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- W2972324234 abstract "ABSTRACT Background The most common complication of open repair of Achilles tendon is skin necrosis and wound problems, especially in the distal part, where the blood supply to the skin is precarious. Minimally invasive and percutaneous techniques have become popular as they overcome this problem but these techniques put the sural nerve at risk and have high incidence of rerupture. We have devised a semi-open technique, which incorporates the advantages of both techniques and at the same time avoids their complications. The aim of this study was to evaluate the outcome of this technique. Materials and methods Twenty-two patients with acute Achilles tendon rupture were operated with this new technique. The operative technique included incision up to the tendon gap, no distal extension and a percutaneous passage of nonabsorbable suture through the distal stump with approximation and plantaris augmentation. The results were compared on the basis of functional results (Leppilahti score), cosmetic results, patient satisfaction and complications encountered. Results Fifteen patients had excellent (68.%) and seven had good (32%) results according to the Leppilahti score. Our average scar length was 6.2 cm and all patients were fully satisfied with their results and rehabilitation. There was one case of superficial infection and no cases of rerupture or sural nerve injury. Conclusion This new semi-open technique serves as a perfect combination of open and percutaneous surgeries, providing excellent functional and cosmetic results and minimizing the incidence of complications at the same time. How to cite this article Agarwala S, Mohrir G, Sobti AS. Novel Semi-open Technique for Repair of Acute Rupture of Achilles Tendon. J Foot Ankle Surg (Asia-Pacific) 2015;2(1):22-26." @default.
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- W2972324234 date "2015-01-01" @default.
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- W2972324234 title "Novel Semi-open Technique for Repair of Acute Rupture of Achilles Tendon" @default.
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- W2972324234 doi "https://doi.org/10.5005/jp-journals-10040-1023" @default.
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