{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:58:03Z","timestamp":1787497083891,"version":"build-2736575974"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The present prospective comparative study included patients with acute Achilles tendon rupture (ATR) who underwent percutaneous repair with one knot compared to percutaneous repair with two knots.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients underwent the procedure under local anesthesia. A total of 29 patients underwent percutaneous repair with two knots (Group A), and 33 patients underwent percutaneous repair with one knot (Group B). All patients were treated by a single surgeon between 2019 and 2021 and were followed prospectively for 24\u00a0months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients\u2019 characteristics at baseline were similar between the two groups, except for age [38.0(15.0) vs 32.0(15.0) years, P\u2009=\u20090.028]. The procedure took longer for the two knots technique [19.0(4.0) vs 13.0(3.0) min, P\u2009&amp;lt;\u20090.001]. The Achilles tendon total rupture score was not different between the two techniques (90.7\u2009\u00b1\u20093.26 vs 90.5\u2009\u00b1\u20092.18, P\u2009=\u20090.737), as was the elongation of the gastrosoleus-Achilles tendon complex measured by the Achilles tendon resting angle [\u22121.0(2.0) vs\u2009\u2212\u20091.0(2.0), P\u2009&amp;lt;\u20090.380]. The calf circumference of the injured and non-injured leg did not differ between the groups. Plantarflexion strength of the operated leg was significantly weaker than the non-operated leg in both groups. The European Foot and Ankle Society and patient reported outcome measures score by Piedade et\u00a0al. scores were not statistically significant different between the two groups. No patient experienced a re-rupture, a venous thrombo-embolism episode, or injury to the sural nerve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The modified technique offered similar objective and subjective outcome measures, in addition to reduced operative time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bmb\/ldae019","type":"journal-article","created":{"date-parts":[[2024,11,16]],"date-time":"2024-11-16T15:16:25Z","timestamp":1731770185000},"source":"Crossref","is-referenced-by-count":27,"title":["Percutaneous repair of the Achilles tendon with one knot offers equivalent results as the same procedure with two knots. A comparative prospective study"],"prefix":"10.1093","volume":"153","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5327-3702","authenticated-orcid":false,"given":"Nicola","family":"Maffulli","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Psychology, Department of Trauma and Orthopaedic Surgery, University \u201cLa Sapienza\u201d , Via di Grottarossa, 00189, Rome ,","place":["Italy"]},{"name":"Guy Hilton Research Centre, School of Pharmacy and Bioengineering, Keele University , Thornburrow Dirve, Stoke-On-Trent, Staffordshire ST4 7QB ,","place":["United Kingdom"]},{"name":"Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry , Mile End Hospital, 275 Bancroft Road, London E1 4DG ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6941-3456","authenticated-orcid":false,"given":"George","family":"Christidis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, General Hospital of Katerini , 7th Merarchias 26, Katerini, 60100 ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8455-0007","authenticated-orcid":false,"given":"Nikolaos","family":"Gougoulias","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, General Hospital of Katerini , 7th Merarchias 26, Katerini, 60100 ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4324-5051","authenticated-orcid":false,"given":"Panagiotis","family":"Christidis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, General Hospital of Katerini , 7th Merarchias 26, Katerini, 60100 ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0898-0587","authenticated-orcid":false,"given":"Daryl","family":"Poku","sequence":"additional","affiliation":[{"name":"West Middlesex University Hospital , Department of Trauma and Orthopaedics, Twickenham Rd, Isleworth TW7 6AF ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3214-1931","authenticated-orcid":false,"given":"Rifat","family":"Hassan","sequence":"additional","affiliation":[{"name":"Norfolk and Norwich University Hospitals , Department of Trauma and Orthopaedics, Colney Lane, Norwich, NR4 7UY ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7220-1221","authenticated-orcid":false,"given":"Filippo","family":"Migliorini","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Medical Centre , Pauwelsstra\u00dfe 30, Aachen 52074 ,","place":["Germany"]},{"name":"Department of Orthopedics and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical University , Via Lorenz B\u00f6hler 5, Bolzano 39100 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Oliva","sequence":"additional","affiliation":[{"name":"Department of Sports Traumatology, Universita\u2019 Telematica San Raffaele , Via di Val Cannuta, 247, 00100 Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"2025021914263785400_ref1","doi-asserted-by":"publisher","first-page":"1969","DOI":"10.2106\/JBJS.17.01364","article-title":"Minimally invasive versus open repair for acute Achilles tendon rupture: Meta-analysis showing reduced complications, with 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