Midfoot Charcot Arthropathy with Improvement of Arch after Achilles Tendon Lengthening: A Case Report

2009 ◽  
Vol 30 (9) ◽  
pp. 891-894 ◽  
Author(s):  
Scott M. Holthusen ◽  
Patricia Kolodziej
Keyword(s):  
Case Report ◽  
Achilles Tendon ◽  
Expert Opinion ◽  
Charcot Arthropathy ◽  
Level Of Evidence ◽  
Tendon Lengthening ◽  
Achilles Tendon Lengthening

Level of Evidence: V, Expert Opinion

Effect of Achilles Tendon Lengthening and Gastrocnemius Recession on Radiographic Tibiotalar Motion Following Total Ankle Replacement

2020 ◽  
pp. 107110072096961
Author(s):  
Clifford L. Jeng ◽  
John T. Campbell ◽  
Patrick J. Maloney ◽  
Lew C. Schon ◽  
Rebecca A. Cerrato
Keyword(s):  
Achilles Tendon ◽  
Range Of Motion ◽  
Total Ankle Replacement ◽  
Level Of Evidence ◽  
Tendon Lengthening ◽  
Ankle Replacement ◽  
Gastrocnemius Recession ◽  
Achilles Tendon Lengthening ◽  
Retrospective Comparative Study

Background: Surgeons frequently add an Achilles tendon lengthening or gastrocnemius recession to increase dorsiflexion following total ankle replacement. Previous studies have looked at the effects of these procedures on total tibiopedal motion. However, tibiopedal motion includes motion of the midfoot and hindfoot as well as the ankle replacement. The current study examined the effects of Achilles tendon lengthening and gastrocnemius recession on radiographic tibiotalar motion at the level of the prosthesis only. Methods: Fifty-four patients with an average of 25 months follow-up after total ankle replacement were divided into 3 groups: (1) patients who underwent Achilles tendon lengthening, (2) patients who had a gastrocnemius recession, (3) patients with no lengthening procedure. Tibiotalar range of motion was measured on lateral dorsiflexion-plantarflexion radiographs using reference lines on the surface of the implants. Results: Both Achilles tendon lengthening and gastrocnemius recession significantly increased tibiotalar dorsiflexion when compared to the group without lengthening. However, the total tibiotalar range of motion among the 3 groups was the same. Interestingly, the Achilles tendon lengthening group lost 11.7 degrees of plantarflexion compared to the group without lengthening, which was significant. Conclusion: Both Achilles tendon lengthening and gastrocnemius recession increased radiographic tibiotalar dorsiflexion following arthroplasty. Achilles tendon lengthening had the unexpected effect of significantly decreasing plantarflexion. Gastrocnemius recession may be a better choice when faced with a tight ankle replacement because it increases dorsiflexion without a compensatory loss of plantarflexion. Level of Evidence: Level III, retrospective comparative study.

Achilles Tendon Lengthening for Equinus Foot with Miyoshi Myopathy: A Case Report

2014 ◽  
Vol 53 (5) ◽  
pp. 643-646
Author(s):  
Kazuya Ikoma ◽  
Masahiro Maki ◽  
Masamitsu Kido ◽  
Yuji Arai ◽  
Hiroyoshi Fujiwara ◽  
...  
Keyword(s):  
Case Report ◽  
Achilles Tendon ◽  
Tendon Lengthening ◽  
Achilles Tendon Lengthening ◽  
Miyoshi Myopathy

scholarly journals A Case Report of Achilles Tendon Lengthening for Talipes Equinus Caused by Peroneal Nerve Palsy.

1998 ◽  
Vol 47 (1) ◽  
pp. 214-216
Author(s):  
Tetsu Yamaguchi ◽  
Toshio Inoue ◽  
Kosuke Ogata ◽  
Tatsuhiro Shiroishi ◽  
Tomoki Yuasa
Keyword(s):  
Case Report ◽  
Achilles Tendon ◽  
Peroneal Nerve ◽  
Nerve Palsy ◽  
Peroneal Nerve Palsy ◽  
Tendon Lengthening ◽  
Talipes Equinus ◽  
Achilles Tendon Lengthening

Neglected Stiff Equinocavus Foot Deformity Treated with Cole Osteotomy, Combined with External Ilizarov Hinged Frame Fixation, Soft-Tissue Release, and Achilles Tendon Lengthening: A Case Report

2021 ◽  
Vol 111 (3) ◽  
Author(s):  
Konstantinos Tilkeridis ◽  
Anthimos Keskinis ◽  
Konstantinos Paraskevopoulos ◽  
Georgios Papadopoulos ◽  
Christos Chatzipapas ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Achilles Tendon ◽  
Soft Tissue Release ◽  
Foot Deformities ◽  
Foot Deformity ◽  
Surgical Morbidity ◽  
Tendon Lengthening ◽  
First Case ◽  
Achilles Tendon Lengthening

Stiff equinocavus foot deformities are challenging clinical entities that may be treated with osteotomies and extensive soft-tissue release. The most common causes of such lesions are neglected trauma and Charcot-Marie-Tooth disease; other causes include burns, neurologic diseases, and compartment leg syndrome. Conventional treatments, including extensive soft-tissue release, osteotomies, and arthrodesis combined with or without internal splinting, may result in severe complications such as neurovascular or soft-tissue damage and shortening of the foot. The Ilizarov technique may be superior to the traditional approach, because it allows surgeons to apply gradual and titrated correction of individual components of complex deformities and results in minimal surgical morbidity without shortening of the foot. This is the first case report in the literature describing the simultaneous use of Cole osteotomy, combined with external Ilizarov hinged frame fixation, soft-tissue release, and Achilles tendon lengthening for the treatment of an extreme neglected stiff equinocavus foot deformity.

scholarly journals Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Yangjing Lin ◽  
Jin Cao ◽  
Changgui Zhang ◽  
Liu Yang ◽  
Xiaojun Duan
Keyword(s):  
Achilles Tendon ◽  
Recurrence Rate ◽  
Operative Time ◽  
Achilles Tendon Rupture ◽  
Tendon Lengthening ◽  
Group A ◽  
Achilles Tendon Lengthening ◽  
The Mean ◽  
Group B

Background. Both percutaneous Achilles tendon lengthening by triple hemisection and the traditional open Z-lengthening are effective methods for Achilles tendon contracture. This study aims to evaluate the efficacy and safety of this new therapeutic method, which is based on the percutaneous sliding technique with three hemi-cuts in the tendon, as compared with the traditional open Z-lengthening. Methods. Retrospective analysis of the Achilles tendon contracture cases in our hospital between January 2010 and September 2016 was conducted. Twenty-five cases received percutaneous Achilles tendon lengthening (group A), and 30 patients who underwent open Z-lengthening during the same period were in the control group (group B). Operative time and hospital stay were statistically analyzed. Incision complication, equinus recurrence rate and Achilles tendon rupture morbidity were recorded. The function was assessed by American Orthopaedic Foot & Ankle Society (AOFAS) score. All cases in group A received Magnetic Resonance Imaging (MRI) of ankle preoperatively and in the follow-ups. Results. The mean follow-up period was 42.04 months in group A and 61.7 months in group B. The entire operative time and the mean hospitalization days were lower in group A than in group B. No incision and infection complication occurred in group A. The infection rate in group B was 3.3%. Equinus recurrence rate was 4% in group A and the equinus recurrence rate in group B was 21.4%. In group A, the mean AOFAS score increased from 64 ± 10.16 points preoperatively to 96.08 ± 3.17 at final follow-up, while the score in group B increased from 63.48 ± 6.2 points to 85.4 ± 10.3. MRI showed continuity of the Achilles tendon and homogeneous signal in group A. Conclusion. Modified surgery can significantly reduce the risk of Achilles tendon rupture, provide better balance in soft tissue strength between ankle dorsiflexion and ankle plantarflexion, helping to avoid recurrence of the deformity.

scholarly journals Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip

2021 ◽  
Vol 6 (4) ◽  
pp. 247301142110505
Author(s):  
Justin C. Haghverdian ◽  
Christopher E. Gross ◽  
Andrew R. Hsu
Keyword(s):  
Achilles Tendon ◽  
Skin Incision ◽  
Surgical Reconstruction ◽  
Fixation Strength ◽  
Level Of Evidence ◽  
Functional Deficits ◽  
Tendon Lengthening ◽  
Soft Tissue Dissection ◽  
Tendon Ruptures ◽  
Gait Abnormalities

Chronic Achilles tendon ruptures can result in tendon lengthening and significant functional deficits including gait abnormalities and diminished push-off strength. Surgical intervention is typically required to restore Achilles tension and improve ankle plantarflexion strength. A variety of surgical reconstruction techniques exist depending on the size of the defect and amount of associated tendinosis. For smaller tendon defects 2 to 3 cm in size, primary end-to-end repair using an open incision and multiple locking sutures is an established technique. However, a longer skin incision and increased soft tissue dissection is required, and failure at the suture-tendon interface has been reported that can result in postoperative tendon elongation and persistent weakness. In this report, we describe a novel technique to reconstruct chronic midsubstance Achilles tendon ruptures using a small incision with knotless repair of the tendon secured directly to the calcaneus. This technique minimizes wound healing complications, increases construct fixation strength, and allows for early range of motion and rehabilitation. Level of Evidence: Level V, Expert Opinion.

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