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Achilles tendon rupture

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https://www.readbyqxmd.com/read/29658519/biomechanical-evaluation-of-tendon-connection-with-novel-suture-techniques
#1
Zhe Chen, Jun Wang, Jia-Sen Wei, Zhao-Yang Hou, Min Li, Qi-Xin Chen
PURPOSE: Achilles tendon rupture is a severe injury with poor curative effect due to its anatomical characteristic and mechanical peculiarity. Internal fixation of limited loop (IFLL) with steel-wire has been applied on patients with tendon rupture to fix the broken ends before physical rehabilitation. The purpose of this study is to investigate the biomechanical property and radiological characteristic of such suture technique for the repairment of tendon rupture. METHODS: Tendons of pigs' hint feet were separated for the biomechanical study...
2018: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29657473/risk-factors-for-complications-after-primary-repair-of-achilles-tendon-ruptures
#2
Christian A Pean, Anthony Christiano, William J Rubenstein, Sanjit R Konda, Kenneth A Egol
Purpose: To identify patient characteristics associated with adverse events in Achilles tendon rupture (ATR) surgical repair cases. Methods: A high risk (HR) cohort group of ATR patients were compared to healthy controls in the ACSNSQIP database with multivariate regression analysis. Results: Overall, 2% (n = 23) of the group sustained an AE postoperatively, most commonly superficial SSI (0.9%, n = 10). Multivariate analysis did not reveal any patient characteristics to be significantly associated with the occurrence of an AE or superficial SSI...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29623750/considerations-in-the-diagnosis-and-accelerated-return-to-sport-of-a-professional-basketball-player-with-a-triceps-surae-injury-a-case-report
#3
Philip A Anloague, Donald S Strack
Study Design Case report. Background Acute injuries of the triceps surae and Achilles tendon are common in sports. Rupture of the plantaris tendon can be challenging to diagnose. There is limited evidence detailing the diagnosis, rehabilitation, and accelerated return to sport of elite professional basketball players who have suffered calf injuries. Case Description A 25-year-old male professional basketball player sustained injury to his calf during a professional basketball game. This case report details the presumptive diagnosis, graduated progression of intervention, and return to play of a professional sports person with a likely isolated plantaris tendon tear...
April 6, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29622499/isolated-rupture-of-the-distal-plantaris-muscle
#4
Benjamin Zickmantel, Fabian Krause, Lars Frauchiger
In the present case, the plantaris tendon was ruptured in isolation and at the distal part of the tendon. An injury of the Achilles tendon, gastrocnemius muscle, or soleus muscle was not detected. To the best of our knowledge, a similar case has not yet been reported. Our case basically demonstrates that a rupture of the musculus plantaris does not have to occur at the myotendiouns junction or the muscle belly itself. The initial nonoperative treatment with physiotherapy, antiinflammatory medicine, and an early return to sports, even for this more distal plantaris tendon rupture, led to a good result...
April 2, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29622260/editorial-commentary-is-endoscopy-really-helpful-during-repair-of-acute-rupture-of-the-achilles-tendon
#5
EDITORIAL
Tun Hing Lui
Endoscopically assisted Achilles tendon repair is an attractive minimally invasive approach to reduce the risk of sural nerve injury. However, I do not believe that endoscopy is necessary for all types of minimally invasive Achilles tendon repair. Endoscopy is only helpful to make suture passage through the proximal lateral portal safe. It cannot help to reduce the risk of sural nerve injury if the tendon is repaired with percutaneous locking sutures. Abandonment of the proximal lateral portal and development of "all-inside" endoscopic repair of the Achilles tendon with locking sutures should be the future goal...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29582683/incidence-risk-factors-and-treatment-of-achilles-tendon-rupture-in-patients-with-end-stage-renal-disease
#6
Casey Jo Humbyrd, Sunjae Bae, Lauren M Kucirka, Dorry L Segev
BACKGROUND: Dialysis-dependent patients and kidney transplant recipients may be at increased risk for Achilles tendon rupture (ATR). METHODS: We studied Medicare patients with end-stage renal disease (ESRD) from 1999 through 2013. Patients were categorized as waitlisted for a transplant, not waitlisted, or received a transplant. We performed multivariate negative binomial regression using demographic characteristics, comorbidities, and year of study entry to estimate adjusted incidence rate ratios (aIRRs), identify ATR risk factors, and determine treatment patterns and outcomes...
March 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29554516/short-term-functional-assessment-of-gait-plantarflexor-strength-and-tendon-properties-after-achilles-tendon-rupture
#7
Alison N Agres, Tobias J Gehlen, Adamantios Arampatzis, William R Taylor, Georg N Duda, Sebastian Manegold
BACKGROUND: Although early functional rehabilitation (EFR) has been suggested to yield rapid functional recovery after Achilles tendon rupture (ATR) compared to conventional rehabilitation (CR), most quantitative assessments occur long after rehabilitation has been completed. Few data exist regarding the short-term functional gains during the healing period post-ATR. It remains unclear if EFR allows for an objectively faster return to function. The aim of this study was to examine EFR's effect on gait, plantarflexor strength, and tendon properties in early post-operative follow-ups...
March 5, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29552483/a-percutaneous-knotless-technique-for-acute-achilles-tendon-ruptures
#8
Daniel J Liechti, Gilbert Moatshe, Jonathon D Backus, Daniel Cole Marchetti, Thomas O Clanton
Achilles tendon ruptures are a common tendon injury, usually occurring in middle-aged men during recreational sporting activities. Both nonoperative and operative management are employed to treat these injuries. Several operative treatments are described in the literature, including percutaneous Achilles repair, mini-open repair, and open repair. Open Achilles repair is associated with higher rates of impaired wound healing and infection, whereas minimally invasive techniques have been reported to have an increased risk of iatrogenic sural nerve injury...
February 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29548031/cross-sectional-area-of-the-achilles-tendon-in-a-cohort-of-elite-military-warriors-using-standard-ultrasound-techniques
#9
Kevin D Martin, Jeffrey Wake, Laura Dawson, J Preston Van Buren
Background: The prevalence of Achilles tendon (AT) pathology is common and can result in disability. Understanding normal AT properties can improve our ability to prevent AT injuries. We examined the cross-sectional area of the AT at multiple levels in an asymptomatic population of Army Rangers. Methods: This is a prospective cohort study composed of 41 voluntarily recruited United States Army Rangers deployed in a combat theater. All subjects were members of the Ranger Regiment participating in more than 20 h of intense bipedal non-sport weekly training with no history of AT pathology...
March 14, 2018: Military Medicine
https://www.readbyqxmd.com/read/29536693/-clinical-therapeutic-effect-of-a-new-bundle-to-bundle-suturing-method-for-acute-achilles-tendon-rupture
#10
Cheng-Lin Wang, Kai-Xue Cao, Jun-Zhong Yang
OBJECTIVE: To investigate the clinical effect of a new bundle-to-bundle suturing method for acute Achilles tendon rupture. METHODS: From April 2013 to January 2015, 15 patients with acute Achilles tendon rupture were treated with a new bundle-to-bundle suturing method including 12 males and 3 females with an average age of 37.5 years old ranging from 27 to 56 years old. All of them were immobilized by cast for 6 weeks on the underlying limbs, and were educated for a rehabilitation training during the follow-up...
February 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29534523/exploring-the-in-vivo-anti-inflammatory-actions-of-simvastatin-loaded-porous-microspheres-on-inflamed-tenocytes-in-a-collagenase-induced-animal-model-of-achilles-tendinitis
#11
Chandong Jeong, Sung Eun Kim, Kyu-Sik Shim, Hak-Jun Kim, Mi Hyun Song, Kyeongsoon Park, Hae-Ryong Song
Tendon rupture induces an inflammatory response characterized by release of pro-inflammatory cytokines and impaired tendon performance. This study sought to investigate the therapeutic effects of simvastatin-loaded porous microspheres (SIM/PMSs) on inflamed tenocytes in vitro and collagenase-induced Achilles tendinitis in vivo. The treatment of SIM/PMSs in lipopolysaccharide (LPS)-treated tenocytes reduced the mRNA expressions of pro-inflammatory cytokines (Matrix metalloproteinase-3 ( MMP-3 ), cyclooxygenase-2 ( COX-2 ), interleukin-6 ( IL-6 ), and tumor necrosis factor-α ( TNF-α ))...
March 12, 2018: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29528724/outcome-of-percutaneous-fixation-of-acute-achilles-tendon-ruptures
#12
Meletis Rozis, Ioannis Benetos, Panagiotis Karampinas, Vasilios Polyzois, John Vlamis, Spyros Pneumaticos
BACKGROUND: Conservative treatment of an acute Achilles rupture remains a viable and acceptable option as does surgical fixation, with open and percutaneous repair consisting the main operative techniques. The purpose of this study was to compare the outcomes and complication rates of open versus percutaneous surgical procedures. METHODS: From 2009 to 2016, 131 patients were admitted to our department with clinically and radiologically confirmed acute Achilles tendon ruptures...
March 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29519149/endoscopic-achilles-tendon-augmentation-with-suture-anchors-after-calcaneal-exostectomy-in-haglund-syndrome
#13
Jordi Vega, Albert Baduell, Francesc Malagelada, Jörg Allmendinger, Miki Dalmau-Pastor
BACKGROUND: Haglund syndrome is a common cause of heel pain. Risk for tendon detachment after calcaneoplasty can exist. Open Achilles tendon detachment, calcaneoplasty, bursectomy, pathologic tendon-tissue debridement, and tendon reattachment of the Achilles tendon is a common surgical management of Haglund syndrome combined with insertional Achilles tendinopathy. The aim of this study was to describe the endoscopic calcaneoplasty and anchor suture augmentation of the Achilles insertional area, and the results obtained in patients with an increased risk of Achilles tendon rupture after calcaneoplasty...
March 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29516237/long-term-results-of-extensor-mechanism-reconstruction-using-achilles-tendon-allograft-after-total-knee-arthroplasty
#14
Brent T Wise, Greg Erens, Aidin Eslam Pour, Thomas L Bradbury, James R Roberson
PURPOSE: Disruption of the extensor mechanism after total knee arthroplasty (TKA) is an infrequent but devastating complication. Presently, limited data exists regarding the optimal treatment and long-term outcomes. METHODS: Patients who underwent reconstruction of their knee extensor mechanism using Achilles tendon allograft following TKA between January 2003 and January 2012 were identified. Sixteen patients with 17 reconstructions (10 patellar tendons, 7 quadriceps tendons) were studied...
March 7, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29510804/validity-and-reliability-of-an-ultrasound-measurement-of-the-free-length-of-the-achilles-tendon
#15
Kristoffer Weisskirchner Barfod, Anja Falk Riecke, Anders Boesen, Philip Hansen, Jens Friedrich Maier, Simon Doessing, Anders Troelsen
INTRODUCTION: Valid length measurements of the different segments of the Achilles tendon are needed in order to investigate if differential elongation of the Achilles tendon takes place after rupture. The purpose of this paper was to present data concerning the accuracy and reliability of an ultrasound measurement of the free part of the Achilles tendon. METHODS: Both legs of 19 non-injured subjects were examined by magnetic resonance imagining (MRI) and ultrasound...
March 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29499741/does-elasticity-of-achilles-tendon-change-after-suture-applications-evaluation-of-repair-area-by-acoustic-radiation-force-impulse-elastography
#16
Yavuz Selim Karatekin, Bedri Karaismailoglu, Gokhan Kaynak, Tahir Ogut, Atilla Suleyman Dikici, Emel Ure Esmerer, Onder Aydingoz, Huseyin Botanlioglu
BACKGROUND: Achilles tendon injuries are one of the most common tendon injuries. Surgical treatment is preferred in young and active patients. Although there are studies which evaluate the repair area with magnetic resonance imaging and ultrasonography after surgical treatment, there are very few studies which analyzes the elasticity of the tendon by quantitative methods. ARFI (acoustic radiation force impulse) elastography is a simple and non-invasive method that can quantitatively measure the elasticity of the soft tissues...
March 2, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29495969/reconstruction-of-a-chronically-ruptured-achilles-tendon-using-an-internal-brace-a-case-report
#17
Shuichi Chida, Hitoshi Suzuki, Moto Kobayashi, Tsutomu Sakuraba, Hideji Kura, Naohisa Miyakoshi, Yoichi Shimada
BACKGROUND: We reconstructed a chronically ruptured Achilles tendon and the associated scar tissue using braided polyblend polyethylene sutures (FiberWire; Arthrex Inc.; Naples, FL, USA) and anchors. CASE PRESENTATION: A 68-year-old Japanese man, who was being treated for right Achilles tendinosis, felt pain in his Achilles tendon when walking and started to find plantar flexion of his ankle joint difficult. As his symptoms persisted, he visited us after 4 weeks...
March 2, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29477554/blood-flow-restriction-training-after-achilles-tendon-rupture
#18
Bobby G Yow, David J Tennent, Thomas C Dowd, Jeremy P Loenneke, Johnny G Owens
Blood flow restriction (BFR) training is a technique shown to be safe and effective at increasing muscular strength and endurance in healthy fitness populations and is under study for its use in postinjury rehabilitation. BFR stimulates muscular strength and hypertrophy gains at much lower loads than traditional methods, allowing patients to begin the rehabilitation process much sooner. We report on 2 patients who incorporated BFR training into their traditional rehabilitation program after Achilles tendon ruptures...
February 21, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29448827/outcomes-after-primary-repair-of-insertional-ruptures-of-the-achilles-tendon
#19
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
#20
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
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