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Article: Endoscopic-assisted repair of acute Achilles tendon rupture with Krackow suture: An anatomic study

TitleEndoscopic-assisted repair of acute Achilles tendon rupture with Krackow suture: An anatomic study
Authors
KeywordsAchilles
Endoscopy
Krackow
Repair
Rupture
Tendon
Issue Date2009
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/fasu
Citation
Foot And Ankle Surgery, 2009, v. 15 n. 4, p. 183-186 How to Cite?
AbstractPurpose: To study the feasibility of applying Krackow locking stitches in the endoscopic-assisted repair of acute Achilles tendon rupture and the possible complications encountered. Type of study: Anatomic study. Methods: Twelve Achilles tendons in six cadavers were cut at 6 cm from its insertion and endoscopic-assisted repair of Achilles tendon was performed. These legs were then cut open in midline to study (i) the locking stitches formed and (ii) the relation of the sural nerve to the locking stitches. Result: With endoscopic-assisted technique, Krackow-type locking stitches can be formed in eight legs. In four legs, the stitches fell into the ruptured gap and lie deep to the tendon. The tendon rupture end was grasped by the suture rather than forming a Krackow-type locking stitch when the suture was tightened. There was no sural nerve laceration noted. However, in two legs, the sural nerves were found trapped in the sutures at around the proximal portal. Conclusions: Krackow locking stitches can be formed by the minimally invasive technique. However, there are risks of stitches falling into the ruptured gap and lie deep to the tendon and risk of sural nerve entrapment at the proximal medial portal. The original technique is not suitable for clinical application. Modification of the technique by grasping the tendon end with Allis tissue forceps before passing the suture may prevent the suture from falling into the ruptured tendon gap. © 2009 European Foot and Ankle Society.
Persistent Identifierhttp://hdl.handle.net/10722/60939
ISSN
2015 Impact Factor: 1.092
2015 SCImago Journal Rankings: 0.730
References

 

DC FieldValueLanguage
dc.contributor.authorChan, KBen_HK
dc.contributor.authorLui, THen_HK
dc.contributor.authorChan, LKen_HK
dc.date.accessioned2010-05-31T04:22:24Z-
dc.date.available2010-05-31T04:22:24Z-
dc.date.issued2009en_HK
dc.identifier.citationFoot And Ankle Surgery, 2009, v. 15 n. 4, p. 183-186en_HK
dc.identifier.issn1268-7731en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60939-
dc.description.abstractPurpose: To study the feasibility of applying Krackow locking stitches in the endoscopic-assisted repair of acute Achilles tendon rupture and the possible complications encountered. Type of study: Anatomic study. Methods: Twelve Achilles tendons in six cadavers were cut at 6 cm from its insertion and endoscopic-assisted repair of Achilles tendon was performed. These legs were then cut open in midline to study (i) the locking stitches formed and (ii) the relation of the sural nerve to the locking stitches. Result: With endoscopic-assisted technique, Krackow-type locking stitches can be formed in eight legs. In four legs, the stitches fell into the ruptured gap and lie deep to the tendon. The tendon rupture end was grasped by the suture rather than forming a Krackow-type locking stitch when the suture was tightened. There was no sural nerve laceration noted. However, in two legs, the sural nerves were found trapped in the sutures at around the proximal portal. Conclusions: Krackow locking stitches can be formed by the minimally invasive technique. However, there are risks of stitches falling into the ruptured gap and lie deep to the tendon and risk of sural nerve entrapment at the proximal medial portal. The original technique is not suitable for clinical application. Modification of the technique by grasping the tendon end with Allis tissue forceps before passing the suture may prevent the suture from falling into the ruptured tendon gap. © 2009 European Foot and Ankle Society.en_HK
dc.languageengen_HK
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/fasuen_HK
dc.relation.ispartofFoot and Ankle Surgeryen_HK
dc.rightsFoot and Ankle Surgery. Copyright © Elsevier Ltd.en_HK
dc.subjectAchillesen_HK
dc.subjectEndoscopyen_HK
dc.subjectKrackowen_HK
dc.subjectRepairen_HK
dc.subjectRuptureen_HK
dc.subjectTendonen_HK
dc.titleEndoscopic-assisted repair of acute Achilles tendon rupture with Krackow suture: An anatomic studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1268-7731&volume=&spage=&epage=&date=2009&atitle=Endoscopic+assisted+repair+of+acute+Achilles+tendon+rupture+with+Krackow+suture:+an+anatomic+studyen_HK
dc.identifier.emailChan, LK: lapki@hkucc.hku.hken_HK
dc.identifier.authorityChan, LK=rp00536en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.fas.2009.02.006en_HK
dc.identifier.pmid19840749-
dc.identifier.scopuseid_2-s2.0-70349904737en_HK
dc.identifier.hkuros156361en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70349904737&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue4en_HK
dc.identifier.spage183en_HK
dc.identifier.epage186en_HK
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridChan, KB=10138948300en_HK
dc.identifier.scopusauthoridLui, TH=9237221000en_HK
dc.identifier.scopusauthoridChan, LK=7403540426en_HK
dc.identifier.citeulike5370902-

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