Bunnell Suture with Longitudinal and Transverse Double Incisions for the Treatment of Acute Achilles Tendon Rupture 23 Cases
Objective:To evaluate the effect of Bunnell suture with longitudinal and transverse double incisions in the treat-ment of acute achilles tendon rupture.Methods:From March 2021 to March 2024,23 patients with acute achilles tendon rupture were treated using the longitudinal and transverse double incision Bunnell suture,including 19 males and 4 females,with a median age of 39 years old.The average time from injury to surgery was 1.5 d.All were closed.Took a transverse incision and a proximal longitudinal incision at the concave end of the achilles tendon fracture,pull the distal and proximal residual ends of the achilles tendon out of the skin,suture them separately using the Bunnell suture,and then pull them back into the body for knotting.Combined with plaster external fixation,standardize functional rehabilitation.Results:All cases were followed up for 3-16 months,with a median of 12 months.The surgical time was(33.52±7.63)min,and the intraoperative blood loss was(25.50±6.81)mL.There was no occurrence of complications such as delayed wound healing,infection,sural nerve injury,lower limb deep vein thrombosis,or re rupture.At the last follow-up,ankle dorsiflexion was 20.30°±6.75°,flexion was 43.68°±8.31°,achilles tendon complete rupture score was(85.66±10.28)points.The ankle and hindfoot score of American Orthopaedic Foot and Ankle Association was(91.36±6.13)points,among them,14 cases were excellent,9 cases were good,and the excellent and good rate was 100％.Conclusion:The longi-tudinal and transverse double incision Bunnell suture method for the treatment of acute achilles tendon rupture has the advantages of small trauma,simple operation,reliable suture,fewer complications,and good functional recovery,which isworthy of clinical promotion.
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