Achilles tendon surgery and wound healing

2001 ◽  
Vol 9 (4) ◽  
pp. 193-193 ◽  
Author(s):  
Ejnar Eriksson
Keyword(s):  
Wound Healing ◽  
Achilles Tendon ◽  
Tendon Surgery

scholarly journals Ground Reaction Forces during Vertical Hops Are Correlated with the Number of Supervised Physiotherapy Visits after Achilles Tendon Surgery

2021 ◽  
Vol 10 (22) ◽  
pp. 5299
Author(s):  
Łukasz Sikorski ◽  
Andrzej Czamara
Keyword(s):  
Achilles Tendon ◽  
Study Groups ◽  
The Body ◽  
Ground Reaction Forces ◽  
Group I ◽  
Tendon Surgery ◽  
Reaction Forces ◽  
Number Of Visits ◽  
Group Ii ◽  
The Right

The objective of this study was to assess the effectiveness of, and the correlation between, an average of 42 supervised physiotherapy (SVPh) visits for the vertical ground reaction forces component (vGRF) using ankle hops during two- and one-legged vertical hops (TLH and OLH, respectively), six months after the surgical suturing of the Achilles tendon using the open method (SSATOM) via Keesler’s technique. Hypothesis: Six months of supervised physiotherapy with a higher number of visits (SPHNVs) was positively correlated with higher vGRF values during TLH and OLH. Group I comprised male patients (n = 23) after SSATOM (SVPh x = 42 visits), and Group II comprised males (n = 23) without Achilles tendon injuries. In the study groups, vGRF was measured during TLH and OLH in the landing phase using two force plates. The vGRF was normalized to the body mass. The limb symmetry index (LSI) of vGRF values was calculated. The ranges of motion of the foot and circumferences of the ankle joint and shin were measured. Then, 10 m unassisted walking, the Thompson test, and pain were assessed. A parametric test for dependent and independent samples, ANOVA and Tukey’s test for between-group comparisons, and linear Pearson’s correlation coefficient calculations were performed. Group I revealed significantly lower vGRF values during TLH and OLH for the operated limb and LSI values compared with the right and left legs in Group II (p ≤ 0.001). A larger number of visits correlates with higher vGRF values for the operated limb during TLH (r = 0.503; p = 0.014) and OLH (r = 0.505; p = 0.014). An average of 42 SVPh visits in 6 months was insufficient to obtain similar values of relative vGRF and their LSI during TLH and OLH, but the hypothesis was confirmed that SPHNVs correlate with higher relative vGRF values during TLH and OLH in the landing phase.

Wound Complications from Surgeries Pertaining to the Achilles Tendon

2008 ◽  
Vol 98 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Amol Saxena ◽  
Nicola Maffulli ◽  
Aidan Nguyen ◽  
Albert Li
Keyword(s):  
Rheumatoid Arthritis ◽  
Achilles Tendon ◽  
Wound Complication ◽  
Wound Complications ◽  
Fisher Exact Test ◽  
Exact Test ◽  
Additional Surgery ◽  
Tendon Surgery ◽  
Keloid Formation ◽  
Age Range

Background: A retrospective review of one surgeon’s practice was conducted to assess the prevalence of wound complications associated with acute and chronic rupture repair, peritenolysis, tenodesis, debridement, retrocalcaneal exostectomy/bursectomy, and management of calcific tendinopathy of the Achilles tendon. Methods: We evaluated the incidence of infection and other wound complications, such as suture reactions, scar revision, hematoma, incisional neuromas, and granuloma formation. Results: A total of 219 surgical cases were available for review (140 males and 70 females; mean ± SD age at the time of surgery, 46.5 ± 12.6 years; age range, 16–75 years). Seven patients experienced a wound infection, three had keloid formation, six had suture granulomas, and six had suture abscesses, for a total complication rate of 10.0%. Six patients had more than one complication; therefore, the percentage of patients with complications was 7.3%. There were no hematomas. Seven patients had additional surgery after their wound complications; some had simple granuloma excision, and one necessitated a flap. Patients with risk factors such as diabetes mellitus, smoking, and rheumatoid arthritis necessitating corticosteroid therapy were more likely to have a wound complication (Fisher exact test, P = .03). Conclusions: Complications with Achilles tendon surgery may be unavoidable. Suture granulomas may appear in a delayed manner. Absorbable and nonabsorbable sutures can be implicated. (J Am Podiatr Med Assoc 98(2): 95–101, 2008)

scholarly journals Outcomes following treatment of the infected Achilles tendon

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0016
Author(s):  
Mark Bowers ◽  
Norman Turner ◽  
Daniel Ryssman
Keyword(s):  
Achilles Tendon ◽  
Functional Outcomes ◽  
Functional Results ◽  
Therapy Program ◽  
Tendon Surgery ◽  
Extensive Debridement ◽  
Eradication Of Infection ◽  
Secondary Closure ◽  
Ability Measure

Category: Sports Introduction/Purpose: Infection following Achilles tendon surgery is a devastating complication and can be difficult to treat. Our purpose was to evaluate clinical and functional outcomes of patients who have undergone treatment for an infected Achilles tendon. Methods: We retrospectively reviewed the medical records of 20 patients who had undergone surgical treatment for an infected Achilles tendon between 2000 and 2016. The mean follow-up time was 21 months (range 2-68 months). All patients underwent extensive debridement of the tendon with removal of all infected tissue and foreign material. Soft tissue wound coverage was utilized for large wounds that were not amenable to primary or secondary closure. All patients received culture specific intravenous antibiotics for three to six weeks. Postoperatively, the extremity was immobilized in a splint followed by a cast until the wound was healed. The cast was then replaced with a walking boot and the patients were provided a physical therapy program. Functional outcomes were measured using the Foot and Ankle Ability Measure (FAAM) Activity of Daily Living (ADL) scale. Results: All wounds had healed at the time of last follow-up. Three patients (15%) required an unplanned return to the operating room for repeat debridement. All patients were able to walk without the use of a gait aid. Five patients (25%) required continued use of a boot or brace during ambulation. The average FAAM score was 87 (range, 71.4-100). At last follow-up, most patients reported their overall function as “normal” or “nearly normal”. Conclusion: Eradication of infection and satisfactory functional results can be attained after radical debridement, wound closure, and administration of culture specific IV antibiotics.

Real-time sonoelastography as novel follow-up method in Achilles tendon surgery

2014 ◽  
Vol 24 (7) ◽  
pp. 2124-2132 ◽  
Author(s):  
A. Busilacchi ◽  
M. Olivieri ◽  
S. Ulisse ◽  
R. Gesuita ◽  
E. Skrami ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Real Time ◽  
Tendon Surgery

scholarly journals V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions

2020 ◽  
Vol 14 (2) ◽  
pp. 123-125
Author(s):  
German Joannas ◽  
Leandro Casola ◽  
Guillermo Arrondo ◽  
Daniel Niño Gomez ◽  
Santiago Labbate
Keyword(s):  
Achilles Tendon ◽  
Average Distance ◽  
Advancement Flap ◽  
Popliteal Fossa ◽  
Medial Malleolus ◽  
Myotendinous Junction ◽  
Level Of Evidence ◽  
Gastrocnemius Medialis ◽  
Tendon Surgery ◽  
Mini Incision

Objective: To find a safe repair site for a proximal mini-incision to expose the fascia at the level of the gastrocnemius medialis (GM) myotendinous junction (MTJ). Methods: Seventeen anatomic specimens of popliteal fossa, leg, and foot fixed in formalin were dissected, and the perpendicular distance from the apex of the medial malleolus to the GM MTJ was measured. Results: The minimum and maximum perpendicular distances from the apex of the medial malleolus to the GM MTJ were 14.00cm and 20.5cm, respectively. Average distance was 16.56cm. Conclusion: We were able to establish a constant value and the average GM MTJ height, which allows for V-Y lengthening through 2 mini-incisions. In reviewing the literature, there was no description of the approaches proposed in this study. Level of Evidence VI; Therapeutic Studies; Case Series.Achilles tendon/surgery

scholarly journals Correction to: Epidemiology of Achilles tendon surgery in Italy: a nationwide registry study, from 2001 through 2015

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Umile Giuseppe Longo ◽  
Giuseppe Salvatore ◽  
Laura Risi Ambrogioni ◽  
Eleonora Cella ◽  
Vincenzo Candela ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Registry Study ◽  
Nationwide Registry ◽  
Tendon Surgery

An amendment to this paper has been published and can be accessed via the original article.

Botulinum toxin improves reduced dorsiflexion after Achilles tendon surgery

2009 ◽  
Vol 18 (2) ◽  
pp. 265-268 ◽  
Author(s):  
Iris Reuter ◽  
Olaf Lorbach ◽  
Sabine Mehnert ◽  
Manfred Kaps ◽  
Martin Engelhardt
Keyword(s):  
Botulinum Toxin ◽  
Achilles Tendon ◽  
Tendon Surgery

scholarly journals Rabbit Achilles tendon full transection model – wound healing, adhesion formation and biomechanics at 3, 6 and 12 weeks post-surgery

Biology Open ◽  
2016 ◽  
Vol 5 (9) ◽  
pp. 1324-1333 ◽  
Author(s):  
Gabriella Meier Bürgisser ◽  
Maurizio Calcagni ◽  
Elias Bachmann ◽  
Gion Fessel ◽  
Jess G. Snedeker ◽  
...  
Keyword(s):  
Wound Healing ◽  
Achilles Tendon ◽  
Adhesion Formation ◽  
Post Surgery

Complications of Supine Surgical Achilles Tendon Repair

2018 ◽  
Vol 39 (6) ◽  
pp. 720-724 ◽  
Author(s):  
John J. Marcel ◽  
Katherine Sage ◽  
Gregory P. Guyton
Keyword(s):  
Achilles Tendon ◽  
Supine Position ◽  
Primary Repair ◽  
Tendon Repair ◽  
Case Series ◽  
Neurologic Complication ◽  
Complication Rates ◽  
Achilles Tendon Repair ◽  
Concomitant Surgery ◽  
Tendon Surgery

Background: Open Achilles tendon surgery with the patient in the supine position potentially avoids the complications of the prone position, but the safety and viability of the supine position for this procedure are not known. The aim of this study was to test the hypothesis that supine positioning for open repair of acute Achilles tendon ruptures would be safe, with low wound and neurologic complication rates. Methods: Supine position safety in acute Achilles tendon repair was investigated. Consecutive cases of supine Achilles tendon surgical repair performed by one surgeon from 2010 to 2015 were retrospectively reviewed. Patients were included if they were surgically treated with primary repair in the supine position within 15 days of injury and did not undergo concomitant surgery. A paramedian incision 1 cm medial to the Achilles sheath was used. Initial chart review identified 161 patients who underwent any type of Achilles tendon surgery in the supine position, of whom 45 patients met the inclusion criteria. This group included 39 men and 6 women with an average age of 41 years (range, 20–66 years). Median length of follow-up was 116 days (range, 25–1,589 days). Average body mass index was 29 kg/m2 (range, 23–36 kg/m2). Results: There were no infections, sural nerve injuries, or reruptures. Conclusions: The supine position was safe for primary open Achilles tendon repair, with no wound or neurologic complications. Level of Evidence: Level IV, case series.

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