Clinical Features and Treatment of Intra-Tendinous Suture Reaction Following Achilles Tendon Repair Using Nonabsorbable Suture Material: A Retrospective Case Series Study

Jahyung Kim, Hwa-Jun Kang, Bom-Soo Kim, Yu-Mi Kim, Hyong-Nyun Kim, Jae-Yong Park, Young-Rak Choi, Altanzul Bat-Ulzii and Jaeho Cho ()
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Jahyung Kim: Department of Orthopaedic Surgery, Armed Force Yangju Hospital, Yangju 11429, Korea
Hwa-Jun Kang: Department of Orthopedic Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong 18450, Korea
Bom-Soo Kim: Department of Orthopedic Surgery, Inha University Hospital, Incheon 22332, Korea
Yu-Mi Kim: Department of Orthopedic Surgery, Sanbon Hospital, Wonkwang University College of Medicine, Gunpo-si 15865, Korea
Hyong-Nyun Kim: Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Korea
Jae-Yong Park: Department of Orthopedic Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang-si 14068, Korea
Young-Rak Choi: Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul 03924, Korea
Altanzul Bat-Ulzii: Institute for Skeletal Aging and Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, Korea
Jaeho Cho: Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, Korea

IJERPH, 2022, vol. 19, issue 19, 1-9

Abstract: 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, 4–72 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.

Keywords: Achilles tendon; nonabsorbable suture material; foreign body reaction; granuloma formation; sinus formation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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