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open achilles tendon rupture

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https://www.readbyqxmd.com/read/27898509/acute-achilles-tendon-ruptures-an-update-on-treatment
#1
Anish R Kadakia, Robert G Dekker, Bryant S Ho
Acute rupture of the Achilles tendon is common and seen most frequently in people who participate in recreational athletics into their thirties and forties. Although goals of treatment have not changed in the past 15 years, recent studies of nonsurgical management, specifically functional bracing with early range of motion, demonstrate rerupture rates similar to those of tendon repair and result in fewer wound and soft-tissue complications. Satisfactory outcomes may be obtained with nonsurgical or surgical treatment...
November 24, 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27644578/efficacy-of-achilles-suture-bridge-technique-for-insertional-achilles-tendinosis-in-an-obese-and-athletic-patient
#2
Kazuaki Mineta, Naoto Suzue, Tetsuya Matsuura, Koichi Sairyo
Here, we report the efficacy of the suture bridge technique for treating insertional Achilles tendinosis in an obese and athletic patient. A 48-year-old man presented to our department with a 6-month history of left posterior heel pain. The patient was an athlete (triathlon) and appeared obese (height: 197 cm, body weight: 120 kg, body mass index: 30.9). A diagnosis of insertional Achilles tendinosis was made. Because 6 months of conservative treatments had failed, we performed open resection of the calcaneal exostosis and Haglund's deformity along with debridement of the degenerative tissue of the tendon...
2016: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/27632845/the-effectiveness-of-open-repair-versus-percutaneous-repair-for-an-acute-achilles-tendon-rupture-a-critically-appraised-topic
#3
Heidi Krueger, Shannon David
Clinical Scenario: There are two approaches available for surgical repair of the Achilles tendon: open repair, or percutaneous repair. However, there is controversy whether or not an open repair or percutaneous repair is superior. Focused Clinical Question: Which type of surgery is better in providing the best overall patient outcome, open or percutaneous repair, in physically active males and females with acute Achilles tendon ruptures? Summary of Search, "Best Evidence" Appraised and Key Findings: The literature was searched for studies of level 3 evidence or higher that investigated the effectiveness of open repair versus percutaneous repair on acute Achilles tendon ruptures in physically active males and females...
August 24, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27622615/subcutaneous-achilles-tendon-rupture-a-comparison-between-open-technique-and-mini-invasive-tenorrhaphy-with-achillon-%C3%A2-suture-system
#4
W Daghino, E Enrietti, A Elio Sprio, N Barbasetti di Prun, G N Berta, A Massè
BACKGROUND: Surgical management of Achilles tendon rupture is still controversial: open techniques have a higher rate of soft tissue complications but a lower incidence of re-rupture than percutaneous tenorrhaphies. The aim of our retrospective study was to analyze and compare clinical and functional results in patients treated with either the conventional open or minimally invasive suture treatment with the Achillon(®) system. METHODS: A retrospective review of 140 patients was performed; 72 were treated with open tenorrhaphy, 68 with the minimally invasive Achillon(®) suture system...
September 6, 2016: Injury
https://www.readbyqxmd.com/read/27567345/achilles-tendon-open-repair-augmented-with-distal-turndown-tendon-flap-and-posterior-crural-fasciotomy
#5
Hamza Ozer, Hakan Y Selek, Gulcan Harput, Ali Oznur, Gul Baltaci
The aim of the present study was to investigate the outcomes after open repair of Achilles tendon rupture augmented with a distal turndown gastrocnemius flap and deep posterior crural fasciotomy based on the modified Lindholm technique. Twenty-three patients with acute Achilles tendon injury underwent open end-to-end tendon repair augmented with a distal turndown gastrocnemius flap and deep posterior compartment fasciotomy. The concentric and eccentric muscle strength was measured using a functional squat system, and dynamic balance was assessed using the Y-balance test with anterior, posteromedial, and posterolateral reach distances...
August 23, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27502942/clinical-comparison-of-the-two-stranded-single-and-four-stranded-double-krackow-techniques-for-acute-achilles-tendon-ruptures
#6
Gi Won Choi, Hak Jun Kim, Tae Hoon Lee, Se Hyun Park, Hee Seop Lee
PURPOSE: Several different Krackow stitch configurations have been used for acute Achilles tendon rupture repair. Although several biomechanical studies compared different Krackow stitch configurations, to our knowledge, no previous studies compared the clinical outcome of these different suture methods. Therefore, in this study, we aimed to compare the clinical outcomes and complications of the two-stranded single and four-stranded double Krackow techniques. METHODS: Sixty-eight consecutive patients who underwent open repair by using the four-stranded double Krackow (33 patients, group A) or the two-stranded single Krackow (35 patients, group B) techniques between September 2011 and August 2014 were reviewed retrospectively...
August 9, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27435986/is-the-dresden-technique-a-mechanical-design-of-choice-suitable-for-the-repair-of-middle-third-achilles-tendon-ruptures-a-biomechanical-study
#7
C de la Fuente, G Carreño-Zillmann, H Marambio, H Henríquez
OBJECTIVE: To compare the mechanical failure of the Dresden technique for Achilles tendon repair with the double modified Kessler technique controlled repair technique. The maximum resistance of the two repair techniques are also compared. MATERIAL AND METHODS: A total of 30 Achilles tendon ruptures in bovine specimens were repaired with an Ethibond(®) suture to 4.5cm from the calcaneal insertion. Each rupture was randomly distributed into one of two surgical groups...
September 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/27405457/-achilles-tendon-rupture-current-diagnostic-and-therapeutic-standards
#8
G Hertel, J Götz, J Grifka, J Willers
A superior life expectancy and an increased activity in the population result in an increase in degenerative diseases, such as Achilles tendon ruptures. The medical history and physical examinations are the methods of choice to diagnose Achilles tendon ruptures. Ultrasound and radiography represent reasonable extended diagnostic procedures. In order to decide on the medical indications for the therapy concept, the advantages and disadvantages of conservative and surgical treatment options have to be weighed up on an indivdual basis...
August 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27360536/functional-outcomes-of-primary-open-repair-with-augmentation-and-without-augmentation-in-achilles-tendon-rupture-1617-board-270-june-2-8-00-am-9-30-am
#9
Yilmaz Ergisi, Gulcan Harput, Burak Ulusoy, Hakan Selek, Hamza Ozer, Gul Baltaci
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27351164/-zwipp-percutaneous-suture-of-the-achilles-tendon-with-the-dresden-instruments
#10
M Chmielnicki, A Prokop
OBJECTIVE: Rupture of the Achilles tendon is the most common rupture of a tendon in man. Acute rupture of the Achilles tendon may be treated in a variety of manners, including conservative treatment, open suture and percutaneous suture. Surgical treatment of active patients is recommended, as the risk of re-rupture is greater after non-surgical treatment. The aim of surgery is adequate treatment of Achilles tendon rupture with a low rate of complications, high comfort for patients and fast social and occupational rehabilitation...
June 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27338652/comparison-of-semi-invasive-internal-splinting-and-open-suturing-techniques-in-achilles-tendon-rupture-surgery
#11
Hakan Sarman, Umit Sefa Muezzinoglu, Kaya Memisoglu, Adem Aydin, Halil Atmaca, Tuncay Baran, Bahar Odabas Ozgur, Turgay Ozgur, Cengizhan Kantar
The goal of the present study was to evaluate the semi-invasive "internal splinting" (SIIS) method for repair of Achilles tendon rupture relative to open repair with Krakow sutures. Efficacy was evaluated based on the clinical and functional outcomes, postoperative magnetic resonance imaging measurements, isokinetic results, and surgical complication rates. Functional measurements included the Thermann and American Orthopaedic Foot and Ankle Society (AOFAS) ankle scores, bilateral ankle dorsiflexion, and plantar flexion measurements...
September 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27307495/a-prospective-randomized-trial-comparing-surgical-and-nonsurgical-treatments-of-acute-achilles-tendon-ruptures
#12
Iikka Lantto, Juuso Heikkinen, Tapio Flinkkila, Pasi Ohtonen, Pertti Siira, Vesa Laine, Juhana Leppilahti
BACKGROUND: The optimal treatment of acute Achilles tendon ruptures for active patients is under debate. PURPOSE: To compare clinical outcomes and calf muscle strength recovery after the nonsurgical treatment and open surgical repair of acute Achilles tendon ruptures with identical accelerated rehabilitation programs. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: From 2009 to 2013, a total of 60 patients with an acute Achilles tendon rupture were randomized to surgery or nonsurgical treatment...
September 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27289216/long-term-results-of-mini-open-repair-technique-in-the-treatment-of-acute-achilles-tendon-rupture-a-prospective-study
#13
Ersin Taşatan, Tuluhan Yunus Emre, Demet Tekdöş Demircioğlu, Bahtiyar Demiralp, Vecihi Kırdemir
An ideal surgical treatment of acute Achilles tendon rupture includes restoring the original length of the tendon, minimizing possible adhesions with the surrounding tissues, minimizing the risk of repeat rupture, alleviating wound problems, and providing an acceptable cosmetic outcome. In the mini-open repair technique, unlike the percutaneous repair technique, the quality of the tenodesis can be visualized without disturbing the healing potential of the surrounding tissues, thus minimizing wound problems...
September 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27266275/minimally-invasive-versus-open-surgery-for-acute-achilles-tendon-rupture-a-systematic-review-of-overlapping-meta-analyses
#14
Qingbo Li, Chuanying Wang, Yanqing Huo, Zhiwei Jia, Xiqian Wang
BACKGROUND: A number of meta-analyses have been carried out to evaluate the effects of minimally invasive surgery (MIS) versus open surgery (OS) for acute Achilles tendon rupture. However, discordant findings were seen in these meta-analyses. The present study, performing a systematic review of overlapping meta-analyses regarding MIS versus OS of acute Achilles tendon rupture, aimed to assist decision-makers interpret and choose among conflicting meta-analyses, as well as to offer treatment recommendations based on current best evidence...
2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/26843545/mri-evaluation-of-achilles-tendon-rotation-and-sural-nerve-anatomy-implications-for-percutaneous-and-limited-open-achilles-tendon-repair
#15
Aoife MacMahon, Jonathan T Deland, Huong Do, Dylan S Soukup, Carolyn M Sofka, Constantine A Demetracopolous, Ryan DeBlis
BACKGROUND: Limited-open and percutaneous Achilles tendon (AT) repair techniques have limited visibility, which may result in sural nerve violation and poor tendon targeting. The goal of this study was to assess the in vivo rotation of the AT and its distance to the sural nerve in ruptured and nonruptured ATs to develop guidelines to aid in limited-open and percutaneous repair techniques. METHODS: A retrospective review was conducted to identify magnetic resonance imaging (MRI) studies of patients with ruptured and healthy (nonruptured) ATs...
June 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26825318/tendon-mineralization-is-progressive-and-associated-with-deterioration-of-tendon-biomechanical-properties-and-requires-bmp-smad-signaling-in-the-mouse-achilles-tendon-injury-model
#16
Kairui Zhang, Shuji Asai, Michael W Hast, Min Liu, Yu Usami, Masahiro Iwamoto, Louis J Soslowsky, Motomi Enomoto-Iwamoto
Ectopic tendon mineralization can develop following tendon rupture or trauma surgery. The pathogenesis of ectopic tendon mineralization and its clinical impact have not been fully elucidated yet. In this study, we utilized a mouse Achilles tendon injury model to determine whether ectopic tendon mineralization alters the biomechanical properties of the tendon and whether BMP signaling is involved in this condition. A complete transverse incision was made at the midpoint of the right Achilles tendon in 8-week-old CD1 mice and the gap was left open...
May 2016: Matrix Biology: Journal of the International Society for Matrix Biology
https://www.readbyqxmd.com/read/26791106/percutaneous-repair-technique-for-acute-achilles-tendon-rupture-with-assistance-of-kirschner-wire
#17
Ze-yang He, Ming-xiang Chai, Yue-ju Liu, Xiao-ran Zhang, Tao Zhang, Lian-xin Song, Zhi-xin Ren, Xi-rui Wu
The aim of this study is to introduce a self-designed, minimally invasive technique for repairing an acute Achilles tendon rupture percutaneously. Comparing with the traditional open repair, the new technique provides obvious advantages of minimized operation-related lesions, fewer wound complications as well as a higher healing rate. However, a percutaneous technique without direct vision may be criticized by its insufficient anastomosis of Achilles tendon and may also lead to the lengthening of the Achilles tendon and a reduction in the strength of the gastrocnemius...
November 2015: Orthopaedic Surgery
https://www.readbyqxmd.com/read/26697296/salvage-flexor-hallucis-longus-transfer-for-a-failed-achilles-repair-endoscopic-technique
#18
Sérgio Gonçalves, Rubén Caetano, Nuno Corte-Real
Flexor hallucis longus (FHL) transfer is a well-established treatment option in failed Achilles tendon (AT) repair and has been routinely performed as an open procedure. We detail the surgical steps needed to perform an arthroscopic transfer of the FHL for a chronic AT rupture. The FHL tendon is harvested as it enters in its tunnel beneath the sustentaculum tali; a tunnel is then drilled in the calcaneus as near to the AT footprint as possible. By use of a suture-passing device, the free end of the FHL is advanced to the plantar aspect of the foot...
October 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/26573897/treatment-of-ruptured-achilles-tendon-operative-or-non-operative-procedure
#19
COMPARATIVE STUDY
Fabijan Cukelj, Ante Bandalovic, Josip Knezevic, Arsen Pavic, Bozen Pivalica, Bore Bakota
PURPOSE: The aim of this study was to compare the efficiency of non-operative and surgical procedures in the treatment of ruptured Achilles tendon in athletes (professional and amateur). METHODS: Ninety professional or amateur athletes with rupture of the Achilles tendon were included in the study between 1998 and 2013. The athletes were aged between 25 and 40 years (mean 34.83±4.65). A total of 30 athletes underwent an open procedure, 30 were treated with a percutaneous method and 30 were treated non-operatively...
November 2015: Injury
https://www.readbyqxmd.com/read/26562210/the-effectiveness-of-open-repair-versus-percutaneous-repair-for-an-acute-achilles-tendon-rupture-a-critically-appraised-topic
#20
Heidi Krueger, Shannon David
There are two approaches available for surgical repair of the Achilles tendon: open repair, or percutaneous repair. However, there is controversy whether or not an open repair or percutaneous repair is superior. Focused Clinical Question: Which type of surgery is better in providing the best overall patient outcome, open or percutaneous repair, in physically active males and females with acute Achilles tendon ruptures? Summary of Search, "Best Evidence" Appraised and Key Findings: The literature was searched for studies of level 3 evidence or higher that investigated the effectiveness of open repair versus percutaneous repair on acute Achilles tendon ruptures in physically active males and females...
November 11, 2015: Journal of Sport Rehabilitation
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