[Percutaneus Suture of Achilles XXXX - Operation for Beginners?]

@entity1 @entity16 @entity397 @entity1796
UNASSIGNED: Background: Acute @entity397 is the most common @entity1796 , with an incidence of 30/100,000 population. With the Dresden instruments, operative tendon suture can be standardised and is safe, quick and minimally invasive. With post-operative functional therapy in a walking boot, very good clinical results can be achieved. Question: Is this operation suitable as an educational procedure and is its performance still economic? Materials and Methods: Between 1 January 2007 and 31 December 2013, 212 @entity1 with acute @entity397 were operated using the Dresden instruments. There were 167 males and 45 females, with an average age of 46 years. 99 operations were performed by trainees, 46 by attending surgical staff, and 57 by a senior surgeon. Results: With the trainees, the mean duration of the operation was 29:53 minutes, and with the attending staff 29:10 minutes (n.s., p   >   0.1). The rate of complications (re-rupture, @entity16 ) was 5/99 (5%) for the trainees, 4/46 (8.7%) for the attending staff, and 3/57 (5.3%) for the senior surgeon. A total cost analysis yielded a total operative cost of 445.76       for outpatient surgery. With a billed sum of 490.11      , net income of 44.35       per case is generated. In @entity1 with reasonable indications for 2-day short inpatient treatment, total treatment cost was 3232.70      . Conclusion: Percutaneous suture of the Achilles tendon with the Dresden instruments is a standardised and cost-effective surgical procedure. It is suitable as a "beginner's" procedure that can be performed quickly, safely, and cost-effectively.
