{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T14:56:30Z","timestamp":1763564190441,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T00:00:00Z","timestamp":1640131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the treatment effects of the reinforced Ma\u2010Griffith method combined with a minimally invasive small incision(M\u2010G\/MISI) in the treatment of acute Achilles tendon rupture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2012 to January 2020, a retrospective study was carried out on thirty\u2010one patients with acute Achilles tendon ruptures that were treated using the M\u2010G\/MISI. Patient with acute Achilles tendon rupture was operated on in the prone position. The M\u2010G\/MISI begin with making a small incision to debride the stumps of ruptured tendon. Then M\u2010G\/MISI was used to suture the distal and proximal Achilles tendons with the help of a epidural puncture needle and polydioxanone synthetic absorbable suture (PDS) \u2161 line. Finally the stumps of ruptured tendon was reattached. After the surgery, the affected limb was fixed with either a plaster slab below the knee brace or a functional brace. Removal of plaster external fixation and partial weight\u2010bearing with crutches five weeks after the operation; Complete weight\u2010bearing nine weeks after the operation; jogging permitted 12 weeks after the operation; Patients were allowed to resume normal activities six months after the operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 31 patients in this study were male. Nineteen of these patients had Achilles tendon rupture on the right lower extremity, while 12 had ruptures on the left lower extremity. The patients had a mean age of 33.35 \u00b1 7.13 years (range, 18\u201052 years). The mean operation time was 79.58 \u00b1 22.67 minutes (range, 40\u2010167 minutes). The mean time from injury to operation was 4.19 \u00b1 2.01 days (range, 1\u20108 days), and the mean hospital stay was 9.87 \u00b1 3.88 days (range, 5\u201022 days). The new technique had a small incision with a mean length of 3.94 \u00b1 1.82 cm (range, 2\u20106 cm). The mean intraoperative blood loss was 16.77 \u00b1 13.76 mL (range, 10\u201050 mL) and the mean follow\u2010up time was 21.35 \u00b1 10.18 months (range, 6\u201050 months). No wound infection, fistula, skin necrosis, sural nerve damage, deep venous thrombosis or tendon re\u2010rupture was found. One year after the surgery, all patients reported 97.00 (range, 93\u2010100 points) AOFAS ankle\u2010hindfoot score points and the mean ATRS was 97.39 (range, 91\u2010100) points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The reinforced Ma\u2010Griffith method, combined with a minimally invasive small incision suture, is a simple, effective, minimally invasive technique and low\u2010cost surgical method for the treatment of acute Achilles tendon rupture.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13140","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T07:23:06Z","timestamp":1640244186000},"page":"315-322","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Reinforced <scp>Ma\u2013Griffith<\/scp> Method Combined with Minimally Invasive Small\u2010Incision Suture for Acute Achilles Tendon Rupture"],"prefix":"10.1111","volume":"14","author":[{"given":"Hao","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital of Anhui Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fangyuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital of Anhui Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital of Anhui Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunfeng","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Affiliated Hospital of Anhui Medical University  Hefei 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