{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T04:32:50Z","timestamp":1783571570217,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,10,18]],"date-time":"2021-10-18T00:00:00Z","timestamp":1634515200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,10,18]],"date-time":"2021-10-18T00:00:00Z","timestamp":1634515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,18]],"date-time":"2021-10-18T00:00:00Z","timestamp":1634515200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005760","name":"University of Gothenburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005760","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100005760","name":"G\u00f6teborgs Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005760","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Operative repair of Achilles tendon rupture may lead to complications, which influence outcome adversely. The aim of this study was to determine the incidence, impact and response to treatment of post\u2010operative adhesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From February 2009 to 2021, 248 patients operated on with percutaneous or minimally invasive surgical repair have been prospectively evaluated using the Achilles tendon Total Rupture Score (ATRS) and Heel\u2010Rise Height Index (HRHI), following acute Achilles tendon rupture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fourteen (5.6%) patients were identified as having adhesions. Four patients reported superficial adhesions and ten patients reported a deeper tightness of the tendon. At a mean (SD) of 10.5 (2.3) months following repair, the overall ATRS was at a median (IQR) 65 (44.5\u201378) points and (HRHI) was mean (SD) 81.5 (13.5)%. Of those deemed to have deep adhesions the antero\u2010posterior diameter of the tendon was at mean (SD) 15.6 (4.6) mm. Open release of superficial adhesions resulted in improved ATRS in all patients. Endoscopic debridement anterior to the Achilles tendon led to alleviation of symptoms of tightness and discomfort from deep adhesions and improved outcome in terms of the ATRS score. At a mean (SD) of 15.9 (3.3)\u2010month follow\u2010up from initial rupture and repair, the patients reported at median (IQR) ATRS scores of 85 (64.8\u201392.8) points, Tegner level 5 (3\u20139) and mean (SD) HRHI 86.2 (9.5)%. Patients significantly improved both ATRS and HRHI following release at median (IQR) of 16.5 (\u2212\u20091.8\u201329.3) points (<jats:italic>p<\/jats:italic>\u2009=\u20090.041) and mean (SD) 5.6 (8.3)% (<jats:italic>p<\/jats:italic>\u2009=\u20090.043).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of patient\u2010reported adhesions following minimally invasive repair of Achilles tendon rupture was estimated to be 5.6%. The occurrence of superficial adhesions was associated with a lower outcome scores as well as symptoms of anterior tendon tightness and stiffness were associated with a lower score in most patients. Surgical release of adhesions led to a significant improvement in outcome.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06767-6","type":"journal-article","created":{"date-parts":[[2021,10,17]],"date-time":"2021-10-17T23:31:38Z","timestamp":1634513498000},"page":"1109-1117","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["The release of adhesions improves outcome following minimally invasive repair of Achilles tendon rupture"],"prefix":"10.1002","volume":"30","author":[{"given":"Michael R.","family":"Carmont","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> The Department of Trauma and Orthopaedic Surgery, Princess Royal Hospital Shrewsbury and Telford Hospital NHS Trust Shropshire UK"},{"name":"<!--<label>2<\/label>--> The Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Brandt","family":"Knutsson","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> The Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annelie","family":"Brorsson","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> The Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f3n","family":"Karlsson","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> The Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarina","family":"Nilsson\u2010Helander","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> The Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg 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