{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:53:13Z","timestamp":1765828393553},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T00:00:00Z","timestamp":1715385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T00:00:00Z","timestamp":1715385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>An acute Achilles tendon rupture represents a common tendon injury, and its operative methods have been developed over the years. This study aimed to quantify the learning curve for the minimally invasive acute Achilles tendon rupture repair.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>From May 2020 to June 2022, sixty-seven patient cases who received minimally invasive tendon repair were reviewed. Baseline data and operative details were collected. The cumulative summation (CUSUM) control chart was used for the learning curve analyses. Achilles tendon rupture score (ATRS), American Orthopedic Foot and Ankle Society (AOFAS) ankle\/hindfoot score, and visual analog scale (VAS) at 3\/6\/9\/12\u00a0months were calculated to assess the clinical outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Thirty-six cases underwent at least a year of follow up and were enrolled in this study. The gender ratio and average age were 80.5% and 32.5\u00a0years. The linear equation fitted well (R<jats:sup>2<\/jats:sup>\u2009=\u20090.95), and CUSUM for operative time peaked in the 12th case, which was divided into the learning phase (n\u2009=\u200912) and master phase (n\u2009=\u200924). No significant difference was detected between the two groups in clinical variables, except for the operative time (71.1\u2009\u00b1\u200913.2\u00a0min vs 45.8\u2009\u00b1\u20097.2\u00a0min, p\u2009=\u20090.004). Moreover, we detected one case with a suture reaction and treated it properly.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Minimally invasive Achilles repair provides an opportunity for early rehabilitation. Notably, the learning curve showed that the \u201clumbar puncture needle and oval forceps\u201d technique was accessible to surgeons.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12891-024-07489-9","type":"journal-article","created":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T02:02:30Z","timestamp":1715392950000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The learning curve for minimally invasive Achilles repair using the \u201clumbar puncture needle and oval forceps\u201d technique"],"prefix":"10.1186","volume":"25","author":[{"given":"Yanrui","family":"Zhao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanzhou","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binzhi","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuo","family":"Diao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuling","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junlin","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,11]]},"reference":[{"key":"7489_CR1","doi-asserted-by":"publisher","first-page":"1887","DOI":"10.1016\/j.injury.2020.05.010","volume":"51","author":"H Hosny","year":"2020","unstructured":"Hosny H, Salama W, Marzouk A, Kenawey M. 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The Ethics Committee of Beijing Chaoyang Hospital waived the requirement for written informed consent because the study was retrospective, it had no adverse effect on patients\u2019 health, and it reported anonymized patient data. The authors announce that all methods were performed in accordance with the relevant guidelines and regulations. This study is a retrospective study and not a clinical trial; therefore, trial registration is not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publications"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"373"}}