{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T10:16:30Z","timestamp":1752228990872,"version":"3.40.5"},"reference-count":0,"publisher":"National Library of Serbia","issue":"8","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>Background\/Aim. Today there are controversies about searching for the ideal\n   surgical method (conservatively with plaster cast, with open and percutaneous\n   tenorrhaphy) for repairing a ruptured Achilles tendon. The aim of this study\n   study was to examine the results of treating Achilles tendon ruptures in\n   patients by using the following methods: percutaneous suturing, open surgery\n   technique and non-surgical treatment by plaster cast immobilisation. Methods.\n   Forty two patients treated at our facility in the period August 2003 -\n   September 2010 for Achilles tendon ruptures were included in the study. They\n   were operated on by using different orthopedic procedures (percutaneous\n   reconstruction of the Achilles tendon, open surgery, plaster cast only) and\n   two anaesthesia technique (spinal aneasthesia and local infiltrational\n   anaesthesia). The following parameters were monitored after interventions\n   performed and compared: duration of hospital stay, postsurgical\n   complications, incidence of the reruptures of the Achilles tendon and time\n   for full leg functionality. Results. The patients sustained their respective\n   injuries in the following manner: 8 of them while pursuing sports activities,\n   24 while pursuing recreational activities, 4 at workplace, 4 while performing\n   everyday activities, and 2 of the patients did not know how they had\n   sustained their injuries. The average age of the patients was 40.5, with 37\n   (88%) men and 5 (12%) women. Surgeries were performed under spinal\n   anaesthesia in 29 (69%) patients, and in 5 (12%) patients tenorrhaphy was\n   performed under local anaesthesia. Anaesthesia was not used in 8 (19%)\n   patients treated with plaster cast. We performed percutaneous reconstruction\n   of the Achilles tendon in 19 (45%) patients. A total of 14 (33%) patients\n   were treated under spinal anaesthesia, and 5 (11.9%) under local\n   infiltrational anaesthesia with 2% xylocain. We treated 15 (36%) patients\n   with open surgery. The patients treated conservatively stayed in hospital on\n   average for up to 5 hours. Those who underwent an percutaneous surgery stayed\n   2 days and those who underwent an open surgery stayed 9 days. A total of 28\n   (66%) patients from the given series experienced no complications. The\n   patients treated with open surgical reconstruction experienced skin\n   complications ranging from inflammatory changes on the skin in 6 (14%)\n   patients to dehiscence and skin necrosis in 3 (7%). The 5 (11.9%) patients\n   whose ruptured Achilles tendon was treated percutaneously experienced\n   temporary redness and delayed healing of the incision(s) longer than 5 mm. A\n   total of 3 (7%) patients treated with open surgery and 1 (2%) patient treated\n   with percutaneous tenorrhaphy had temporary peroneal nerve prolapses. A total\n   of 7 (16.6%) patients had reruptures: 4 were treated with plaster cast, 2\n   underwent open surgery, and 1 was treated percutaneously. Out of the 8\n   patients who were treated with plaster cast, 4 sustained reruptures and 3 of\n   the 4 had diabetes. Conclusion. Surgical treatment, percutaneous tenorrhaphy,\n   performed in a small operating theatre under local anaesthesia, should be\n   preferred in cases of fresh ruptures of the Achilles tendon.<\/jats:p>","DOI":"10.2298\/vsp1208663g","type":"journal-article","created":{"date-parts":[[2012,8,7]],"date-time":"2012-08-07T07:35:51Z","timestamp":1344324951000},"page":"663-668","source":"Crossref","is-referenced-by-count":6,"title":["Treatment of Achilles tendon rupture using different methods"],"prefix":"10.2298","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6826-1790","authenticated-orcid":false,"given":"Predrag","family":"Grubor","sequence":"first","affiliation":[{"name":"University Clinical Center Banja Luka, Traumatology Clinic, Banja Luka, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Grubor","sequence":"additional","affiliation":[{"name":"Medical Faculty, University of Banja Luka, Banja Luka, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:11:18Z","timestamp":1685358678000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501208663G"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2012]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp1208663g","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"type":"print","value":"0042-8450"},{"type":"electronic","value":"2406-0720"}],"subject":[],"published":{"date-parts":[[2012]]}}}