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. 2024 Apr 20:51:102417.
doi: 10.1016/j.jcot.2024.102417. eCollection 2024 Apr.

Achilles tendon rupture primary repair technique: A comparative retrospective study between graft versus no-graft

Majd Mzeihem  1 , Joseph El Bachour  1 , Maya Hemdanieh  2 , Bachar El Baba  2 , Hani Tamim  3   4 , Mohamad Nassereddine  2
Affiliations

Achilles tendon rupture primary repair technique: A comparative retrospective study between graft versus no-graft

Majd Mzeihem et al. J Clin Orthop Trauma. .

Abstract

Introduction: Achilles tendon rupture is one of the most common musculoskeletal injuries and accounts to 20 % of all large tendon ruptures The surgical choice of a procedure might play a role in the incidence of postoperative complications. This study aimed to estimate and compare the incidence of complications occurring within a 30-day window following primary surgical repair of the Achilles tendon with or without a graft.

Methods: A retrospective cohort study was conducted using the ACS NSQIP database from 2005 to 2021. Patients were divided into 2 cohorts (primary surgical repair with and without graft).

Results: A total of 7010 patients were included in the analysis. Among the graft group, 10.9 % reported any complication which was double the percentage of complications in the no graft group. Only 3.8 % of the no graft patients had reported systemic complications compared to 8.3 % in the graft group. Chronic steroid use was found to be an effect modifier in the incidence of any complications after primary surgical repair when comparing graft versus no graft (P-value 0.016).

Conclusion: Surgical repairwith tendon graft develops more complications than repairing without graft. Therefore, it is imperative for physicians to strive for an early diagnosis, as any delay in treatment significantly raises the likelihood of complications.

Levels of evidence: III, Retrospective Cohort Study.

Keywords: Complications; Graft repair; Key terms: achilles tendon; NSQIP; Tendon rupture.

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Conflict of interest statement

The authors have no relevant financial or non-financial interests to disclose.

Figures

Fig. 1
Fig. 1
Complications rate by type in primary surgical repair of Achilles tendon with graft versus no graft. (2 colors should be used).
See this image and copyright information in PMC

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