scholarly journals Lower trapezius transfer with Achilles tendon augmentation: indication and clinical results

2018 ◽  
Vol 13 (4) ◽  
pp. 269-272 ◽  
Author(s):  
William R. Aibinder ◽  
Bassem T. Elhassan
Keyword(s):  
Achilles Tendon ◽  
Clinical Results ◽  
Lower Trapezius

scholarly journals Achilles Tendon Ruptures: Comparison between the Clinical Results of Classical Versus Mini-Invasive or Percutaneous Surgical Treatment

2015 ◽  
Vol 20 (3) ◽  
pp. 135-138
Author(s):  
Obada B. ◽  
Serban Al. O.
Keyword(s):  
Surgical Treatment ◽  
Achilles Tendon ◽  
Achilles Tendon Rupture ◽  
Functional Results ◽  
Clinical Results ◽  
Needle Insertion ◽  
Invasive Technique ◽  
Percutaneous Technique ◽  
Degree Of Satisfaction ◽  
Invasive Techniques

Abstract The aim of the study is to evaluate the surgical treatment comparing the results obtained with different techniques. We revised 68 cases with acute Achilles tendon rupture who underwent surgical correction between 2004 and 2011, with a 40 month average follow-up. 34 of these were submitted to a classical open repair using the Kessler or Krakow technique, 25 to a mini-invasive technique (Achilon) and 9 to a percutaneous technique (Tenolig). We report a 29% rate of complications when using the classical technique: the major complications were one re-rupture, two surgical wound dehiscences, one infection and one sural nerve injury. In the mini-invasive/percutaneous techniques, two re-ruptures occurred (5.9% total, one in each technique) and one fistula at the needle insertion location. In regards to the percutaneous and mini-invasive techniques, the functional results and degree of satisfaction were higher, with fewer complications, reflecting a trend that has been expressed in the international literature.

scholarly journals Subcutaneous Achilles tendon rupture in an eighty-year-old female with an absence of risk factors

2010 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Motoki Sonohata ◽  
Tsutomu Okamoto ◽  
Kazuyoshi Uchihashi ◽  
Tsutomu Motooka ◽  
Hirofumi Tanaka ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Case Reports ◽  
Achilles Tendon Rupture ◽  
Treatment Protocol ◽  
The Elderly ◽  
Clinical Results ◽  
Level Of Activity ◽  
Healthy Female ◽  
Tendon Ruptures

Achilles tendon ruptures rarely occur in patients over 80 years of age. However, it is unclear what treatment, surgical or conservative, is suitable for such an Achilles tendon rupture in the elderly. In addition, the clinical results of an Achilles tendon rupture in the elderly are disappointing. We report here the case of a subcutaneous Achilles tendon rupture in an eighty-year-old, healthy female, who returned to her previous level of activity following surgical treatment. Additional case reports of other instances of successful treatment are needed to help establish the optimal treatment protocol for an Achilles tendon rupture in the elderly.

scholarly journals Achilles Tendon Repair- A Systematic Review of Overlapping Meta-Analyses

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0002
Author(s):  
Eoghan Hurley ◽  
Youichi Yasui ◽  
Arianna Gianakos ◽  
Dexter Seow ◽  
Joseph Kromka ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Wound Infection ◽  
Operative Treatment ◽  
Meta Analysis ◽  
Tendon Repair ◽  
Clinical Results ◽  
Infection Rates ◽  
Functional Rehabilitation ◽  
Achilles Tendon Repair ◽  
Meta Analyses

Category: Sports Introduction/Purpose: Acute Achilles tendon ruptures (ATR) are a common sports-related injury with an incidence of between 8-37 per 100,000 per year. While there are several meta-analyses published on the optimal treatment of ATR based on randomized control trials, the reported outcomes conflict between each meta-analysis due to different methodologies. The aim of this study is to systematically review the clinical results represented in meta-analyses in the current literature on acute ATR. Methods: Two independent reviewers performed the literature search based on the PRISMA guidelines to identify meta-analyses on Achilles tendon repair. Clinical results, including the re-rupture rates, wound infection rates and overall complication rates were analyzed. Level of evidence (LOE) and methodological quality of evidence (MQOE), using the AMSTAR score, were evaluated. A statistically significant difference (SSD) was defined as p < 0.05. Each meta-analysis was categorized into one of the following subgroupings: 1) Operative vs Non-Operative Treatment (with Conservative Rehabilitation) [OC vs NOC], 2) Operative vs Non-Operative Treatment (with Functional Rehabilitation) [OF vs NOF], 3) Conservative Rehabilitation vs Functional Rehabilitation (with Operative Treatment) [OC vs OF], and 4) Open vs. Percutaneous Repair (with Conservative Rehabilitation) [OC vs POC]. Results: Four studies compared OC and NOC. Re-rupture rates ranged from 3.1-6.4% in OC and 10.0-13.0% in NOC. Two of these studies showed statistical significance in favour of OC. There was no SSD was seen in other complications. Three studies compared OF and NOF. Re-rupture rates ranged from 3.8-5.0% in OF and 6.0-11.9% in NOF, no study showed a SSD. There was no SSD in other complications. Three studies compared OF and OC. Re-rupture rates ranged from 2.13-3% in OF and 1.1-2.1% in OC, no study showed a SSD. Four studies compared OC and PSC. Re-rupture rates ranged from 2.2-4.4% in OC and 1.1-2.1% in PSC, no study showed a SSD. In all included studies there was SSD in wound infection rates, in favour of PSC. Conclusion: Overall there exists a large volume of high quality meta-analyses on Achilles tendon repair. The re-rupture rates were lower in operative treatment in all studies, even when early functional rehabilitation was used. However, while early functional rehabilitation may allow early mobility but the rehabilitation method can be demanding. Although there was no difference between percutaneous and open repair on the re-rupture rate, there was an overall reduction in wound infection after percutaneous repair. The results within this study can help determine the optimal treatment for patients.

scholarly journals Prognostic model of clinical scores in evaluation of treatment outcome in patients with acute Achilles tendon rupture - surgery vs. immobilization

2020 ◽  
Vol 148 (7-8) ◽  
pp. 455-461
Author(s):  
Mihailo Ille ◽  
Ivan Milosevic ◽  
Marko Ilic ◽  
Sladjana Matic ◽  
Dejan Tabakovic ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Clinical Results ◽  
Tendon Injury ◽  
Duration Of Treatment ◽  
Early Recovery ◽  
Aofas Score ◽  
First Choice ◽  
The Difference

Introduction/Objective. When choosing the appropriate treatment for Achilles tendon rupture, there may be a dilemma when choosing the optimal treatment. The objective of this study was analyzing groups of patients with acute closed Achilles tendon injury, comparing early recovery and functional parameters in relation to treatment and first choice treatment suggestion. Methods. The prospective study included 80 patients with acute Achilles tendon rupture. The treatment was surgery or immobilization. Results. There is a difference in the mechanism of injury between surgically and non-surgically treated (p = 0.026). In total, 50 (62.5%) patients were operated and 30 (37.5%) patients were treated with circular plaster. The difference (p = 0.000) between the groups in the duration of treatment, The American Orthopaedic Foot and Ankle Society (AOFAS) score and Visual Analogue Scale of pain (VAS) was shown. Patients undergoing surgery in the first two days had better clinical results in terms of The Achilles tendon Total Rupture score (ATRS), AOFAS and VAS. Higher satisfaction was achieved in younger people (p = 0.036). Patients whose treatment lasted shorter were more satisfied with their status (p = 0.001). ATRS and AOFAS score are higher in patients who are more satisfied with their own status (ATRS p = 0.301; AOFAS score p = 0.001). Six months after the treatment, 78.75% (63/80) of patients were fully functional. Conclusion. The therapy of choice in the treatment of acute Achilles tendon rupture is surgical, as surgical treatment is shorter; rehabilitation is faster and shorter, and the total costs associated with treatment and absence from work are lower.

scholarly journals Degenerative tendoachilles tear repaired and augumented by peroneous brevis tendon by dynamic loop technique one year follow up

2020 ◽  
Vol 6 (4) ◽  
pp. 788
Author(s):  
K. Vijaya Bhaskar Reddy ◽  
Narsimha Lavudi
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Age Groups ◽  
Clinical Results ◽  
Suture Technique ◽  
Common Symptom ◽  
Peroneus Brevis ◽  
One Year

<p class="abstract"><strong>Background:</strong> Repair of degenerative rupture of tendoachilles is a challenge for orthopaedician. We used peroneus brevis tendon in our patients to augment the repair of degenerated tendoachilles tears by creating a dynamic loop.</p><p class="abstract"><strong>Methods:</strong> In our study, we evaluated 31 patients with Achilles tendon rupture treated by reconstruction using peroneus brevis tendon transfer by dynamic loop suture technique. The patients were from all age groups excluding those lesser than 35 years. The average follow-up being 6 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> In total 31 patient’s majority of patients belong to 41-50 years (15 cases 48.4%). Male patients being 24 (77.4%) constituted the majority, right sided injury was noted in 23 (74.2%) of the patients. Most common symptom of Achilles tendon rupture is pain. The mechanism of injury in most of the patients by stumbling in the fields in 19 (61.3%). Results of testing the patient’s ability to heel raise for 60 seconds 20 patients were able to sustain, while 8 patients were able to stand on toe with heel raised but could not sustain it. 3 patients could not do raise the heel. 5 patients complained of sensory hypoesthesia at 12 months follow-up. By Rupp scoring, 77% patients had excellent or good results and 10% had fair or poor results.</p><p class="abstract"><strong>Conclusions:</strong> Results of reconstruction of Achilles tendon ruptures using peroneus brevis tendon show a strong and stable repair that allows early weightbearing ambulation with favourable clinical results in most patients.</p>

scholarly journals Clinical Results of Treatment for Achilles Tendon Rupture in Farmers.

1999 ◽  
Vol 48 (4) ◽  
pp. 588-594
Author(s):  
Shoji KUMAKI ◽  
Hideki KURIBAYASHI ◽  
Kouichiro YAMAMOTO ◽  
Kazuhiko YUMOTO
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Clinical Results ◽  
Results Of Treatment

scholarly journals Modified gift box technique for acute compound posttraumatic Achilles tendon repair in young patients

2018 ◽  
Vol 4 (2) ◽  
pp. 302
Author(s):  
Tushar Singhi ◽  
Ashith Rao ◽  
Abhay Agarwal ◽  
Sunil Shetty ◽  
Prakash Samant
Keyword(s):  
Achilles Tendon ◽  
Primary Repair ◽  
Achilles Tendon Rupture ◽  
Young Patients ◽  
Clinical Results ◽  
Tendon Injury ◽  
Active Patients ◽  
Toe Walking

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Treatment of Achilles tendon rupture in young active patient remains controversial. Open primary repair remains the mainstay of treatment with prolonged rehabilitation and high wound complication rate (20%). In compound injuries it becomes the default treatment. Newer techniques are being tried to decrease re-rupture rate, decrease local complications and facilitate early rehabilitation. Modified gift box technique of open repair, which has shown higher strength of repair in in-vitro studies and good clinical results in the hands of its inventor. The aim of our study was to evaluate the clinical results of this technique in young active patients with compound Achilles tendon injury.</span></p><p class="abstract"><strong>Methods:</strong> This is a retrospective study. The parameters recorded at follow up included general demography, ability to single toe raise (on neutral, incline, decline), toe walking for 40 feet, and pain on VAS scale. Achilles tendon total rupture score and modified Rupp score were administered.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of the 8 patients included in the study, 7 patients had unilateral tear and 1 patient had bilateral tear. The mean age was 27 yrs (20-35) and mean duration of follow up was 17.4 months (08-24 months). Single toe raise and toe walking for 40 ft. was possible in all patients. Two patients complained of grade 2 pain on VAS Scale. The ATRS score was 97.1 (94-99) and modified Rupp score was 28.3 (26-29)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Modified gift box technique gives excellent results in young active patients with compound Achilles tendon injury with no re-rupture and return of pre-injury activity<span lang="EN-IN">.</span></p>

PRP improves short term clinical results in tendinopathy of Achilles tendon

2014 ◽  
Vol 30 (3) ◽  
pp. 210-214
Author(s):  
Leonardo A. Conti ◽  
María Gala Santini Araujo ◽  
Pablo Sotelano ◽  
Marina Carrasco ◽  
Atilio Migues
Keyword(s):  
Achilles Tendon ◽  
Clinical Results ◽  
Short Term
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