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Achilles tendon rupture

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https://www.readbyqxmd.com/read/29448827/outcomes-after-primary-repair-of-insertional-ruptures-of-the-achilles-tendon
#1
Oliver Nickolaas Schipper, Robert Bentley Anderson, Bruce E Cohen
BACKGROUND: Achilles tendon insertional sleeve avulsions occur when the Achilles distal tendon sleeve ruptures off of its insertion into the calcaneal tuberosity, sometimes with a small bony fragment from calcific tendinosis. Little evidence exists describing the outcomes and rerupture rate after operative management of Achilles tendon sleeve avulsions. METHODS: A retrospective chart review was performed to identify patients who sustained an Achilles sleeve avulsion injury treated with operative repair between October 2005 and July 2014...
February 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29448826/complications-of-supine-surgical-achilles-tendon-repair
#2
John J Marcel, Katherine Sage, Gregory P Guyton
BACKGROUND: Open Achilles tendon surgery with the patient in the supine position potentially avoids the complications of the prone position, but the safety and viability of the supine position for this procedure are not known. The aim of this study was to test the hypothesis that supine positioning for open repair of acute Achilles tendon ruptures would be safe, with low wound and neurologic complication rates. METHODS: Supine position safety in acute Achilles tendon repair was investigated...
February 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29430392/surgical-technique-to-bring-down-the-patellar-height-and-to-reconstruct-the-tendon-for-chronic-patellar-tendon-rupture
#3
Kengo Harato, Shu Kobayashi, Kazuhiko Udagawa, Yu Iwama, Ko Masumoto, Hiroyuki Enomoto, Yasuo Niki
Although surgical treatment is the gold standard for chronic patellar tendon rupture, the technique of patellar tendon reconstruction is still difficult. Basically, good clinical results of surgical repair for acute patellar tendon rupture have been reported. However, the results of reconstructive surgery for chronic patellar tendon rupture are still inconsistent. Some surgical options have been previously reported. For example, surgeons need to choose between 1- and 2-stage reconstruction. Furthermore, contralateral bone-tendon-bone graft, ipsilateral semitendinosus tendon graft, Achilles tendon allograft, and an artificial ligament have been used to reconstruct the patellar tendon...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29413781/corrigendum-to-development-and-reliability-of-the-achilles-tendon-length-measure-and-comparison-with-the-achilles-tendon-resting-angle-on-patients-with-an-achilles-tendon-rupture-foot-ankle-surg-2017-23-december-4-275-80
#4
Maria Swennergren Hansen, Kristoffer Weisskirchner Barfod, Morten Tange Kristensen
No abstract text is available yet for this article.
February 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409266/validation-and-cross-cultural-adaptation-of-greek-version-of-achilles-tendon-total-rupture-score
#5
Panagiotis Touzopoulos, Athanasios Ververidis, Giannis Giakas, Georgios I Drosos
BACKGROUND: The purpose of this study was the translation, cross-cultural adaptation and validation of the Achilles Tendon Total Rupture Score (ATRS) in Greek population. METHODS: The translation and cross-cultural adaptation of the original version of ATRS in Greek language was performed according to the methodology described by Beaton et al. Validation and test-retest reliability were evaluated in forty-six patients, treated surgically for acute Achilles tendon rupture...
July 27, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409244/is-achillon-repair-safe-and-reliable-in-delayed-presentation-achilles-tendon-rupture-a-five-year-follow-up
#6
M Yasser Anathallee, Ben Liu, Adam Budgen, James Stanley
BACKGROUND: To assess the outcome of delayed repair of ruptured Achilles tendon using the Achillon mini-open technique. METHODS: A review of all patients who underwent delayed repair (>10 days post injury) of ruptured Achilles tendon with mini invasive technique was compared to acute repairs carried out at the same unit. Leppilahti Score and Achilles Tendon Total Rupture Score (ATRS) were utilised. Complication rates including re-rupture were also reviewed. RESULTS: 14 patients were identified as having delayed repair (11-31 days)...
March 23, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409243/high-resolution-real-time-ultrasonography-of-the-sural-nerve-after-percutaneous-repair-of-the-achilles-tendon
#7
Marcello Zappia, Daniela Berritto, Francesco Oliva, Nicola Maffulli
BACKGROUND: Percutaneous Achilles tendon repair has been developed to minimise soft tissue complications following treatment of tendon ruptures. However, there are concerns because of the risk of sural nerve injury. Few studies have investigated the relationship between the Achilles tendon, the sural nerve and its several anatomical course variants. METHODS: We studied 7 cadaveric limbs (7 Achilles tendons) in which a percutaneous repair of the Achilles tendon was performed...
March 30, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409242/predictors-of-functional-outcome-in-non-operatively-managed-achilles-tendon-ruptures
#8
Randeep Aujla, Shakil Patel, Annette Jones, Maneesh Bhatia
BACKGROUND: Acute Achilles tendon (AT) rupture management remains debatable but non-operative functional regimes are beginning to gain popularity. The aim of this study was to identify predictors of functional outcome in patients with AT ruptures treated non-operatively with an immediate weight bearing functional regime in an orthosis. METHODS: Analysis of prospectively gathered data from a local database of all patients treated non-operatively at our institution with an AT rupture was performed...
March 31, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409217/surgical-management-of-chronic-achilles-tendon-ruptures-using-less-invasive-techniques
#9
Nicola Maffulli, Francesco Oliva, Gayle D Maffulli, Angelo Del Buono, Nikolaos Gougoulias
BACKGROUND: Surgical management of chronic Tendo Achillis (TA) ruptures usually requires tendon grafting procedures. Several techniques have been described. We examined the outcome of three different less invasive (incisions length less than 3 cm) tendon transfer techniques in the management of patients with a chronic rupture of the TA. METHODS: Of 62 patients (39 males and 23 females; mean age 44.8 years; range 29.3-62 years) with chronic TA ruptures managed operatively, 21 patients had a ≥6cm gap and underwent free ipsilateral semitendinosus (ST) graft (21 patients), whereas patients with smaller gaps had either ipsilateral peroneus brevis (PB) (20 patients) or ipsilateral flexor hallucis longus (FHL) transfer (21 patients)...
February 16, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409202/achillon-versus-open-surgery-in-acute-achilles-tendon-repair
#10
Ilhan Alcelik, Zubair M Saeed, Ben A Haughton, Rizwan Shahid, John C Alcelik, Craig Brogden, Adam Budgen
BACKGROUND: Open Achilles tendon repairs (OATR) are associated with high complication rates. Minimally invasive surgery (MIS) techniques like the Achillon Achilles tendon repair (AATR) were developed to reduce this. We performed a systematic review and meta-analysis to compare OATR with AATR. METHODS: We performed an extensive literature search including all studies that compared the two techniques. Outcomes assessed included overall complication rate, re-rupture rate, sural nerve injury, wound length, The American Orthopaedic Foot and Ankle Scores (AOFAS) scores and return to sports...
May 4, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409190/clinical-presentation-and-surgical-management-of-chronic-achilles-tendon-disorders-a-retrospective-observation-on-a-set-of-consecutive-patients-being-operated-by-the-same-orthopedic-surgeon
#11
Håkan Alfredson, Christoph Spang
BACKGROUND: Non-invasive treatment is not always successful in patients with Achilles tendon disorders, and surgical treatment is instituted as the next step. There is sparse knowledge about the diagnoses, pain levels before surgery, surgically confirmed pathologies and postoperative complications in large patient groups. AIMS: To study the diagnoses, pain scores before surgery, macroscopic surgical findings and postoperative complications in a series of patients treated for Achilles disorders...
June 12, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409187/flexor-hallucis-longus-transfer-versus-turndown-flaps-augmented-with-flexor-hallucis-longus-transfer-in-the-repair-of-chronic-achilles-tendon-rupture
#12
Don Koh, Jeremy Lim, Jerry Y Chen, Inderjeet R Singh, Kevin Koo
BACKGROUND: Repairs of chronic Achilles tendon ruptures are technically challenging due to large defects after scar excision. Multiple techniques for repair have been proposed but little consensus on best practice established. This study aims to compare flexor hallucis longus (FHL) transfers versus turndown flaps augmented by FHL transfers. METHODS: Between 2005 and 2015, 49 unilateral repairs of chronic Achilles tendon ruptures were performed. We retrospectively compared the outcomes of 20 patients who underwent FHL transfer with 19 patients who underwent turndown flaps augmented with FHL transfer before surgery and at three time points after surgery (three, six and twelve months)...
November 10, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29398512/atraumatic-spontaneous-achilles-tendon-rupture-in-patients-receiving-oral-corticosteroids-treated-with-the-modified-side-locking-loop-suture-technique
#13
Kiminori Ushio, Shinji Imade, Hiroshi Takuwa, Masaru Kadowaki, Yuji Uchio
Atraumatic spontaneous Achilles tendon ruptures sometimes occur in patients receiving oral corticosteroids. In general, these cases are treated surgically; however, delayed postoperative management can lead to impaired activities of daily living. The modified side-locking loop suture (SLLS) technique is a useful suture method for safe and early active mobilization. Three cases of spontaneous Achilles tendon ruptures were treated with the modified SLLS technique with good clinical results. The modified SLLS technique is a useful method with a short rehabilitation period for treating atraumatic spontaneous Achilles tendon rupture in patients undergoing corticosteroid therapy...
February 1, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29387651/mini-open-versus-open-repair-techniques-in-achilles-tendon-rupture-clinical-and-isokinetic-evaluation
#14
Daniele Munegato, Giulia Gridavilla, Stefano Guerrasio, Marco Turati, Carlo Cazzaniga, Nicolò Zanchi, Giovanni Zatti, Marco Bigoni
Background: The aim of the study was to compare the mini-open to the classic open repair techniques for Achilles tendon ruptures. Methods: We retrospectively evaluated at a minimum of 2 years follow-up 32 subcutaneous Achilles tendon ruptures; 17 underwent mini-open surgery (Group A) and 15 the open technique (Group B). Results: No difference in Achilles Tendon Total Rupture Score and in modified Leppillahti score was observed. With respect to the contralateral side the width of the operated Achilles tendon was 4...
July 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/29387650/the-effect-of-strain-and-age-on-the-mechanical-properties-of-rat-achilles-tendons
#15
Emily C Vafek, Johannes F Plate, Eric Friedman, Sandeep Mannava, Aaron T Scott, Kerry A Danelson
Background: Achilles tendon (AT) ruptures are common in the middle age population; however, the pathophysiology and influence of age on AT ruptures is not fully understood. This study evaluates the effect and interactions between, strain and age on the in vitro biomechanical properties of ATs. Methods: Bilateral ATs were harvested from 17 young (8 months) and 14 middle-aged (24 months) rats and underwent stress-relaxation using Fung's quasilinear viscoelastic (QLV) modeling and load-to-failure testing...
July 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/29387649/side-to-side-differences-in-achilles-tendon-geometry-and-mechanical-properties-following-achilles-tendon-rupture
#16
Jennifer A Zellers, Daniel H Cortes, Patrick Corrigan, Laura Pontiggia, Karin Grävare Silbernagel
Background: Recovery of tendon structure has been suggested to play a role in clinical success following Achilles tendon rupture. The purpose of this study was to identify side-to-side differences in tendon geometry and mechanical properties following Achilles tendon rupture and investigate the relationship of tendon structure with clinical outcomes. Methods: Participants within 1 year post complete rupture were included. Tendon geometry and mechanical properties were quantified using B-mode ultrasound imaging and continuous shear wave elastography (cSWE)...
July 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/29385715/different-achilles-tendon-pathologies-show-distinct-histological-and-molecular-characteristics
#17
Franka Klatte-Schulz, Susann Minkwitz, Aysha Schmock, Nicole Bormann, Alper Kurtoglu, Serafeim Tsitsilonis, Sebastian Manegold, Britt Wildemann
Reasons for the development of chronic tendon pathologies are still under debate and more basic knowledge is needed about the different diseases. The aim of the present study was therefore to characterize different acute and chronic Achilles tendon disorders. Achilles tendon samples from patients with chronic tendinopathy (n = 7), chronic ruptures (n = 6), acute ruptures (n = 13), and intact tendons (n = 4) were analyzed. The histological score investigating pathological changes was significantly increased in tendinopathy and chronic ruptures compared to acute ruptures...
January 30, 2018: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29382016/fatal-pulmonary-thromboembolism-after-achilles-tendon-open-repair-a-rare-case-report
#18
Dong Il Chun, Sanghyeon Lee, Sung Hun Won, Jaeho Cho
RATIONALE: The operative procedure for Achilles tendon rupture is relatively simple, but venous thromboembolism is serious complication with a high incidence after Achilles tendon rupture. However, the guideline for thromboprophylaxis in Achilles tendon rupture is unclear. PATIENT CONCERNS: The patient was 32-year-old male and underwent Achilles tendon open repair surgery. He was healthy and there are no abnormal findings other than Achilles tendon rupture. At 3 weeks after operation, the episode of loss of consciousness with convulsive movement occurred...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29381243/neural-crest-derived-cells-migrate-from-nerve-to-participate-in-achilles-tendon-remodeling
#19
Kang Xu, Xin Pan, Xuefeng Qiu, Dong Wang, Nianguo Dong, Li Yang, Song Li
During tendon injuries, nerve ingrowth is one of the earliest events of tendon repair and remodeling. Since peripheral neurons and associated cells are mostly derived from neural crest (NC) cells, we sought to investigate the role of NC-derived cells in tendon regeneration. Thus, we used Sox10-Cre/ROSA26-Flox-Red Fluorescent Protein (RFP) transgenic mice to trace these cells during tendon regeneration. After 4 weeks of Achilles tendon rupture, the injured tendon tissues were harvested for immunohistological analyses, cell isolation, and phenotype identification...
January 30, 2018: Wound Repair and Regeneration
https://www.readbyqxmd.com/read/29380628/risk-factors-for-failed-nonoperative-treatment-and-rerupture-in-acute-achilles-tendon-rupture
#20
Aleksi Reito, Hanna-Liina Logren, Katri Ahonen, Heikki Nurmi, Juha Paloneva
BACKGROUND: Nonoperative treatment is feasible in most patients with acute Achilles tendon rupture. Risk factors associated with failed nonoperative treatment are poorly understood. We investigated risk factors associated with rerupture after nonoperative treatment and otherwise failed nonoperative treatment of Achilles tendon rupture. METHODS: All patients diagnosed with acute Achilles tendon rupture between January 2009 and June 2016 and who underwent 8 weeks of nonoperative treatment with functional rehabilitation were included in the study...
January 1, 2018: Foot & Ankle International
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