A novel suture technique in the percutaneous repair of Achilles tendon rupture (TANSEL TECHNIQUE)


Mutlu T. , SATILMIŞ A. B.

ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.11, ss.110-114, 2020 (ESCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 11 Konu: 2
  • Basım Tarihi: 2020
  • Doi Numarası: 10.4328/acam.6164
  • Dergi Adı: ANNALS OF CLINICAL AND ANALYTICAL MEDICINE
  • Sayfa Sayıları: ss.110-114

Özet

Aim: The aim of this study was to present the clinical results of patients treated with a sliding, wrapping suture technique (Tansel technique) which provides rapid recovery with fewer wound site problems compared to open surgery techniques. Material and Method: A total of 34 patients were included in the study. Following the initial diagnosis made on physical examination, routine dynamic ultrasonography (USG) was applied for the determination of the rupture gap and tendon length. All the patients were evaluated in respect of the time from trauma to surgery, etiological causes, affected side, postoperative AOFAS (The American Orthopaedic Foot & Ankle Score) and Tegner scores, cruris diameter, mean time to full weight-bearing, time of return to work, time to regain pre-trauma activity level and complications. Results: The mean follow-up period was 27.7 +/- 16.8 months. According to clinical evaluations of the patients at the final follow-up examination, postoperative dorsiflexion angle and plantar flexion angle were determined as 16.3 degrees +/- 4.3 degrees, 39.7 degrees +/- 7.1 degrees respectively. While postoperative Tegner score was determined as 87.6 +/- 9, AOFAS score was found as 91.3 +/- 4.7. Postoperatively at sixth months, in the measurements of the cruris area diameter, 1.5 +/- 0.4 cm atrophy was detected. Of the defined major complications, tendon elongation was seen on USG in 1 (2.9%) patient. No re-rupture occurred in any patient. Discussion: Treatment of acute Achilles tendon ruptures with Tansel technique provides successful results such as resolving the problems of re-rupture and tendon elongation particularly in the postoperative tendon malacia stage. So, this technique was considered as an effective technique which could be used to resolve the disadvantages of minimally invasive percutaneous repair.