scholarly journals Achilles Tendon Reconstruction with Semitendinous Tendon Grafts Is Associated with a High Complication Rate

2020 ◽  
Vol 110 (6) ◽  
Author(s):  
Nicola Maffulli ◽  
Filippo Migliorini ◽  
Antti J. Stenroos
Keyword(s):  
Achilles Tendon ◽  
Complication Rate ◽  
High Complication Rate ◽  
Tendon Reconstruction ◽  
Tendon Grafts ◽  
Achilles Tendon Reconstruction ◽  
Semitendinous Tendon

Failed Achilles Tendon Reconstruction

2016 ◽  
Vol 9 (3) ◽  
pp. 241-244
Author(s):  
Patrick Bull ◽  
J. Mike Miller ◽  
Alan Ng ◽  
Stephen A. Brigido ◽  
Stephen A. Brigido ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Reconstruction ◽  
Achilles Tendon Reconstruction

scholarly journals Minimally invasive reconstruction technique for chronic Achilles tendon tears allows rapid return to walking and leads to good functional recovery

2019 ◽  
Vol 28 (1) ◽  
pp. 305-311 ◽  
Author(s):  
Paweł Bąkowski ◽  
Kinga Ciemniewska-Gorzela ◽  
Krzysztof Talaśka ◽  
Jan Górecki ◽  
Dominik Wojtkowiak ◽  
...  
Keyword(s):  
Cyclic Loading ◽  
Minimally Invasive ◽  
Achilles Tendon ◽  
Invasive Technique ◽  
Reconstruction Technique ◽  
Injured Limb ◽  
Tendon Reconstruction ◽  
Isokinetic Test ◽  
Tendon Tears ◽  
Achilles Tendon Reconstruction

Abstract Purpose Chronic Achilles tendon tears, including chronic ruptures with end gap over 6 cm making end-to-end suturing impossible, can be treated with autologous hamstring graft reconstruction. The primary goal of this study was to present the biomechanical and long-term clinical results of recently developed minimally invasive Achilles tendon reconstruction technique. Methods Minimally invasive Achilles tendon reconstruction was applied to 8 foot and ankle cadaveric specimens as well as 18 patients with chronic Achilles tendon tears. Repaired cadavers were subjected to the biomechanical testing using a cyclic loading protocol. Patients with reconstructed Achilles tendon were subjected to the clinical, functional and isokinetic tests at 12 months after the treatment. Results All of tested Achilles cadaveric specimens survived 2 loading blocks (250 cycles of 10–100 N load followed by additional 250 cycles of 10–200 N load). With three specimens, it was possible to perform the third cyclic loading block with 20-300 N load and two specimens survived the fourth block with 20–400 N load. Therefore, a mean number of 838 cycles (±178) within the range of 509–1000 was recorded. Two specimens which survived all 1000 cycles were pulled to failure at 25 mm/s rate. The results obtained in the load to failure testing were as follows: 398 N and 608 N of maximum load. The results of functional heel rise endurance test and single leg hop for distance test indicated a decrease in the endurance and strength of the injured limb. However, the results of the weight-bearing lunge tests indicated no tendency for elongation of the Achilles tendon. A comparative analysis of the isokinetic test results for the non-injured and injured limb was revealed no statistically significant differences for every isokinetic test (n. s.), with significant difference for isometric strength parameters (p = 0.0006). Conclusions The results of the biomechanical tests as well as 1-year extensive functional, clinical and isokinetic results of the minimally invasive technique for chronic Achilles tendon tears are encouraging. Patients returned to their normal physical activity, including sport pre-injury level in most cases. Level of evidence III

The Anterolateral Thigh Flap for Achilles Tendon Reconstruction

2019 ◽  
Vol 143 (6) ◽  
pp. 1772-1783 ◽  
Author(s):  
Denis Ehrl ◽  
Paul I. Heidekrueger ◽  
Andreas Schmitt ◽  
Franz Liska ◽  
Milomir Ninkovic ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Anterolateral Thigh Flap ◽  
Tendon Reconstruction ◽  
Anterolateral Thigh ◽  
Achilles Tendon Reconstruction

scholarly journals REHABILITATION PROTOCOL AFTER ACHILLES TENDON RECONSTRUCTION WITH AN AUTOLOGOUS HAMSTRING GRAFT

2021 ◽  
Vol 37 (37) ◽  
pp. 43-51
Author(s):  
Bartosz Kiedrowski ◽  
Paweł Bąkowski ◽  
Łukasz Stołowski ◽  
Jakub Kaszyński ◽  
Gino Kerkhoffs ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Isometric Exercise ◽  
Rehabilitation Program ◽  
Gracilis Muscle ◽  
Hamstring Graft ◽  
Sports Activity ◽  
Rehabilitation Protocol ◽  
Tendon Reconstruction ◽  
Biomechanical Assessment ◽  
Achilles Tendon Reconstruction

Introduction One of the treatment options in chronic damage or unsuccessful suturing of the Achilles tendon is a surgical treatment consisting of its reconstruction using the tendon of semitendinosus and gracilis muscle. The multitude of types of reconstruction causes discrepancies in rehabilitation protocols. All of them aim to return to full functional fitness as the ultimate goal. Aim This study aims to present the proprietary rehabilitation protocol after Achilles tendon reconstruction using the tendon of semitendinosus and gracilis muscle. Material and methods The presented rehabilitation program lasts about 12 months and is divided into six stages. Stage I consists of standing up and anticoagulant exercises, and isometric exercise. Stage II, lasting up to 2 weeks after the procedure, consists of the patient’s independent work in the home environment. Stage III, lasting up to 4 weeks, involves learning to walk and putting weight on the limb in a cam Walker. In the third stage, after the postoperative wounds have healed, exercises in water conditions are started. Stage IV, lasting from 4 weeks after the operation, involves loading the limb with support, increasing the range of dorsiflexion motion, and progressive muscle strengthening. Stage V, which lasts up to 8–12 months after surgery, eliminates functional deficits and prepares the patient for a functional biomechanical assessment. Stage VI is the stage of work on the compensation of deficits resulting from the analysis of the results of the functional biomechanical assessment necessary to return to the full sports activity. Results The rehabilitation time, in accordance with the assumptions of the above protocol, is 8–12 months. After this time, the patient should proceed to a functional biomechanical assessment. Discussion and conclusions The rehabilitation protocol presented by our team describes in detail the stages of post-operative rehabilitation after Achilles tendon reconstruction with a hamstring graft. It provides the conditions necessary for the patient to meet before starting the next phase and returning to sport. Our requirements are consistent with the assumptions available in the scientific base. Keywords: Achilles tendon reconstruction, return to sport, rehabilitation program.

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