BACKGROUND: Open repair of @entity397 has been associated with higher levels of wound complications than those associated with percutaneous repair. However, some studies suggest there are higher rerupture rates and sural nerve injuries with percutaneous repair. QUESTIONS/PURPOSES: We compared the two types of repairs in terms of (1) function (muscle strength, ankle ROM, @entity291 and ankle perimeter, single heel rise tests, and work return), (2) cosmesis (length scar, cosmetic appearance), and (3) complications. @entity1 AND METHODS: We retrospectively reviewed 32 surgically treated @entity1 with Achilles rupture: 17 with percutaneous repair and 15 with open repair. All @entity1 followed a standardized rehabilitation protocol. The minimum followup was 6 months (mean, 18 months; range, 6-48 months). RESULTS: We observed similar values of plantar flexor strength, ROM, @entity291 and ankle perimeter, and single heel raising test between the groups. Mean time to return to work was longer for @entity1 who had open versus percutaneous repair (5.6 months versus 2.8 months). Mean scar length was greater in the open repair group (9.5 cm versus 2.9 cm). Cosmetic appearance was better in the percutaneous group. Two wound complications and one rerupture were found in the open repair group. One case of @entity1150 occurred in the percutaneous repair group. All complications occurred before 6 months after surgery. We identified no @entity1 with @entity128 . CONCLUSIONS: Percutaneous repair provides function similar to that achieved with open repair, with a better cosmetic appearance, a lower rate of wound complications, and no apparent increase in the risk of rerupture. LEVEL OF EVIDENCE: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Is percutaneous repair better than open repair in acute XXXX ?

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity128 :: ('MESH:D020209', 'Disease') :: ['nerve injury'] @entity1150 :: ('MESH:D020246', 'Disease') :: ['deep venous thrombosis'] @entity397 :: ('MESH:D012421', 'Disease') :: ['Achilles tendon rupture'] @entity291 :: ('9913', 'Species') :: ['calf']
@entity397 :: (MESH:D012421,Disease) :: ['Achilles tendon rupture']
