scholarly journals Patient reported outcomes and satisfaction following single incision Flexor Hallucis Longus (FHL) augmentation for chronic Achilles tendon pathologies

2021 ◽  
pp. 101650
Author(s):  
Mohamed Yassin ◽  
Vatsal Gupta ◽  
Andre Martins ◽  
Devendra Mahadevan ◽  
Maneesh Bhatia
Keyword(s):  
Achilles Tendon ◽  
Patient Reported Outcomes ◽  
Single Incision ◽  
Flexor Hallucis Longus ◽  
Patient Reported

Patient-reported outcomes after single-incision versus traditional laparoscopic cholecystectomy: a randomized prospective trial

2013 ◽  
Vol 27 (9) ◽  
pp. 3108-3115 ◽  
Author(s):  
Kimberly M. Brown ◽  
B. Todd Moore ◽  
G. Brent Sorensen ◽  
Conrad H. Boettger ◽  
Fengming Tang ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Patient Reported Outcomes ◽  
Single Incision ◽  
Prospective Trial ◽  
Patient Reported ◽  
Randomized Prospective Trial

Arthroscopic, Single-Incision, and Double-Incision Approaches to Flexor Hallucis Longus Tendon Transfer Following Achilles Tendon Rupture: A Literature Review

2021 ◽  
Vol 111 (3) ◽  
Author(s):  
Ashley V. Mosseri ◽  
Phillip Calaj ◽  
Dominick J. Casciato ◽  
Bibi N. Singh
Keyword(s):  
Postoperative Complications ◽  
Achilles Tendon ◽  
Tendon Transfer ◽  
Tendon Rupture ◽  
Single Incision ◽  
Achilles Tendon Rupture ◽  
Athletic Injury ◽  
Flexor Hallucis Longus ◽  
Longus Tendon ◽  
Significant Difference

Achilles tendon rupture is a common athletic injury that results in a painful and antalgic gait. Flexor hallucis longus tendon transfer through arthroscopic, single-incision, or double-incision techniques is used as a treatment approach to address this rupture; however, no studies have compared postoperative complications between these three techniques. A systematic search of published articles was conducted using keywords “Achilles rupture,” “flexor hallucis tendon,” “transfer,” and “recovery.” Articles were then selected based on their title, abstract, and content following full-text review. From each article's reported surgical outcomes, a comparison was made between arthroscopic and single- and double-incision postoperative complications using a χ2 test with significance set at a value of P < .05 followed by post hoc analysis. The arthroscopic approach maintained the lowest rate of postoperative complications, followed by the single- and double-incision techniques. A significant difference in the number of postoperative complications was found between all incisional approaches. The pairwise comparisons, however, could not identify which incisional approaches significantly differed between each other. A reduction in postoperative complications places arthroscopy and the single-incision techniques as the preferred approaches for flexor hallucis longus tendon transfer following an Achilles tendon rupture. Although current literature shows arthroscopy to be superior to single- and double-incision methods, this review demonstrates the need for a greater number of published cases using arthroscopy to establish significance regarding postoperative complications.

scholarly journals Relationship between tendon structure, stiffness, gait patterns and patient reported outcomes during the early stages of recovery after an Achilles tendon rupture

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Didier Laurent ◽  
Lorcan Walsh ◽  
Amir Muaremi ◽  
Nicolau Beckmann ◽  
Eckhard Weber ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Shear Wave ◽  
Plantar Pressure ◽  
Patient Reported Outcomes ◽  
Clinical Decision Making ◽  
Ex Vivo ◽  
Achilles Tendon Rupture ◽  
Tendon Stiffness ◽  
Patient Reported ◽  
The Impact

AbstractAfter an Achilles tendon (AT) injury, the decision to return to full weightbearing for the practice of sports or strenuous activities is based on clinical features only. In this study, tendon stiffness and foot plantar pressure, as objective quantitative measures that could potentially inform clinical decision making, were repeatedly measured in 15 patients until 3 months after the AT rupture by using shear wave elastography (SWE) and wearable insoles, respectively. Meanwhile, patient reported outcomes assessing the impact on physical activity were evaluated using the Achilles Tendon Total Rupture Score (ATRS). At week-2 post-injury, stiffness of the injured tendon varied from 6.00 ± 1.62 m/s (mean ± SD) close to the rupture to 8.91 ± 2.29 m/s when measured more distally. While near complete recovery was observed in distal and middle regions at week-8, the shear wave velocity in the proximal region recovered to only 65% of the contralateral value at week-12. In a parallel pre-clinical study, the tendon stiffness measured in vivo by SWE in a rat model was found to be strongly correlated with ex vivo values of the Young’s modulus, which attests to the adequacy of SWE for these measures. The insole derived assessment of the plantar pressure distribution during walking showed slight sub-optimal function of the affected foot at week-12, while the ATRS score recovered to a level of 59 ± 16. Significant correlations found between tendon stiffness, insole variables and distinct ATRS activities, suggest clinical relevance of tendon stiffness and foot plantar pressure measurements. These results illustrate how an alteration of the AT structure can impact daily activities of affected patients and show how digital biomarkers can track recovery in function over time.

scholarly journals The economic cost and patient-reported outcomes of chronic Achilles tendon ruptures

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Niklas Nilsson ◽  
Katarina Nilsson Helander ◽  
Eric Hamrin Senorski ◽  
Anna Holm ◽  
Jón Karlsson ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Patient Reported Outcomes ◽  
Economic Cost ◽  
Patient Reported ◽  
Tendon Ruptures

Patient-Reported Outcomes of Achilles Tendon Repair Using the Modified Gift-Box Technique With Nonabsorbable Suture Loop: A Consecutive Case Series

2019 ◽  
Vol 58 (4) ◽  
pp. 696-701
Author(s):  
Travis L. Frantz ◽  
Joshua S. Everhart ◽  
Marissa Jamieson ◽  
Erica Fisk ◽  
Saul Fredrickson ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Patient Reported Outcomes ◽  
Tendon Repair ◽  
Case Series ◽  
Consecutive Case ◽  
Nonabsorbable Suture ◽  
Achilles Tendon Repair ◽  
Patient Reported

scholarly journals Flexor hallucis longus tendon transfer through a single incision in the treatment of chronic Achilles tendon rupture with large defect

2020 ◽  
Author(s):  
Yangbo Xu ◽  
Cui Li ◽  
Feifan Xiang ◽  
Yong Deng ◽  
Xiaobo Lu ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Transfer ◽  
Tendon Rupture ◽  
Single Incision ◽  
Achilles Tendon Rupture ◽  
Flexor Hallucis Longus ◽  
Large Defect ◽  
Simple Method ◽  
Longus Tendon

Abstract Background To evaluate the medium-to-long term clinical outcome of flexor hallucis longus tendon transfer through a single incision in the treatment of chronic Achilles tendon rupture with a defect greater than 5 cm. Methods Clinical data of patients treated with flexor hallucis longus tendon transfer due to chronic Achilles tendon rupture between January 2009 and December 2016 were reviewed retrospectively. All cases were presented with Achilles tendon rupture for more than 4 weeks after injury. The defect of the Achilles tendon was greater than 5 cm after debridement in all patients. Clinical outcomes were assessed with AOFAS Ankle-Hindfoot Scale (AOFAS-AH), Achilles tendon Total Rupture Score (ATRS) and AOFAS Hallux Metatarsophalangeal-lnterphalangeal Scale (AOFAS-HM). Results 18 patients were followed successfully for 24-83 months (mean follow-up time of 43.2 months) and 5 were lost. According to the complete datasets obtained from 18 patients, none of the tendons re-ruptured during the follow-up. The AOFAS-AH and ATRS at last follow-up visit was 94.4 ± 3.2 (87-100) and 89.6 ± 5.9 (72-98) respectively, which revealed statistically significant improvement from the preoperative score of 58.2 ± 6.3 (49-70) and 53.3 ± 7.3(42-68). The AOFAS-HM at last follow-up visit was 90.1 ± 5.2 (77-97). Conclusion The flexor hallucis longus tendon transfer through a single incision is a safe and simple method for chronic Achilles tendon rupture with minimal morbidity and complications.

Calf Muscle Performance Deficits Remain 7 Years After an Achilles Tendon Rupture

2017 ◽  
Vol 46 (2) ◽  
pp. 470-477 ◽  
Author(s):  
Annelie Brorsson ◽  
Karin Grävare Silbernagel ◽  
Nicklas Olsson ◽  
Katarina Nilsson Helander
Keyword(s):  
Physical Activity ◽  
Achilles Tendon ◽  
Patient Reported Outcomes ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Calf Muscle ◽  
Muscle Performance ◽  
Patient Reported ◽  
Rise Height

Background: Optimizing calf muscle performance seems to play an important role in minimizing impairments and symptoms after an Achilles tendon rupture (ATR). The literature lacks long-term follow-up studies after ATR that describe calf muscle performance over time. Purpose: The primary aim was to evaluate calf muscle performance and patient-reported outcomes at a mean of 7 years after ATR in patients included in a prospective, randomized controlled trial. A secondary aim was to evaluate whether improvement in calf muscle performance continued after the 2-year follow-up. Study Design: Cohort study; Level of evidence, 2. Methods: Sixty-six subjects (13 women, 53 men) with a mean age of 50 years (SD, 8.5 years) were evaluated at a mean of 7 years (SD, 1 year) years after their ATR. Thirty-four subjects had surgical treatment and 32 had nonsurgical treatment. Patient-reported outcomes were evaluated with Achilles tendon Total Rupture Score (ATRS) and Physical Activity Scale (PAS). Calf muscle performance was evaluated with single-leg standing heel-rise test, concentric strength power heel-rise test, and single-legged hop for distance. Limb Symmetry Index (LSI = injured side/healthy side × 100) was calculated for side-to-side differences. Results: Seven years after ATR, the injured side showed decreased values in all calf muscle performance tests ( P < .001-.012). Significant improvement in calf muscle performance did not continue after the 2-year follow-up. Heel-rise height increased significantly ( P = .002) between the 1-year (10.8 cm) and the 7-year (11.5 cm) follow-up assessments. The median ATRS was 96 (of a possible score of 100) and the median PAS was 4 (of a possible score of 6), indicating minor patient-reported symptoms and fairly high physical activity. No significant differences were found in calf muscle performance or patient-reported outcomes between the treatment groups except for the LSI for heel-rise repetitions. Conclusion: Continued deficits in calf muscle endurance and strength remained 7 years after ATR. No continued improvement in calf muscle performance occurred after the 2-year follow-up except for heel-rise height.

Sign in / Sign up

Export Citation Format

Share Document