Keywords:
Musculoskeletal system, Musculoskeletal soft tissue, Extremities, MR, Surgery, Diagnostic procedure, Trauma
Authors:
A. Gedminaite, V. Augustinavicius, A. Brazaitis, A. Makulavicius, N. Porvaneckas, M. Urmanavicius; Vilnius/LT
DOI:
10.1594/essr2018/P-0046
Purpose
Achilles tendon ruptures (ATR) account for approximately one third of all large tendon injuries [1],
with incidence of approximately 18 in 100,000 people [2,
3].
Two main surgical repair techniques (open and percutaneous) are used for treating acute Achilles tendon ruptures.
Controversy still exists regarding the choice of optimal technique,
as long as both of them have their advantages and disadvantages.
After the percutaneous surgery wound complications,
cost,
and subjective patient outcome are higher compared to open surgical repair.
On the other hand,
the open technique has a slightly lower rate of sural nerve injury (1,2% with open compared to 5.5% with percutaneous treatment) and is more convenient for most surgeons,
hence it is still performed in many centers around the world [4-7].
The purpose of our study was to radiologically compare two surgical repair techniques of the ruptured Achilles tendon taking into consideration long term results.