Efficacy of repair techniques of the Achilles tendon

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dc.contributor.author Yammine, Kaissar
dc.contributor.author Assi, Chahine en_US
dc.date.accessioned 2019-05-06T07:23:46Z
dc.date.available 2019-05-06T07:23:46Z
dc.date.copyright 2017 en_US
dc.date.issued 2019-05-06
dc.identifier.issn 1532-2963 en_US
dc.identifier.uri http://hdl.handle.net/10725/10547
dc.description.abstract Purpose Achilles injuries are very common, mainly among young athletes. When indicated, the surgical treatment aims for strong repairs that can resist distraction and consequently ruptures. The majority of the published clinical meta-analyses reported comparisons between broad treatment modalities such as conservative treatment, open, and minimally invasive surgery. Methods A meta-analysis has been conducted to assess further clinical and biomechanical variables on human cadavers related to the efficacy of Achilles repair. A total of 26 studies with 596 legs met the inclusion criteria. The maximal load to failure was set as the primary outcome. Eleven studies were amenable to meta-analysis. Results In the reinsertion group, the analysis of the single row vs. double row subgroup showed a significantly higher strength for the latter (1.27, 95% CI = 0.748–1.806, I2 = 81%, P < 0.0001). In the mid-tendon repair group, the Achillon vs. Krackow sutures and the Bunnell vs. Krackow sutures subgroups showed no difference while the Bunnell and Krakow sutures were significantly stronger than the Kessler sutures (0.96, 95% CI = 0.510–1.405, I2 = 63.3%, P < 0.0001 and 1.37, 95% CI = 2.286–0.468, I2 = 83.4%, P = 0.003; respectively). Conclusions The assessment of heterogeneity located variables such as age, suture/material type, number of strands, type of testing machine and software, preloading, ankle position and loading type as potential confounders. The results of this meta-analysis are likely to have a significant impact in clinical practice. en_US
dc.language.iso en en_US
dc.title Efficacy of repair techniques of the Achilles tendon en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a meta-analysis of human cadaveric biomechanical studies en_US
dc.author.school SOM en_US
dc.author.idnumber 201801808 en_US
dc.author.idnumber 201004807
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal The Foot en_US
dc.journal.volume 30 en_US
dc.article.pages 13-20 en_US
dc.identifier.doi https://doi.org/10.1016/j.foot.2016.09.006 en_US
dc.identifier.ctation Yammine, K., & Assi, C. (2017). Efficacy of repair techniques of the Achilles tendon: a meta-analysis of human cadaveric biomechanical studies. The Foot, 30, 13-20. en_US
dc.author.email chahine.assi@lau.edu.lb en_US
dc.author.email kaissar.yammine@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.sciencedirect.com/science/article/pii/S095825921630061X en_US
dc.author.affiliation Lebanese American University en_US

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