Tendon Lengthening Procedures

Hammertoes ◽  
2019 ◽  
pp. 181-196
Author(s):  
Mark Gilheany
Keyword(s):  
Tendon Lengthening

scholarly journals Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Yangjing Lin ◽  
Jin Cao ◽  
Changgui Zhang ◽  
Liu Yang ◽  
Xiaojun Duan
Keyword(s):  
Achilles Tendon ◽  
Recurrence Rate ◽  
Operative Time ◽  
Achilles Tendon Rupture ◽  
Tendon Lengthening ◽  
Group A ◽  
Achilles Tendon Lengthening ◽  
The Mean ◽  
Group B

Background. Both percutaneous Achilles tendon lengthening by triple hemisection and the traditional open Z-lengthening are effective methods for Achilles tendon contracture. This study aims to evaluate the efficacy and safety of this new therapeutic method, which is based on the percutaneous sliding technique with three hemi-cuts in the tendon, as compared with the traditional open Z-lengthening. Methods. Retrospective analysis of the Achilles tendon contracture cases in our hospital between January 2010 and September 2016 was conducted. Twenty-five cases received percutaneous Achilles tendon lengthening (group A), and 30 patients who underwent open Z-lengthening during the same period were in the control group (group B). Operative time and hospital stay were statistically analyzed. Incision complication, equinus recurrence rate and Achilles tendon rupture morbidity were recorded. The function was assessed by American Orthopaedic Foot & Ankle Society (AOFAS) score. All cases in group A received Magnetic Resonance Imaging (MRI) of ankle preoperatively and in the follow-ups. Results. The mean follow-up period was 42.04 months in group A and 61.7 months in group B. The entire operative time and the mean hospitalization days were lower in group A than in group B. No incision and infection complication occurred in group A. The infection rate in group B was 3.3%. Equinus recurrence rate was 4% in group A and the equinus recurrence rate in group B was 21.4%. In group A, the mean AOFAS score increased from 64 ± 10.16 points preoperatively to 96.08 ± 3.17 at final follow-up, while the score in group B increased from 63.48 ± 6.2 points to 85.4 ± 10.3. MRI showed continuity of the Achilles tendon and homogeneous signal in group A. Conclusion. Modified surgery can significantly reduce the risk of Achilles tendon rupture, provide better balance in soft tissue strength between ankle dorsiflexion and ankle plantarflexion, helping to avoid recurrence of the deformity.

scholarly journals Superior oblique tendon lengthening for acquired superior oblique overactions.

1994 ◽  
Vol 78 (4) ◽  
pp. 280-284 ◽  
Author(s):  
R M Manners ◽  
E O'Flynn ◽  
R J Morris
Keyword(s):  
Tendon Lengthening ◽  
Superior Oblique

scholarly journals Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip

2021 ◽  
Vol 6 (4) ◽  
pp. 247301142110505
Author(s):  
Justin C. Haghverdian ◽  
Christopher E. Gross ◽  
Andrew R. Hsu
Keyword(s):  
Achilles Tendon ◽  
Skin Incision ◽  
Surgical Reconstruction ◽  
Fixation Strength ◽  
Level Of Evidence ◽  
Functional Deficits ◽  
Tendon Lengthening ◽  
Soft Tissue Dissection ◽  
Tendon Ruptures ◽  
Gait Abnormalities

Chronic Achilles tendon ruptures can result in tendon lengthening and significant functional deficits including gait abnormalities and diminished push-off strength. Surgical intervention is typically required to restore Achilles tension and improve ankle plantarflexion strength. A variety of surgical reconstruction techniques exist depending on the size of the defect and amount of associated tendinosis. For smaller tendon defects 2 to 3 cm in size, primary end-to-end repair using an open incision and multiple locking sutures is an established technique. However, a longer skin incision and increased soft tissue dissection is required, and failure at the suture-tendon interface has been reported that can result in postoperative tendon elongation and persistent weakness. In this report, we describe a novel technique to reconstruct chronic midsubstance Achilles tendon ruptures using a small incision with knotless repair of the tendon secured directly to the calcaneus. This technique minimizes wound healing complications, increases construct fixation strength, and allows for early range of motion and rehabilitation. Level of Evidence: Level V, Expert Opinion.

Posterior Tibial Tendon Transfer and Tendo-Achilles Lengthening for Equinovarus Foot Deformity Due to Severe Crush Injury

2002 ◽  
Vol 23 (12) ◽  
pp. 1103-1106 ◽  
Author(s):  
Ali Sabri Atesalp ◽  
Cemil Yıldız ◽  
Mahmut Kömürcü ◽  
Mustafa Basbozkurt ◽  
Ethem Gür
Keyword(s):  
Tendon Transfer ◽  
Operative Procedure ◽  
Varus Deformity ◽  
Crush Injury ◽  
Posterior Tibial Tendon ◽  
Foot Deformity ◽  
Posterior Tibial ◽  
Tendon Lengthening ◽  
Achilles Tendon Lengthening

Surgical correction was performed on nine patients who had equinovarus deformity caused by severe crush injury of the leg sustained in an earthquake. The operative procedure used involved the transfer of the posterior tibial tendon to the dorsum of the foot by passing it through the interosseous membrane using a modified procedure as published in 1978. 5 This procedure was combined with percutaneous Achilles tendon lengthening and tenotomy of toe flexors when needed. The average follow-up time after the operation was 21 months. The treatment improved the heel-toe steppage gait in all patients and all were able to walk in standard shoes. There were no complications in the postoperative period. Recurrence of varus deformity was not seen in any of the patients. They had active dorsiflexion of the foot, with a median active dorsiflexion of 5° (0 to 10°) and median active plantarflexion of 16.1° (10 to 25°) compared to the median active dorsiflexion and plantarflexion on the uninvolved side. The total range-of-motion was 21.1° (10 to 35°).

The Surgical Treatment of Internal Snapping Hip

2002 ◽  
Vol 30 (4) ◽  
pp. 607-613 ◽  
Author(s):  
Gary S. Gruen ◽  
Thomas N. Scioscia ◽  
Jason E. Lowenstein
Keyword(s):  
Retrospective Cohort ◽  
Nonoperative Treatment ◽  
Iliopsoas Tendon ◽  
Ilioinguinal Approach ◽  
Nonoperative Therapy ◽  
Snapping Hip ◽  
Tendon Lengthening ◽  
Competitive Athletes ◽  
Viable Approach ◽  
Surgical Option

Background Internal snapping hip is an underdiagnosed cause of hip pain that sidelines many recreational and competitive athletes. It originates from a taut iliopsoas tendon that snaps across bony prominences when the hip is extended from a flexed position. When nonoperative treatment methods fail, fractional tendon-lengthening procedures may be used. Hypothesis Surgical tendon lengthening through a true ilioinguinal approach, which has not been previously reported, will achieve good results in patients with internal snapping hip. Study Design Retrospective cohort study. Methods In 30 patients with symptoms in their anterior hip, internal snapping hip was diagnosed by history and physical examination. All patients were initially treated nonoperatively; 19 (63%) improved and did not require further intervention. Eleven patients (12 hips) whose symptoms were recalcitrant to physical therapy were offered the surgical option of iliopsoas tendon lengthening. The procedure was performed via an ilioinguinal intrapelvic approach. Patients were followed up for an average of 3 years. Results All 11 surgically treated patients (100%) had complete postoperative mitigation of their snapping hip. Nine (82%) reported excellent pain relief. Moreover, nine patients thought that they had greatly benefited from the tendon lengthening and would repeat the surgery. Conclusion Although nonoperative measures are usually successful in the treatment of internal snapping hip, surgical tendon lengthening is a viable approach in cases refractory to nonoperative therapy.

Surgical Anatomy and Accuracy of Percutaneous Achilles Tendon Lengthening

2006 ◽  
Vol 27 (6) ◽  
pp. 411-413 ◽  
Author(s):  
Michael L. Salamon ◽  
Stephen J. Pinney ◽  
Anthony Van Bergeyk ◽  
Scott Hazelwood
Keyword(s):  
Achilles Tendon ◽  
Surgical Anatomy ◽  
Tendon Lengthening ◽  
Achilles Tendon Lengthening

A Rare Case of Bilateral Spaghetti Injuries in Children due to Assault by Mother and Analysis of Functional Outcome at Three Years

2021 ◽  
Author(s):  
Parag B. Lad ◽  
N. Venkateshwaran ◽  
M. R. Thatte ◽  
Sanket Tanpure
Keyword(s):  
Functional Outcome ◽  
Case Series ◽  
Sensory Loss ◽  
Nerve Reconstruction ◽  
Range Of Movement ◽  
Flexor Tendons ◽  
Tendon Lengthening ◽  
Flexor Tendon Injuries ◽  
Life Threatening

AbstractManagement of child abuse with flexor tendons, neurovascular injuries, and life-threatening conditions is challenging. It needs a multisectoral coordinated and synchronized team effort for successful outcomes. We present a case series of children abused by a parent with a sharp object. The children sustained multiple flexor tendon injuries, neurovascular injuries in upper limbs, and tracheal injury compromising respiration. We performed a tracheostomy to save a child and subsequently repaired numerous flexor tendons, nerves, and arteries. During follow-up, these children required secondary reconstruction (tenolysis, tendon lengthening, nerve reconstruction) for flexor contractures, stiffness, and sensory loss in distal forearms. We measured the range of movements and assessed the children’s functional outcome using the Strickland score at 3-year follow-up. The range of movement and functional outcome was excellent in both children in our series. A timely performance of surgery, aided with efficient intensive care, therapy, and consistent posttraumatic psychosocial rehabilitation, produced excellent results in our series.

EFFECT OF ACHILLES TENDON LENGTHENING ON NEUROPATHIC PLANTAR ULCERS☆

2003 ◽  
Vol 85 (8) ◽  
pp. 1436-1445 ◽  
Author(s):  
MICHAEL J. MUELLER ◽  
DAVID R. SINACORE ◽  
MARY KENT HASTINGS ◽  
MICHAEL J. STRUBE ◽  
JEFFREY E. JOHNSON
Keyword(s):  
Achilles Tendon ◽  
Tendon Lengthening ◽  
Plantar Ulcers ◽  
Achilles Tendon Lengthening
Sign in / Sign up

Export Citation Format

Share Document