Is percutaneous suturing superior to open fibrin gluing in acute XXXX ?

@entity1 @entity66 @entity809 @entity281 @entity397 @entity86 @entity158 @entity291 @entity130
PURPOSE: Open fibrin gluing is reported to enable anatomical reconstruction with less soft tissue compromise than suture repair. Our main objective was to compare the complication rate, function, @entity158 and disability of the two operative approaches of percutaneous suture using the Paessler technique and open fibrin gluing. METHODS: Sixty-four @entity1 (two centres, retrospective cohort study, 2000-2009) who had undergone acute Achilles tendon repair with either percutaneous suture (n   =   27; 44  years) or open fibrin glue (n   =   37; 45  years) took part in a follow-up examination after a median of 63  months (range, six to 180). Ankle range of motion, @entity291 and ankle circumferences and return to work and sports activities were evaluated. Isokinetic und sonographic evaluation results were retrieved. RESULTS: Complications were noted in 22 @entity1 (34  %). Delayed @entity130 without evidence of @entity281 was found in three @entity1 in the fibrin group and two @entity1 in the suture group. @entity86 tenderness described as @entity158 at the rim of the shoe was significantly more frequent in the suture group (p   =   0.03). Re-rupture requiring re-operation occurred in one @entity1 . Transient @entity809 of the heel occurred in 12 @entity1 . No @entity66 were reported. There was no significant difference between groups regarding lower leg circumference, disability, or function. Ultrasound and isokinetic measurements did not reveal a significant difference between the two methods. CONCLUSIONS: The present study suggests that open fibrin gluing is a reasonable alternative to percutaneous repair of acute @entity397 and both techniques can yield reliably good results.
