Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Sports Medicine - Ankle / Foot
Abstract number: 26315
RESULTS OF ENDOSCOPY ASSISTED PERCUTANEOUS ACHILLES TENDON
REPAIR
Alper DEVECI, Ahmet FIRAT, Uygar DASAR, Volkan SENOL, Übeydullah SEVGILI,
caner OKKAOGLU, Murat BOZKURT
Etlik Ihtisas Training and Research Hospital, Ankara (TURKEY)
Introduction: Treatment of achilles tendon rupture approach is still controversial.
However, open surgical treatment can cause some complications as joint stiffness,
tendocutaneous adhesions, deep vein thrombosis, infection, and severe scar
formation. Endoscopy assisted percutaneous Achilles tendon repair in is quitely
popular. Materials and Methods: Between February 2007- September 2009, a total
of 12 patients (mean age 33.4, 9 men, 3 woman) were included in our study. The
mean follow up period was 8.2 months. All of the patients had been operated
endoscopy supported percutaneous achilles tendon repair with Modified Bunnel
suturation technique had been applied. Functions are evaluated with AOFAS
Hindfoot Score. Results: None of the patients had developed, extension loss, wound
infection, pain related scar or Achilles dysfunction. One patient experienced
hypoesthesia at sural nerve innervation area and after 7 months it is improved. All
patients returned to their daily activities and works in 3 months. Average AOFAS
Hindfoot Score was evaluated as 95.8. Discussion: Nowadays surgical approach is
more preferred because of decreased reccurence rates of ruptures, early allowance
for functional rehabilitation and decreased muscle atrophy. However, open surgical
treatment can cause some complications as joint stiffness, tendocutaneous
adhesions, deep vein thrombosis, infection, and severe scar formation. Thus,
minimal invasive fixation techniques are quitely used. Endoscopy support increases
reliability of the tecnique. Both because of decreased complications and decreased
surgical injury, endoscopic assisted percutaneous achilles tendon repair is a reliable
method.
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