Editorial Commentary: Suture Type or Technique Has Little Influence on Outcome After Acute Lower-Extremity Tendon Rupture |
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| Institution: | 1. The Orthopedic Clinic Association, Phoenix, AZ, USA;2. Duke University Medical Center, Durham, NC, USA;3. Midwest Orthopedics at Rush, Chicago, IL, USA;4. OrthoNeuro, New Albany, OH, USA;5. West Virginia University, Morgantown, WV, USA;6. Department of Orthopaedic Surgery, The Rothman Institute, Jefferson Medical College, Philadelphia, PA, USA;7. Orthopaedic and Rheumatology Institute, Cleveland Clinic, Cleveland, OH, USA |
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| Abstract: | Operative repair of Achilles tendon rupture significantly decreases the rerupture rate, regardless of type of surgical suture technique. Likewise, regarding repair of either the quadriceps or patellar tendon, surgical repair technique does not significantly influence the generally excellent outcomes achieved, whereas too-early mobilization should be avoided. In terms of the use of suture versus suture tape, load to failure is similar. Many factors impact tendon rupture repair success, including postoperative care, the quality of the tendon, underlying medical issues, and patient compliance, but suture type or technique has little influence on outcome after acute lower-extremity tendon rupture. |
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