{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:22:14Z","timestamp":1783506134891,"version":"3.55.0"},"reference-count":26,"publisher":"MDPI AG","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPMA"],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Treatment modalities for acute Achilles tendon rupture can be divided into operative and nonoperative. The main concern with nonoperative treatment is the high incidence of repeated ruptures; operative treatment is associated with risk of infection, sural nerve injury, and wound-healing sequelae. We assessed our experience with a percutaneous operative approach for treating acute Achilles tendon rupture.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    The outcomes of percutaneous surgery in 29 patients (25 men; age range, 24\u201358 years) who underwent percutaneous surgery for Achilles tendon rupture between 1997 and 2004 were retrospectively evaluated. Their demographic data, subjective and objective evaluation findings, and isokinetic evaluation results were retrieved, and they were assessed with the modified Boyden score and the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    All 29 patients demonstrated good functional outcome, with no- to mild-limitations in recreational activities and high patient satisfaction. Mean follow-up was 31.8 months. Changes in ankle range of motion in the operated leg were minimal. Strength and power testing revealed a significant difference at 90\u00b0\/sec for plantarflexion power between the injured and healthy legs but no difference at 30\u00b0 and 240\u00b0\/sec or in dorsiflexion. The mean modified Boyden score was 74.3, and the mean Ankle-Hindfoot Scale score was 94.5.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Percutaneous surgery for Achilles tendon rupture is easily executed and has excellent functional results and low complication rates. It is an appealing alternative to either nonoperative or open surgery treatments. (J Am Podiatr Med Assoc 100(4): 270\u2013275, 2010)\n                  <\/jats:p>","DOI":"10.7547\/1000270","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T09:54:57Z","timestamp":1396346097000},"page":"270-275","source":"Crossref","is-referenced-by-count":8,"title":["The Percutaneous Surgical Approach for Repairing Acute Achilles Tendon Rupture"],"prefix":"10.3390","volume":"100","author":[{"given":"Shay","family":"Tenenbaum","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Sheba Medical Center, Tel-Hashomer, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niv","family":"Dreiangel","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sheba Medical Center, Tel-Hashomer, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayal","family":"Segal","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sheba Medical Center, Tel-Hashomer, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Herman","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sheba Medical Center, Tel-Hashomer, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amnon","family":"Israeli","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sheba Medical Center, Tel-Hashomer, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahron","family":"Chechik","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sheba Medical Center, Tel-Hashomer, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"R1","series-title":"Sports Med","first-page":"79","volume":"25","year":"1998","unstructured":"Leppilahti J, Orava S: Total Achilles tendon rupture: a review. .Sports Med25::79. ,1998. .9519398"},{"key":"R2","series-title":"Acta Ortbop Scand","first-page":"277","volume":"67","year":"1996","unstructured":"Leppilahti J, Puranen J, Orava S: Incidence of Achilles tendon rupture. .Acta Ortbop Scand67::277. ,1996. ."},{"key":"R3","series-title":"Am J Sports Med","first-page":"338","volume":"17","year":"1989","unstructured":"Jozsa L, Kvist M, Balint BJ, et al: The role of recreational sport activity in Achilles tendon ruptures: a clinical pathoanatomical, and sociological study of 292 cases. .Am J Sports Med17::338. ,1989. .2729483"},{"key":"R4","series-title":"Phys Ther Rev","first-page":"59","volume":"12","year":"2007","unstructured":"Tumilty S: Achilles tendon rupture: rising incidence in New Zealand follows international trends. .Phys Ther Rev12::59. ,2007. ."},{"key":"R5","series-title":"Clin Sports Med","first-page":"675","volume":"22","year":"2003","unstructured":"Maffulli N, Wong J, Almekinders LC: Types and epidemiology of tendinopathy. .Clin Sports Med22::675. ,2003. .14560540"},{"key":"R6","series-title":"Clin Orthop Relat Res","first-page":"190","volume":"400","year":"2002","unstructured":"Bhandari M, Guyatt GH, Siddiqui F, et al: Treatment of acute Achilles tendon ruptures: a systematic overview and metaanalysis. .Clin Orthop Relat Res400::190. ,2002. ."},{"key":"R7","series-title":"Am J Sports Med","first-page":"791","volume":"21","year":"1993","unstructured":"Cetti R, Christensen SE, Ejsted R, et al: Operative versus nonoperative treatment of Achilles tendon rupture: a prospective randomized study and review of the literature. .Am J Sports Med21::791. ,1993. .8291628"},{"key":"R8","series-title":"Clin J Sport Med","first-page":"207","volume":"7","year":"1997","unstructured":"Lo IK, Kirkley A, Nonweiler B, et al: Operative versus nonoperative treatment of acute Achilles tendon ruptures: a quantitative review. .Clin J Sport Med7::207. ,1997. .9262889"},{"key":"R9","series-title":"Accid Emerg Nurs","first-page":"149","volume":"12","year":"2004","unstructured":"Lynch R: Achilles tendon rupture: surgical versus non-surgical treatment. .Accid Emerg Nurs12::149. ,2004. .15234712"},{"key":"R10","series-title":"J Bone Joint Surg Br","first-page":"843","volume":"83","year":"2001","unstructured":"Mo\u0308ller M, Moven T, Granhed H, et al: Acute rupture of tendon Achillis: a prospective randomised study of comparison between surgical and non-surgical treatment. .J Bone Joint Surg Br83::843. ,2001. .11521926"},{"key":"R11","series-title":"J Bone Joint Surg Am","first-page":"2202","volume":"87","year":"2005","unstructured":"Khan RJ, Fick D, Keogh A, et al: Treatment of acute Achilles tendon ruptures: a meta-analysis of randomized, controlled trials. .J Bone Joint Surg Am87::2202. ,2005. .16203884"},{"key":"R12","series-title":"J Bone Joint Surg Br","first-page":"877","volume":"81","year":"1999","unstructured":"Webb JM, Bannister GC: Percutaneous repair of the ruptured tendo Achillis. .J Bone Joint Surg Br81::877. ,1999. .10530854"},{"key":"R13","series-title":"Knee Surg Sports Traumatol Arthrosc","first-page":"204","volume":"16","year":"2008","unstructured":"Gigante A, Moschini A, Verdenelli A, et al: Open versus percutaneous repair in the treatment of acute Achilles tendon rupture: a randomized prospective study. .Knee Surg Sports Traumatol Arthrosc16::204. ,2008. .18066530"},{"key":"R14","series-title":"Foot Ankle Int","first-page":"559","volume":"22","year":"2001","unstructured":"Lim J, Dalal R, Waseem M: Percutaneous vs. open repair of the ruptured Achilles tendon: a prospective randomized controlled study. .Foot Ankle Int22::559. ,2001. .11503980"},{"key":"R15","series-title":"Orthop Trans","first-page":"1228","volume":"21","year":"1997","unstructured":"Schroeder D, Lehmann M, Steinbrueck K: Treatment of acute Achilles tendon ruptures: open vs. percutaneous repair vs. conservative treatment: a prospective randomized study. .Orthop Trans21::1228. ,1997. ."},{"key":"R16","series-title":"Foot Ankle Int","first-page":"349","volume":"15","year":"1994","unstructured":"Kitaoka HB, Alexander IA, Adelaar RS, et al: Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. .Foot Ankle Int15::349. ,1994. .7951968"},{"key":"R17","series-title":"Foot Ankle 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