Publication: Outcome of Achilles Tendon Repair using Four Strand Cross Locked Cruciate Repair Technique
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Four strand cross locked cruciate tendon repair technique for Achilles tendon rupture
has shown promising result.
Objective
To evaluate the outcome of all acute traumatic Achilles tendon rupture case treated
by a novel repair technique of four strand cross locked cruciate.
Method
A total of 40 cases of acute traumatic Achilles tendon rupture from 2011 to 2018
treated by four strand cross locked cruciate repair technique were retrospectively
evaluated using Achilles Tendon Total Rupture Score.
Result
Average age of patient was 29.45 years. Male preponderance was seen. Most of the
patient (97.5%) had complete rupture of Achilles tendon. Most of the patient (92.5%)
had open injury. The average length of hospitalization was 7 days. All the patients
recovered to the level of physical activity previous to the tendon lesion. The achilles
tendon total rupture score significantly improved from 6 month post op period to 12
months (p=0.02) and 2 years post op period (p=0.038).
Conclusion
The optimum method of suturing technique for acute traumatic rupture of Achilles
tendon remains controversial. The four strand cross locked cruciate repair technique
provides a stable and reliable construct for the Achilles tendon repair. The technique
requires further investigation with direct comparison with other mostly used
techniques like Krackow and Gift box suture technique.
KEY WORDS
Achilles tendon, Locked cruciate, Repair technique
Description
Dhoju D, Thapa J
Department of Orthopaedic and Traumatology,
Dhulikhel Hospital, Kathmandu University Hospital,
Kathmandu University School of Medical Sciences,
Dhulikhel, Kavre, Nepal.
Keywords
Achilles tendon, Locked cruciate, Repair technique