scholarly journals Rupture Spontanee Du Tendon D’achille Sur Terrain Diabetique : A Propos Du Cas

2018 ◽  
Vol 14 (6) ◽  
pp. 295
Author(s):  
Ousseini Adakal ◽  
Moussa Koini ◽  
Abdoulwahab Mohamed ◽  
Sanoussi Akambi Kassoumou ◽  
Harissou Adamou ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Open Surgery ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Conventional Surgery ◽  
Functional Rehabilitation ◽  
Tendon D’Achille ◽  
Sharp Pain ◽  
The Cost ◽  
Sports Traumatology

Achilles Tendon Rupture (ATR) is a frequently described lesion in sports traumatology. It can occur following certain chronic or systemic diseases. We reported a case of a 48-year-old woman, a teacher by profession, who was consulting for lameness. Anamnesis found during a walk, a brutal sensation of blow on the heel with cowardice and sharp pain at the elective point imposing upon the resting of the patient. Clinical examination noted an increased spontaneous dorsiflexion of the affected ankle, depression corresponding to the tendon continuity solution, and a positive Thompson test. The diagnosis of Achilles Tendon Rupture was made. The patient was operated 2 weeks later by open surgery. A simple suture kept by a plaster splint was performed (the ankle in equinus). Functional rehabilitation was done for 6 weeks, and walking was allowed at the 6th week. In the absence of minimally invasive surgery, conventional surgery can provide good results in case of spontaneous Achilles Tendon Rupture at the cost of rigorous monitoring of the patient.

scholarly journals Comparative Cost of Surgical and Nonsurgical Treatment of Acute Achilles Tendon Rupture

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Elizabeth Harkin ◽  
Adam Schiff ◽  
Michael Pinzur ◽  
Corey Schiffman
Keyword(s):  
Achilles Tendon ◽  
Operative Treatment ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Functional Rehabilitation ◽  
Physician Visits ◽  
Rehabilitation Protocol ◽  
Increased Risk ◽  
Significant Difference ◽  
The Cost

Category: Sports, Practice Management Introduction/Purpose: Treatment of acute achilles tendon rupture (AATR) is controversial. Prospective clinical trials have demonstrated similar functional and quality of life outcomes following surgical repair and nonoperative care when a functional rehabilitation protocol is utilized. Meta-analysis would suggest that the apparent benefit of surgical treatment is an earlier return to function at the cost of an increased risk for surgical wound morbidity. The goal of this investigation was to perform a cost analysis of patients in a single orthopaedic clinic comparing operative and nonoperative treatment of acute achilles tendon rupture. Methods: After receiving IRB approval, patients whom were treated for acute Achilles tendon ruptures were retrospectively selected. A total of 13 adult patients with AATR, 6 non-operative and 7 operative, were identified in the period between June 1st 2014 and January 1st 2016. All patients participated in the same functional rehabilitation protocol. All patients had 1 year follow- up. Results: Operative treatment resulted in 3.7 times higher cost of total care compared to nonoperative treartment ($25,239 vs $6,785). Surgeon charges were 3.3 times higher in the operative group as well. ($4,543 vs $1,395). During the total length of treatment, patients in the operative group had an average of 7.4 physician visits and produced 11.9 surgeon relative value units (RVUs) while the non-operative group had 9.2 visits (p=0.0431) and produced 9.68 surgeon RVUs (p=0.102). Conclusion: Operative treatment of AATR had 3.7 times higher per patient treatment cost, 3.3 times higher billed surgeon charges, and slightly fewer physician visits, but with no statistically significant difference in the number of physician RVUs produced. This study questions the cost-effectiveness of operative treatment for AATR given previous long-term studies demonstrating equivalent 1-year patient outcomes.

Functional rehabilitation of patients with acute Achilles tendon rupture: a meta-analysis of current evidence

2014 ◽  
Vol 24 (6) ◽  
pp. 1852-1859 ◽  
Author(s):  
Troels Mark-Christensen ◽  
Anders Troelsen ◽  
Thomas Kallemose ◽  
Kristoffer Weisskirchner Barfod
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Meta Analysis ◽  
Achilles Tendon Rupture ◽  
Current Evidence ◽  
Functional Rehabilitation

scholarly journals Achilles Tendon Rupture: Double the Trouble

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Wafiuddin Ahmad ◽  
Ahmad Faizal Roslan ◽  
Faisal Amir ◽  
Khairul Nizam Siron
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Calcaneal Fracture ◽  
The Body ◽  
Ankle Injury ◽  
Open Approach ◽  
Functional Rehabilitation ◽  
Double Row ◽  
Musculotendinous Junction

Introduction: Achilles tendon is the strongest tendon in the body . Achilles tendon rupture is a debilitating ankle injury especially among the athletes. We would like to highlight an unusual case of acute dual-level injuries of the Achilles tendon. Case report: A 30-year-old footballer presented with left ankle injury during a football tournament. Examination revealed tenderness at posterior left heel, palpable gap at Achilles tendon region and positive Thompson test. Radiological assessment showed dual-level injuries of the Achilles tendon-proximally was a rupture at musculotendinous junction and distally was an avulsion calcaneal fracture. We performed a mini-open approach Achilles tendon reconstruction for this patient. First, we reconstructed the distal avulsion calcaneal fracture using double row anchor sutures technique. Next, we repaired the proximal ruptured Achilles tendon using percutaneous Achilles reconstruction system (PARS) from Arthrex. Postoperatively, patient was put on functional rehabilitation protocol. At present, patient recovers well and regains back the Achilles tendon function. In conclusion, segmental Achilles tendon injury is rare and its surgical treatment can be challenging and must be well-planned.

scholarly journals Patients with Achilles tendon injuries – how are function and quality of life affected?

2018 ◽  
Vol 12 (2) ◽  
pp. 130-135
Author(s):  
Bruno Mota Albuquerque ◽  
Vinícius Quadros Borges ◽  
Gabriel Ferreira Ferraz ◽  
Kelly Cristina Stéfani
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Surgical Treatment ◽  
Achilles Tendon ◽  
Open Surgery ◽  
Tendon Transfer ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
The Mean

Objective: To evaluate the late postoperative results for quality of life after surgical treatment of Achilles tendon rupture by open surgery and peroneus brevis tendon transfer. Methods: This prospective cohort study included patients who underwent surgical treatment for Achilles tendon rupture by open surgery andperoneus brevis tendon transfer and evaluated these patients in outpatient follow-up. Functional and quality-of-life scores were determined in the late postoperative period. Results: The sample consisted of 32 patients with spontaneous tendon rupture primarily caused by practising recreational sports (81.1%). The mean age was 44.6 years, and the mean body mass index was 28.1Kg/m2; most of the patients were men. The rate of complications related to suture dehiscence in the immediate postoperative period was 31%. The World Health Organization Quality of Life-Abbreviated (WHOQOL-BREF) score was 15.2±2.45, the Foot Function Index Revised (FFI-R) score was 42.59±0.16, the Short Musculoskeletal Function Assessment (SMFA) score was 15.60±16.74, and the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was 80.16±15.08. Conclusion: The late postoperative functional results of open surgical treatment of tendon rupture were satisfactory using the AOFAS score and unsatisfactory using the FFI-R score. The quality-of-life outcomes were satisfactory using the WHOQOL-BREF score and unsatisfactory using the SFMA score. Both the FFI-R and SFMA scores indicated that the main patient complaints were stiffness of the affected limb and pain/ discomfort in the tendon that was surgically treated. Level of Evidence II; Prospective Cohort Study.

scholarly journals Management of acute Achilles tendon ruptures

2018 ◽  
Vol 7 (10) ◽  
pp. 561-569 ◽  
Author(s):  
X. Yang ◽  
H. Meng ◽  
Q. Quan ◽  
J. Peng ◽  
S. Lu ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Open Repair ◽  
Weight Bearing ◽  
Achilles Tendon Rupture ◽  
Complication Rates ◽  
Functional Rehabilitation ◽  
Percutaneous Repair ◽  
Tendon Ruptures ◽  
Mini Open

ObjectivesThe incidence of acute Achilles tendon rupture appears to be increasing. The aim of this study was to summarize various therapies for acute Achilles tendon rupture and discuss their relative merits.MethodsA PubMed search about the management of acute Achilles tendon rupture was performed. The search was open for original manuscripts and review papers limited to publication from January 2006 to July 2017. A total of 489 papers were identified initially and finally 323 articles were suitable for this review.ResultsThe treatments of acute Achilles tendon rupture include operative and nonoperative treatments. Operative treatments mainly consist of open repair, percutaneous repair, mini-open repair, and augmentative repair. Traditional open repair has lower re-rupture rates with higher risks of complications. Percutaneous repair and mini-open repair show similar re-rupture rates but lower overall complication rates when compared with open repair. Percutaneous repair requires vigilance against nerve damage. Functional rehabilitation combining protected weight-bearing and early controlled motion can effectively reduce re-rupture rates with satisfactory outcomes. Biological adjuncts help accelerating tendon healing by adhering rupture ends or releasing highly complex pools of signalling factors.ConclusionThe optimum treatment for complete rupture remains controversial. Both mini-open repair and functional protocols are attractive alternatives, while biotherapy is a potential future development. Cite this article: X. Yang, H. Meng, Q. Quan, J. Peng, S. Lu, A. Wang. Management of acute Achilles tendon ruptures: A review. Bone Joint Res 2018;7:561–569. DOI: 10.1302/2046-3758.710.BJR-2018-0004.R2.

scholarly journals Heterotopic Ossification After an Achilles Tendon Rupture Cannot Be Prevented by Early Functional Rehabilitation

2020 ◽  
Vol 478 (5) ◽  
pp. 1101-1108 ◽  
Author(s):  
S. Peter Magnusson ◽  
Anne-Sofie Agergaard ◽  
Christian Couppé ◽  
René B. Svensson ◽  
Susan Warming ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Heterotopic Ossification ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Functional Rehabilitation
Sign in / Sign up

Export Citation Format

Share Document