexion and plantar flexion increased in both groups at 3 months after surgery(P＜0.05),and the activity of ankle dorsiflexion and plantar flexion in the minimally invasive group was higher than that in the open group at 3 months after surgery(P＜0.05);The excellent and good rate in the minimally invasive group was higher than that in the open group(P＜0.05).The incidence of complications in the minimally invasive group was lower than that in the open group(P＜0.05).Conclusions The effectiveness and safety of minimally invasive Achilles tendon repair assisted by porous metal plates in the treatment of acute closed Achil-les tendon rupture are superior to traditional open surgery with advantages such as short surgical duration,small incision,low intraoperative bleeding,and fast postoperative recovery,which can promote the rapid recovery of ankle joint function,improve ankle joint mobility and reduce complications.
Reconstructive surgical procedures,achilles tendonMinimally invasive surgical proceduresAnkle jointRange of motion,articular
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