Thursday, March 16, 2000
A new percutaneous Achilles tendon repair, described by co-author John D. Hubbell, MD, resident, Catholic Medical Center, Jamaica, N.Y. in poster exhibit 251, provides a more uniform apposition of tendonous edges than the previously described techniques.
Eleven patients were treated with a new procedure for acute ruptures. Two sutures are crossed in the tendon and tied at the level of the rupture. All patients were treated in gravity equinus casts for two weeks followed by a standard protocol, which allowed for passive range of motion exercises. At four weeks the patients were weightbearing in heeled shoes and by six weeks patients were weight bearing as tolerated.
"The procedure is easily reproducible and allows for an early range of motion, thus theoretically increasing tendonous healing while decreasing adhesions," said Dr. Hubbell. "There is a decreased operative time and the surgery can be performed under local anesthesia. All patients have retumed to their previous level of activity, without any cases of reruptures or morbidities."
There was a mean follow up of 25 months (range 11 to 48 months). The average age at repair was 38.5 years (range 28 to 73 years). Calf circumference, strength and motion were recorded. Each patient was found to have an excellent result achieving a return to previous activity level at 12 weeks.
Co-authors of the study with Dr. Hubbell are Patrick Brogle, MD; Leo Selya, MD, private practice, Virginia, Md.; and Henry Marano, MD, private practice, Catholic Medical Center, Jamaica, N.Y.
|2000 Academy News March 16 Index B|
Last modified 06/March/2000 by IS