{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:14:04Z","timestamp":1790010844129,"version":"4.0.1"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The safety and reliability of endoscopic Achilles tendon rupture repair are still concerning aspects. This study's aim is to evaluate an all\u2010inside endoscopic semiautomatic running locked stitch (Endo\u2010SARLS) technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty cases with acute Achilles tendon rupture were treated with the all\u2010inside Endo\u2010SARLS technique between 2020 and 2021. Under endoscopic control, the proximal tendon stumps were stitched with the running locked method using a semiautomatic flexible suture passer. The threads of the high\u2010strength suture were grasped through the paratenon subspace and then fixed into calcaneal insertion with a knotless anchor. Magnetic resonance imaging (MRI), surgical time\u00a0and complications were assessed. Achilles Tendon Total Rupture Score (ATRS), Achilles Tendon Resting Angle (ATRA)\u00a0and Heel Rise Height Scale (HRHS) were utilised to evaluate final outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average follow\u2010up time was 25.4\u2009\u00b1\u20090.4 (range: 24\u201332) months. Appropriate tendon regeneration was observed on MRI after 12 months. At the final follow\u2010up, the median value of ATRS score was 95 (interquartile range: 94, 98). Furthermore, there is no significant difference between the injured and contralateral side in the average ATRA (18.2\u2009\u00b1\u20091.8 vs. 18.3\u2009\u00b1\u20091.9\u00b0, ns) and median value of HRHS [14.5 (13.3, 15.5) vs. 14.8 (13.5, 15.6)\u2009cm, ns]. No infection and nerve injuries were encountered. Thirty\u2010nine\u00a0patients reported that they resumed casual sports activity after 6 months. One patient had a slight anchor cut\u2010out, due to an addition injury, which was removed after 5 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An all\u2010inside Endo\u2010SARLS technique showed promising clinical results for acute Achilles tendon ruptures. This procedure reduces the risk of sural nerve injuries while establishing a reliable connection between the tendon stumps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12177","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T10:09:47Z","timestamp":1712311787000},"page":"1615-1621","source":"Crossref","is-referenced-by-count":4,"title":["All\u2010inside endoscopic semiautomatic running locked stitch technique shows favourable outcomes for acute Achilles tendon ruptures"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5105-0196","authenticated-orcid":false,"given":"Shijun","family":"Wei","sequence":"first","affiliation":[{"name":"Department of Orthopaedics General Hospital of Central Theater Command Wuhan China"},{"name":"The First Clinical Medical School Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics General Hospital of Central Theater Command Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics General Hospital of Central Theater Command Wuhan China"},{"name":"The First Clinical Medical School Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changwang","family":"Kong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics General Hospital of Central Theater Command Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics General Hospital of Central Theater Command Wuhan China"},{"name":"The First Clinical Medical School Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianhua","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics South China Hospital of Shenzhen University Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-006-1178-y"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211053619"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2018.03.003"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06767-6"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/2473011420965967"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/10711007231178819"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2020.02.005"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231152904"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4182-2"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03437-z"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2019.02.005"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-07142-9"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.11.017"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2108447"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4689-1"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k5120"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2021.11.026"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211044464"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.aaz0135"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.09.027"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-022-01926-x"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07411-1"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.01.007"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2020.07.004"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0889-7"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.1069"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506295080"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117707477"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03818-y"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2016.09.006"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.03.006"}],"container-title":["Knee 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