Risk of Avulsion of the Achilles Tendon After Partial Excision for Treatment of Insertional Tendonitis and Haglund's Deformity: A Biomechanical Study

1999 ◽  
Vol 20 (7) ◽  
pp. 433-437 ◽  
Author(s):  
Patricia Kolodziej ◽  
Richard R. Glisson ◽  
James A. Nunley
2019 ◽  
Vol 87 (September) ◽  
pp. 3451-3458 ◽  
Author(s):  
MAHMOUD T. ALLAM, M.Sc.; MOHEB EL-DEEN A. FADEL, M.D. ◽  
MOHAMED A. QUOLQUELA, M.D.; AHMED M. SAMY, M.D.

2019 ◽  
Author(s):  
Peng zhao ◽  
Dawei Sun ◽  
Yaru Xiong ◽  
Ribo Zhuo

AbstractIntroductionThe incidence of Achilles tendon rupture shows a gradually increasing trend, which is mainly managed by minimally invasive treatment due to its advantages, such as low wound infection rate. At present, the firmness of the commonly applied minimally invasive suture method for Achilles tendon remains controversial. Our research group has developed a novel suture method for Achilles tendon, which has achieved favorable clinical outcomes. Therefore, this experiment aimed to explore the optimal approach to repair Achilles tendon rupture through comparing the biomechanical strength of the commonly used Achilles tendon suture methods currently.Materials and methods6 fresh frozen human cadaveric Achilles tendon specimens were sutured by three kinds of technique, and were tested through the cyclical loading after repair.ResultsResults of cyclical loading showed that, the repair using the new technique was stronger after 10 cycles, 1000 cycles, and rupture. Moreover, the new technique had displayed superior anti-deformation strength to that of the Ma-Griffith technique.ConclusionsOur experimental results demonstrate that, the new technique proposed by our research group can attain comparable biomechanical properties to those of the Krachow technique. However, the sample size in this study is small, and further clinical trials are warranted.


2008 ◽  
Vol 23 (9) ◽  
pp. 1158-1164 ◽  
Author(s):  
B. Huffard ◽  
P.F. O’Loughlin ◽  
T. Wright ◽  
J. Deland ◽  
J.G. Kennedy

2004 ◽  
Vol 32 (3) ◽  
pp. 336-341 ◽  
Author(s):  
Tung-Fu Huang ◽  
Stephanie M. Perry ◽  
Louis J. Soslowsky

2014 ◽  
Vol 53 (2) ◽  
pp. 141-146 ◽  
Author(s):  
David Awogni ◽  
Guillaume Chauvette ◽  
Marie-Line Lemieux ◽  
Frédéric Balg ◽  
Ève Langelier ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Gabriella Meier Bürgisser ◽  
Maurizio Calcagni ◽  
Angela Müller ◽  
Eliana Bonavoglia ◽  
Gion Fessel ◽  
...  

Purpose. One of the great challenges in surgical tendon rupture repair is to minimize peritendinous adhesions. In order to reduce adhesion formation, a physical barrier was applied to a sutured rabbit Achilles tendon, with two different immobilization protocols used postoperatively.Methods. Thirty New Zealand white rabbits received a laceration on the Achilles tendon, sutured with a 4-strand Becker suture, and half of the rabbits got a DegraPol tube at the repair site. While fifteen rabbits had their treated hind leg in a 180° stretched position during 6 weeks (adhesion provoking immobilization), the other fifteen rabbits were recasted with a 150° position after 3 weeks (adhesion inhibiting immobilization). Adhesion extent was analysed macroscopically, via ultrasound and histology. Inflammation was determined histologically. Biomechanical properties were analysed.Results. Application of a DegraPol tube reduced adhesion formation by approximately 20%—independently of the immobilization protocol. Biomechanical properties of extracted specimen were not affected by the tube application. There was no serious inflammatory reaction towards the implant material.Conclusions. Implantation of a DegraPol tube tightly set around a sutured tendon acts as a beneficial physical barrier and prevents adhesion formation significantly—without affecting the tendon healing process.


2017 ◽  
Vol 11 (2) ◽  
pp. 162-167 ◽  
Author(s):  
Stephanie A. Boden ◽  
Allison L. Boden ◽  
Danielle Mignemi ◽  
Jason T. Bariteau

Insertional Achilles tendinopathy (IAT) is a frequent cause of posterior heel pain and is often associated with Haglund’s deformity. Surgical correction for refractory cases of IAT has been well studied; however, the method of tendon fixation to bone in these procedures remains controversial, and to date, no standard technique has been identified for tendon fixation in these surgeries. Often, after Haglund’s resection, there is large exposed cancellous surface for Achilles reattachment, which may require unique fixation to optimize outcomes. Previous studies have consistently demonstrated improved patient outcomes after Achilles tendon reconstruction with early rehabilitation with protected weight bearing, evidencing the need for a strong and stable anchoring of the Achilles tendon that allows early weight bearing without tendon morbidity. In this report, we highlight the design, biomechanics, and surgical technique of Achilles tendon reconstruction with Haglund’s deformity using a novel technique that utilizes ultrasonic energy to liquefy the suture anchor, allowing it to incorporate into surrounding bone. Biomechanical studies have demonstrated superior strength of the suture anchor utilizing this novel technique as compared with prior techniques. However, future research is needed to ensure that outcomes of this technique are favorable when compared with outcomes using traditional suture anchoring methods. Levels of Evidence: Level V: Operative technique


2012 ◽  
Vol 3 (1) ◽  
pp. 204173141245357 ◽  
Author(s):  
Stephen H Cummings ◽  
Daniel A Grande ◽  
Christopher K Hee ◽  
Hans K Kestler ◽  
Colleen M Roden ◽  
...  

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