scholarly journals 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 ◽  
Projection Model ◽  
The North ◽  
Nationwide Registry ◽  
Working Age ◽  
Tendon Surgery ◽  
Hospital Discharge Records ◽  
Equity In Access ◽  
Slight Growth

Abstract Background This study aims (1) to estimate the yearly number of Achilles tendon (AT) surgeries in Italy from 2001 to 2015 based on official hospitalization records; (2) to investigate the eventual presence of geographical variation in equity in access to AT surgery between three macroregions of Italy (North, Center and South); (3) to perform statistical projections of the number of AT procedure volumes and rates based on these data. Methods We analysed the National Hospital Discharge records (SDO) maintained at the Italian Ministry of Health for a 15-year period, from 2001 through 2015. These data are anonymous and include the patient’s age (evaluated in the class of age), sex, census region, the region of hospitalization, length of the hospitalization, public or private reimbursement and diagnosis. Results During the 15-year study period, 118,652 AT repair were performed in Italy, whose peak of incidence was in 2010. More than half of AT repairs was performed in the North of Italy (52.1%), while 27.2% was performed in the South of Italy and 20.6% Center of Italy. The projection model predicted a slight growth of 2.65% in 2025 in comparison with 2015. Conclusion The current study provides detailed information about the national population-weighted incidence of AT surgery, distribution and projection. The peak of average age was 35–45 year. The majority of AT procedures was performed in the North of Italy. The projection model predicts a slight growth of AT surgery by 2025. Furthermore, this 15-year nationwide registry study shows that the age of incidence of AT injuries shifted from 30 to 40 to 35–45 years compared to the available literature. The higher prevalence of AT surgery was found in men during the working age. Moreover, a low rate of procedures in pediatric and elder age classes was observed.

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.

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.

Economic Impact of Crop Diversification in North-East India: Evidence from Household-level Survey

2021 ◽  
Vol 57 (4) ◽  
pp. 104-109
Author(s):  
Laishram Priscilla ◽  
Priyajoy Kar ◽  
Oinam Krishnadas ◽  
Laitonjam Nivetina ◽  
Ph Romen Sharma
Keyword(s):  
Economic Impact ◽  
Crop Diversification ◽  
Agricultural Growth ◽  
Household Level ◽  
North East India ◽  
North East ◽  
The North ◽  
Logit Estimation ◽  
Level Data ◽  
Working Age

The study used a large farm household level data to assess the economic impact of crop diversification and also identifies the factors influencing the extent of diversification in the north east region of India. The crop sector was found to be skewed towards specialization. The result of instrumental variable technique showed that crop diversification has a positively significant impact on the income among the households. Further, fractional logit estimation found that variables like family members in the working age group, landholding size, crop loss experience, extension contact, participation in training positively affected diversification. Irrigated area, access to institutional credit, etc negatively affected the same. Diversification towards high value crops may accelerate the agricultural growth of the region and improve the wellbeing of the farmers. Measures for improvement of basic infrastructural facilities and extension services for improving backward and forward linkages are required.

scholarly journals Reduced incidence and economic cost of hardware removal after ankle fracture surgery: a 20-year nationwide registry study

2020 ◽  
Vol 91 (3) ◽  
pp. 331-335
Author(s):  
Nikke Partio ◽  
Tuomas T Huttunen ◽  
Heikki M Mäenpää ◽  
Ville M Mattila
Keyword(s):  
Ankle Fracture ◽  
Economic Cost ◽  
Hardware Removal ◽  
Registry Study ◽  
Nationwide Registry ◽  
Fracture Surgery

Comparison of prognostic models for burn patients: A retrospective nationwide registry study

Burns ◽  
2020 ◽  
Vol 46 (8) ◽  
pp. 1746-1755 ◽  
Author(s):  
Yuya Yoshimura ◽  
Daizoh Saitoh ◽  
Kohei Yamada ◽  
Takahiro Nakamura ◽  
Takero Terayama ◽  
...  
Keyword(s):  
Prognostic Models ◽  
Burn Patients ◽  
Registry Study ◽  
Nationwide Registry

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.

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