Short-term Outcomes of Open “Crown” Type v. Percutaneous Bunnell Type Repair of Acute Achilles Tendon Ruptures. Randomized Control Study
Original research work
Aleksas Makulavičius
Vilnius University, Lithuania
Giedrius Mazarevičius
Vilnius University, Lithuania
Povilas Masionis
Vilnius University, Lithuania
Matas Urmanavičius
Vilnius University, Lithuania
Mindaugas Klinga
Vilnius University, Lithuania
Valentinas Uvarovas
Vilnius University, Lithuania
Narūnas Porvaneckas
Vilnius University, Lithuania
Published 2020-12-29
https://doi.org/10.15388/LietChirur.2020.19.29
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Keywords

Achilles Tendon
rupture
repair
randomized trial

How to Cite

1.
Makulavičius A, Mazarevičius G, Masionis P, Urmanavičius M, Klinga M, Uvarovas V, Porvaneckas N. Short-term Outcomes of Open “Crown” Type v. Percutaneous Bunnell Type Repair of Acute Achilles Tendon Ruptures. Randomized Control Study. LS [Internet]. 2020Dec.29 [cited 2022Aug.8];19(3-4):101-8. Available from: https://www.journals.vu.lt/lietuvos-chirurgija/article/view/22114

Abstract

Background. The optimal treatment of acute Achilles tendon ruptures is still under debate. The purpose of this randomized controlled trial was to evaluate outcomes of open repair comparing with percutaneous procedure for Achilles tendon ruptures. Methods. 100 patients with acute Achilles tendon rupture were randomized in two groups: open “crown” type (group A) and percutaneous Bunnell type repair (group B). Absorbable suture was used in both groups. 87 patients were available for the mean follow up of 6 months. Results. No statistically significant difference was observed between groups in ATRS (Achilles Tendon Total Rupture Score), leg circumference, single heel rise, Achilles resting angle, time back to work and sports and overall patient satisfaction. Percutaneous technique was much faster. Overall 13 complications occurred in both groups (5 and 8 respectively). No deep infection occurred, no revisions were needed. Conclusions. Both techniques showed to be effective and safe when using absorbable suture material with a high patient satisfaction and a low complication rate, but percutaneous repair was significantly faster.

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