Channel-assisted minimally invasive repair of acute XXXX .

@entity1 @entity66 @entity924 @entity128 @entity1150 @entity51 @entity397 @entity291
BACKGROUND: Percutaneous (minimally invasive) suturing is a promising option for @entity924 ( @entity924 ) repair with low rerupture and infection rates. @entity66 are the major problem to avoid with the technique. A new device was therefore designed for suturing the @entity924 , resulting in channel-assisted minimally invasive repair (CAMIR). The purpose of this study was to compare the clinical and functional outcomes of CAMIR with traditional open techniques. METHOD: Eighty two @entity1 with @entity397 were included: 41 for CAMIR, 41 for open repair. All @entity1 followed a standardized rehabilitation protocol. Follow-ups were at 12 and 24  months after surgery. Functional evaluation was based on the clinical American Orthopaedic Foot _ Ankle Society score associated with @entity51 (sural nerve), @entity291 circumference, range of motion (ROM), and isometric testing. RESULTS: There was no difference between groups regarding plantar flexor strength, ankle ROM, or @entity291 circumference. CAMIR significantly decreased the operative time compared to open repair (17 vs. 56  min, P   <   0.0001). Mean scar length was greater in the open repair group (10 vs. 2  cm, P   <   0.0001). There were no wound complications in the CAMIR group but four in the open repair group (P   <   0.0001). No @entity1150 , rerupture, or @entity128 occurred. CONCLUSION: CAMIR and open repair yielded essentially identical clinical and functional outcomes. @entity128 can be minimized using CAMIR by carefully placing the suture channel with a stab incision and special trocar based on a modified Bunnell suture technique.
