PMID- 29409202
OWN - NLM
STAT- MEDLINE
DCOM- 20190624
LR  - 20221207
IS  - 1460-9584 (Electronic)
IS  - 1268-7731 (Linking)
VI  - 24
IP  - 5
DP  - 2018 Oct
TI  - Achillon versus open surgery in acute Achilles tendon repair.
PG  - 427-434
LID - S1268-7731(17)30094-2 [pii]
LID - 10.1016/j.fas.2017.04.016 [doi]
AB  - BACKGROUND: Open Achilles tendon repairs (OATR) are associated with high 
      complication rates. Minimally invasive surgery (MIS) techniques like the Achillon 
      Achilles tendon repair (AATR) were developed to reduce this. We performed a 
      systematic review and meta-analysis to compare OATR with AATR. METHODS: We 
      performed an extensive literature search including all studies that compared the 
      two techniques. Outcomes assessed included overall complication rate, re-rupture 
      rate, sural nerve injury, wound length, The American Orthopaedic Foot and Ankle 
      Scores (AOFAS) scores and return to sports. RESULTS: Eight studies were suitable 
      for inclusion totalling 210 patients in the AATR group vs 233 patients in the 
      OATR group. Total complication rates were significantly reduced in the Achillon 
      patients with odd ratio of 0.14 (CI 95%, 0.08-0.27, P<0.00001) in favour. There 
      were no significant differences in re-rupture rate, sural nerve injury, return to 
      sports and AOFAS scores following repair between the two groups. CONCLUSIONS: 
      AATR has fewer overall complications compared with OATR. It should be considered 
      as an alternative to open surgical repair.
CI  - Copyright (c) 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Alcelik, Ilhan
AU  - Alcelik I
AD  - Department of Orthopaedics, York Hospital, Wigginton Road, York YO31 8HE, United 
      Kingdom. Electronic address: ialcelik67@gmail.com.
FAU - Saeed, Zubair M
AU  - Saeed ZM
AD  - Department of Orthopaedics, York Hospital, Wigginton Road, York YO31 8HE, United 
      Kingdom. Electronic address: zubair.saeed@doctors.org.uk.
FAU - Haughton, Ben A
AU  - Haughton BA
AD  - Department of Orthopaedics, York Hospital, Wigginton Road, York YO31 8HE, United 
      Kingdom. Electronic address: b.a.haughton@gmail.com.
FAU - Shahid, Rizwan
AU  - Shahid R
AD  - Department of Orthopaedics, York Hospital, Wigginton Road, York YO31 8HE, United 
      Kingdom. Electronic address: rizwanshahid@gmail.com.
FAU - Alcelik, John C
AU  - Alcelik JC
AD  - Year 12, All Saints RC School, Mill Mount Lane, York YO24 1BJ, United Kingdom. 
      Electronic address: jalcelik@gmail.com.
FAU - Brogden, Craig
AU  - Brogden C
AD  - Department of Orthopaedics, York Hospital, Wigginton Road, York YO31 8HE, United 
      Kingdom. Electronic address: brogden@ntlworld.com.
FAU - Budgen, Adam
AU  - Budgen A
AD  - Department of Orthopaedics, York Hospital, Wigginton Road, York YO31 8HE, United 
      Kingdom. Electronic address: adam.budgen@btinternet.com.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20170504
PL  - France
TA  - Foot Ankle Surg
JT  - Foot and ankle surgery : official journal of the European Society of Foot and 
      Ankle Surgeons
JID - 9609647
SB  - IM
MH  - Achilles Tendon/injuries/*surgery
MH  - Acute Disease
MH  - Ankle Joint/surgery
MH  - Humans
MH  - Minimally Invasive Surgical Procedures/*methods
MH  - Orthopedic Procedures/*methods
MH  - Plastic Surgery Procedures/*methods
MH  - Rupture
MH  - Sural Nerve/injuries
MH  - Tendon Injuries/*surgery
OTO - NOTNLM
OT  - Achilles tendon rupture
OT  - Achillon
OT  - Complication rate
OT  - Minimally invasive technique
OT  - Open repair
EDAT- 2018/02/08 06:00
MHDA- 2019/06/25 06:00
CRDT- 2018/02/08 06:00
PHST- 2016/11/10 00:00 [received]
PHST- 2017/04/06 00:00 [revised]
PHST- 2017/04/24 00:00 [accepted]
PHST- 2018/02/08 06:00 [pubmed]
PHST- 2019/06/25 06:00 [medline]
PHST- 2018/02/08 06:00 [entrez]
AID - S1268-7731(17)30094-2 [pii]
AID - 10.1016/j.fas.2017.04.016 [doi]
PST - ppublish
SO  - Foot Ankle Surg. 2018 Oct;24(5):427-434. doi: 10.1016/j.fas.2017.04.016. Epub 
      2017 May 4.