{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T21:57:21Z","timestamp":1768341441962,"version":"3.49.0"},"reference-count":16,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Hallym University Research Fund"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We aimed to investigate the clinical manifestations, radiological findings, and therapeutic outcome of treatment for patients with surgically confirmed foreign body reaction following an Achilles tendon repair using non-absorbable suture material. Eight consecutive patients who were confirmed as having an intra-tendinous suture foreign body reaction in the histopathological report were enrolled in this study. Medical records of all patients in terms of clinical and radiological features were retrieved. Also, the outcome of treatment was evaluated at a follow-up of at least 12 months. All the patients complained of pain and a palpable mass around a previous surgical site at mean 25.1 months (range, 4\u201372 months) after the initial surgery. Magnetic resonance imaging (MRI) or ultrasound were used to detect the lesion. All the patients underwent surgical excision of foreign body reaction tissue and primary repair using absorbable suture material. After the treatment, the wounds were healed completely in all, and the average FAOS (foot and ankle outcome score) was 91.32 at mean follow-up for 22.4 months. In conclusion, intra-tendinous suture reaction is a rare complication following an Achilles tendon repair using nonabsorbable suture material, but it can be treated adequately with only surgical excision of foreign body reaction tissue and primary repair using absorbable suture material.<\/jats:p>","DOI":"10.3390\/ijerph191912897","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T22:19:27Z","timestamp":1665267567000},"page":"12897","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Clinical Features and Treatment of Intra-Tendinous Suture Reaction Following Achilles Tendon Repair Using Nonabsorbable Suture Material: A Retrospective Case Series Study"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9661-8478","authenticated-orcid":false,"given":"Jahyung","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Armed Force Yangju Hospital, Yangju 11429, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hwa-Jun","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong 18450, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bom-Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Inha University Hospital, Incheon 22332, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Mi","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sanbon Hospital, Wonkwang University College of Medicine, Gunpo-si 15865, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5934-0665","authenticated-orcid":false,"given":"Hyong-Nyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2988-9785","authenticated-orcid":false,"given":"Jae-Yong","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang-si 14068, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8037-2650","authenticated-orcid":false,"given":"Young-Rak","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul 03924, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Altanzul","family":"Bat-Ulzii","sequence":"additional","affiliation":[{"name":"Institute for Skeletal Aging and Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8680-4680","authenticated-orcid":false,"given":"Jaeho","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1053\/j.jfas.2017.05.036","article-title":"Surgical Treatment Versus Conservative Management for Acute Achilles Tendon Rupture: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","volume":"56","author":"Deng","year":"2017","journal-title":"J. Foot Ankle Surg."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Cho, J., Kim, H.J., Lee, J.S., Kim, J., Won, S.H., Yi, Y., and Chun, D.I. (2020). Comparing Absorbable and Nonabsorbable Suture Materials for Repair of Achilles Tendon Rupture: A Magnetic Resonance Imaging-Based Study. Diagnostics, 10.","DOI":"10.3390\/diagnostics10121085"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1016\/j.arthro.2003.09.018","article-title":"Sutures and suture anchors: Update 2003","volume":"19","author":"Barber","year":"2003","journal-title":"Arthroscopy"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1177\/107110070502600404","article-title":"Isokinetic strength and endurance after percutaneous and open surgical repair of Achilles tendon ruptures","volume":"26","author":"Goren","year":"2005","journal-title":"Foot Ankle Int."},{"key":"ref_5","first-page":"164","article-title":"Tendon holding capacities of the suture materials used in repairing Achilles tendon rupture","volume":"40","author":"Yildirim","year":"2006","journal-title":"Acta Orthop. Traumatol. 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Case Rep."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1053\/j.jfas.2021.04.025","article-title":"Delayed Onset of Infectious Foreign Body Granuloma for Nonabsorbable Sutures After Open Achilles Tendon Repair: A Case Report","volume":"60","author":"Itoga","year":"2021","journal-title":"J. Foot Ankle Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"680","DOI":"10.2106\/JBJS.H.00110","article-title":"Wound complications following the use of FiberWire in lower-extremity traumatic amputations. A case series","volume":"91","author":"Mack","year":"2009","journal-title":"J. Bone Jt. Surg. Am."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/19\/12897\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:48:20Z","timestamp":1760143700000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/19\/12897"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,8]]},"references-count":16,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["ijerph191912897"],"URL":"https:\/\/doi.org\/10.3390\/ijerph191912897","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,8]]}}}