Minimally Invasive Stripping for Chronic Achilles Tendinopathy

2012 ◽  
pp. 69-75 ◽  
Author(s):  
Nicola Maffulli ◽  
Umile Giuseppe Longo ◽  
Chandrusekar Ramamurthy ◽  
Vincenzo Denaro
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendinopathy ◽  
Chronic Achilles Tendinopathy

Minimally Invasive Stripping for Chronic Achilles Tendinopathy

2010 ◽  
pp. 455-459
Author(s):  
Nicola Maffulli ◽  
Umile Giuseppe Longo ◽  
Chandrusekar Ramamurthy ◽  
Vincenzo Denaro
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendinopathy ◽  
Chronic Achilles Tendinopathy

Minimally Invasive Stripping for Chronic Achilles Tendinopathy

2016 ◽  
pp. 1025-1032
Author(s):  
Nicola Maffulli ◽  
Alessio Giai Via ◽  
Francesco Oliva
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendinopathy ◽  
Chronic Achilles Tendinopathy

Minimally invasive stripping for chronic Achilles tendinopathy

2008 ◽  
Vol 30 (20-22) ◽  
pp. 1709-1713 ◽  
Author(s):  
Umile Giuseppe Longo ◽  
Chandrusekar Ramamurthy ◽  
Vincenzo Denaro ◽  
Nicola Maffulli
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendinopathy ◽  
Chronic Achilles Tendinopathy

Chronic Achilles Tendinopathy

2007 ◽  
Vol 35 (10) ◽  
pp. 1659-1667 ◽  
Author(s):  
Wolf Petersen ◽  
Robert Welp ◽  
Dieter Rosenbaum
Keyword(s):  
Synergistic Effect ◽  
Short Form ◽  
Achilles Tendinopathy ◽  
Eccentric Training ◽  
Treatment Groups ◽  
Alternative Treatment Option ◽  
Sf 36 ◽  
Significant Difference ◽  
Chronic Achilles Tendinopathy

Background Previous studies have shown that eccentric training has a positive effect on chronic Achilles tendinopathy. A new strategy for the treatment of chronic Achilles tendinopathy is the AirHeel brace. Hypothesis AirHeel brace treatment improves the clinical outcome of patients with chronic Achilles tendinopathy. The combination of the AirHeel brace and an eccentric training program has a synergistic effect. Study Design Randomized controlled clinical trial; Level of evidence, 1. Methods One hundred patients were randomly assigned to 1 of 3 treatment groups: (1) eccentric training, (2) AirHeel brace, and (3) combination of eccentric training and AirHeel brace. Patients were evaluated at 6, 12, and 54 weeks after the beginning of the treatment protocol with ultrasonography, visual analog scale (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) ankle score, and Short Form-36 (SF-36). Results The VAS score for pain, AOFAS score, and SF-36 improved significantly in all 3 groups at all 3 follow-up examinations. At the 3 time points (6 weeks, 12 weeks, and 54 weeks) of follow-up, there was no significant difference between all 3 treatment groups. In all 3 groups, there was no significant difference in tendon thickness after treatment. Conclusions The AirHeel brace is as effective as eccentric training in the treatment of chronic Achilles tendinopathy. There is no synergistic effect when both treatment strategies are combined. Clinical Relevance The AirHeel brace is an alternative treatment option for chronic Achilles tendinopathy.

Flexor Hallucis Longus Transfer for Repair of Chronic Achilles Tendinopathy

2003 ◽  
Vol 24 (9) ◽  
pp. 673-676 ◽  
Author(s):  
Robert Z. Tashjian ◽  
John Hur ◽  
Raymond J. Sullivan ◽  
John T. Campbell ◽  
Christopher W. DiGiovanni
Keyword(s):  
Achilles Tendinopathy ◽  
Flexor Hallucis Longus ◽  
Flexor Hallucis Longus Transfer ◽  
Chronic Achilles Tendinopathy

scholarly journals Minimally invasive calcaneal osteotomy

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0048
Author(s):  
Kar Teoh ◽  
Kartik Hariharan
Keyword(s):  
Length Of Stay ◽  
Minimally Invasive ◽  
Average Length ◽  
Achilles Tendinopathy ◽  
Complication Rates ◽  
Union Rate ◽  
Average Length Of Stay ◽  
Calcaneal Osteotomy ◽  
Cavus Foot ◽  
One Year

Category: Hindfoot Introduction/Purpose: A calcaneal osteotomy can be used to treat a variety of pathologic entities in which the hindfoot needs realignment. Minimally invasive calcaneal osteotomy (MICO) is becoming increasingly popular due to being soft tissue friendly, its ability to place other incisions nearby and high union rate. Previous studies have look specifically at medialising MICO or comparing open calcaneal osteotomy versus MICO. The purpose of our study was to compare 3 different types of commonly used MICO in our centre. Methods: Sixty-two MICO which fit the criteria were included in this study. They were performed in our unit from 2010 and 2016 and all patients had at least one year follow up data. The type of osteotomies was as follows: Medialising, n = 34, Lateralising, n =15 and Zadek (Dorsal closing wedge), n =13. Clinical and radiographic data were recorded. The diagnosis for 31/34 of the medialising MICO was Stage 2 PTTD, the diagnosis for 12/15 of the lateralising MICO was cavus foot, while the diagnosis for all Zadek MICO was for insertional Achilles tendinopathy. Apart from the Zadek MICO, the other MICO were all associated with other procedures. The average age (years) were as follows: Medialising, 58 (30 – 74); Lateralising, 33 (14 – 67) and Zadek, 47 (42-62). Results: The average calcaneal displacement was 10.2 (range: 8 – 12) mm for medialising MICO, and 6.6 (4 – 8) mm for lateralising MICO(p=0.021). Average time to union was 7.8 (5.4 – 11.6) weeks for medialising MICO, 6.2 (4.6 to 7.9) weeks for lateralising MICO, and 6.1 (4.1 – 7.6) weeks for Zadek MICO. All the MICO healed radiologically and clinically. Five (8%) patients (Medialising, n = 2; Lateralising n =2; Zadek, n =1) reported transient sural nerve paraesthesia following surgery. Wound problems developed in 5 patients (Lateralising, n =3; Zadek, n =2). The number of total complications were as follow: Medialising, n = 5, Lateralising, n = 7 and Zadek, n =5. Average length of stay was as follows: Medialising, 2(0-8) days; Lateralising, 1(0-3) day and Zadek, 1(0-3) day. Conclusion: Minimally invasive calcaneal osteotomy was safe with a high union rate and low complication rates and length of stay across all 3 common osteotomies. The average calcaneal displacement was significantly less for lateralising than medialising which is similar to reported figures for open osteotomy. Wound problems were more likely for lateralising and Zadek MICO compared to medialising and this could be because of how the osteotomies are shifted.

scholarly journals Gastrocnemius Recession to Treat Chronic Insertional and Noninsertional Achilles Tendinopathy

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0022
Author(s):  
Robert Graham ◽  
Collin Innis ◽  
Benjamin Stevens
Keyword(s):  
Patient Satisfaction ◽  
Achilles Tendinopathy ◽  
Foot Deformities ◽  
Preoperative Pain ◽  
Patient Satisfaction Questionnaire ◽  
Gastrocnemius Recession ◽  
Equinus Contracture ◽  
Time Required ◽  
Chronic Achilles Tendinopathy

Category: Hindfoot Introduction/Purpose: Small studies on gastrocnemius recession for Achilles tendinopathy with associated contracture of the gastrocnemius muscle are encouraging. The analyses have demonstrated fewer postoperative complications, shortened recovery time, and earlier return to work as compared to traditional surgical management of Achilles debridement and repair. Investigators have reported good patient satisfaction, substantial pain reduction, and restoration of dorsiflexion. However, there have been no large studies specifically looking at the outcomes of gastrocnemius recession for either chronic insertional or noninsertional Achilles tendinopathy. The purpose of this study was to review the efficacy of the gastrocnemius recession in mitigating pain for patients who have chronic Achilles tendinopathy with isolated gastrocnemius contracture and have failed nonoperative management. Methods: The records of patients with isolated gastrocnemius contracture were retrospectively reviewed who underwent an isolated gastrocnemius recession to treat insertional or noninsertional Achilles tendinopathy as performed by a single surgeon spanning from 2011 to 2017. Minimum follow-up time required was 6 months with an average of 25.5 months follow-up among all responders with a range from 6 to 63 months. Patients were excluded by the criteria of any other concomitant foot deformities, diagnoses, or surgical procedures performed. Clinical outcome was evaluated using a mail-in patient satisfaction questionnaire. One hundred and thirty-nine patients were identified to have underwent an isolated gastrocnemius recession to treat chronic insertional or noninsertional Achilles tendinopathy that was refractory to conservative management for a minimum of six months. Sixty-six patients (76 legs) of those eligible responded. Results: Sixty-three out of 66 patients (95.5%) were satisfied with the results of the procedure overall. Sixty-two out of 66 patients (93.9%) would elect to repeat the surgery if they knew their results in advance. Sixty-one out of 66 patients (92.4%) would recommend the surgery to a family or friend with the same diagnosis. The most frequently reported postoperative complication was 9 accounts of swelling (out of 76 legs; 11.8%). There were no reports of sural nerve injury. Responses for Visual Analogue scale (VAS) for pain were only eligible if they had reported a preoperative VAS score on their preoperative intake form. This made 23 patients eligible with an average preoperative pain of 8.43/10 and an average postoperative pain of 0.91/10. Conclusion: Gastrocnemius recession for treating chronic Achilles tendinopathy was found to be an effective procedure to mitigate pain in patients with isolated equinus contracture. To our knowledge, this is the largest study assessing gastrocnemius recession for treatment of chronic Achilles tendinopathy.

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