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Z Orthop Unfall
DOI: 10.1055/a-2294-1043
Original Article

Modified Minimally Invasive Bunnell Suture Surgery with Channel-assisted Minimally Invasive Reconstruction Device for Treating Achilles Tendon Rupture

Modifizierte minimal-invasive Bunnell-Nahtoperation mit kanalunterstütztem minimal-invasivem Rekonstruktionsinstrument zur Behandlung der Achillessehnenruptur
Chao Li
1   Department of Orthopedics, First Affiliated Hospital of Harbin Medical University, Harbin, China (Ringgold ID: RIN74559)
,
Fu-chun Li
1   Department of Orthopedics, First Affiliated Hospital of Harbin Medical University, Harbin, China (Ringgold ID: RIN74559)
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Abstract

Objective

The aim of this study was to improve the process of microincision and endoscopic surgery for the treatment of Achilles tendon (AT) rupture using the modified minimally invasive Bunnell suture (MIBS) technique.

Methods

From December 2019 to December 2021, 20 patients with AT rupture who visited the First Affiliated Hospital of Harbin Medical University (Harbin, China) underwent MIBS surgery.

Results

A total of 20 patients were included, of whom 18 (90.0%) were male and 2 (10.0%) were female. The mean age of the patients was 37.75 ± 9.94 years. In terms of the site of the AT, two (10.0%) had surgery on their left AT. The mean duration of surgery was 23.00 ± 2.47 minutes, and the mean bleeding volume was 5.00 ± 1.12 mL. All 20 patients (100%) showed complete incisional healing (stage I healing) and normal functional recovery (3–6 months postoperatively). There were no cases of abnormal functional recovery or postoperative recurrence within the 3–6 month follow-up period. The Achilles tendon Total Rupture Score (ATRS) significantly improved post-surgery (83.6 ± 5.59) compared to pretreatment (0.3 ± 0.92, p < 0.0001), indicating successful patient recovery.

Conclusions

After the modified MIBS surgical process, the operation steps were simplified, the surgical difficulty was reduced, and the surgical trauma was alleviated, resulting in good postoperative recovery and patient satisfaction with the outcome. Therefore, the MIBS surgery has high promotability.

Zusammenfassung

Ziel

Diese Studie zielt darauf ab, zur Verbesserung des Mikroinzisionsprozesses und der endoskopischen Chirurgie zur Behandlung des Achillessehnenbruchs bei der modifizierten minimalinvasiven Bunnell-Naht-Technik beizutragen.

Methoden

Von Dezember 2019 bis Dezember 2021 besuchten 20 Patienten mit Achillessehnenrupturen das First Affiliated Hospital der Medizinischen Universität Harbin und unterzogen sich einer modifizierten minimalinvasiven Bunnell-Naht-Operation.

Ergebnisse

Diese Studie umfasste insgesamt 20 Patienten, von denen 18 (90,0%) männlich und 2 (10,0%) weiblich waren. Das Durchschnittsalter der Patienten betrug 37,75 ± 9,94 Jahre. Was die Verletzungsstelle, d. h. die Sehne, betrifft, so wurde bei 2 Patienten (10,0%) die linke Achillessehne operiert. Die durchschnittliche Dauer des Eingriffs betrug 23,00 ± 2,47 min und die mittlere Blutungsmenge 5,00 ± 1,12 ml. Alle 20 Patienten (100%) zeigten eine vollständige Heilung der Inzision (Stadium I) und eine normale funktionelle Erholung (3–6 Monate postoperativ). Es gab keine Fälle von abnormaler funktioneller Erholung oder postoperativem Wiederauftreten innerhalb der 3–6-monatigen Nachbeobachtungszeit. Der Total Rupture Score der Achillessehne verbesserte sich nach der Operation signifikant (83,6 ± 5,59) im Vergleich zur Vorbehandlung (0,3 ± 0,92; p < 0,0001), was auf eine erfolgreiche Genesung der Patienten hinweist.

Schlussfolgerung

Auf der Grundlage des modifizierten minimalinvasiven Bunnell-Naht-Verfahrens wurden die Operationsschritte vereinfacht, die chirurgischen Schwierigkeiten reduziert und das chirurgische Trauma gemildert. Dies führte zu einer guten postoperativen Erholung und Patientenzufriedenheit. Die modifizierte minimalinvasive Bunnell-Naht-Operation hat somit ein hohes Potenzial, gefördert zu werden.

Keywords

Achilles tendon rupture - tunnel-assisted suture system - minimally invasive surgery

Schlüsselwörter

Riss der Achillessehne - tunnelgestütztes Naht-System - minimalinvasive Chirurgie


Publication History

Received: 23 May 2023

Accepted after revision: 20 March 2024

Article published online:
29 April 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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