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Achilles tendon

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21 papers 500 to 1000 followers Injuries, diagnosing, treating
By Alex McKanna Podiatry Resident @ Franciscan Alliance/MWU based in Dyer, IN USA
Stephen M Suydam, Thomas S Buchanan, Kurt Manal, Karin Gravare Silbernagel
PURPOSE: The purpose of this study was to establish a relationship between the lengthening of the Achilles tendon post-rupture and surgical repair to muscle activation patterns during walking in order to serve as a reference for post-surgical assessment. METHOD: The Achilles tendon lengths were collected from 4 patients with an Achilles tendon rupture 6 and 12 months post-surgery along with 5 healthy controls via ultrasound. EMG was collected from the triceps surae muscles and tibialis anterior during overground walking...
March 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Jaclyn M Schwartz, Matrona Giakoumis, Alan S Banks
A large number of tendon repair techniques have been described for acute tendon injury. However, after reviewing the literature, it was noted that there were limited descriptions of specific suture techniques that address repair processes of chronic tendon pathology. Generally, in chronic tendinopathy, others have described a process known as tendon tubularization, which consists of a running stitch using a nonabsorbable suture material along the external surface of the tendon. We believe that leaving a nonabsorbable suture on the exterior surface of the tendon in this manner has the potential to disrupt the optimal gliding function...
January 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Kevin Willits, Annunziato Amendola, Dianne Bryant, Nicholas G Mohtadi, J Robert Giffin, Peter Fowler, Crystal O Kean, Alexandra Kirkley
BACKGROUND: To date, studies directly comparing the rerupture rate in patients with an Achilles tendon rupture who are treated with surgical repair with the rate in patients treated nonoperatively have been inconclusive but the pooled relative risk of rerupture favored surgical repair. In all but one study, the limb was immobilized for six to eight weeks. Published studies of animals and humans have shown a benefit of early functional stimulus to healing tendons. The purpose of the present study was to compare the outcomes of patients with an acute Achilles tendon rupture treated with operative repair and accelerated functional rehabilitation with the outcomes of similar patients treated with accelerated functional rehabilitation alone...
December 1, 2010: Journal of Bone and Joint Surgery. American Volume
Alexandra Soroceanu, Feroze Sidhwa, Shahram Aarabi, Annette Kaufman, Mark Glazebrook
BACKGROUND: Surgical repair is a common method of treatment of acute Achilles rupture in North America because, despite a higher risk of overall complications, it has been believed to offer a reduced risk of rerupture. However, more recent trials, particularly those using functional bracing with early range of motion, have challenged this belief. The aim of this meta-analysis was to compare surgical treatment and conservative treatment with regard to the rerupture rate, the overall rate of other complications, return to work, calf circumference, and functional outcomes, as well as to examine the effects of early range of motion on the rerupture rate...
December 5, 2012: Journal of Bone and Joint Surgery. American Volume
Kristoffer Weisskirchner Barfod, Jesper Bencke, Hanne Bloch Lauridsen, Ilija Ban, Lars Ebskov, Anders Troelsen
BACKGROUND: Dynamic rehabilitation has been suggested to be an important part of nonoperative treatment of acute Achilles tendon rupture that results in functional outcome and rerupture rates comparable with those of operative treatment. However, the optimal role of weight-bearing during early rehabilitation remains unclear. The purpose of this study was to compare immediate weight-bearing with non-weight-bearing in a nonoperative dynamic treatment protocol for Achilles tendon rupture...
September 17, 2014: Journal of Bone and Joint Surgery. American Volume
Lauren K Wood, Susan V Brooks
Increased tendon stiffness in response to mechanical loading is well established in young animals. Given that tendons stiffen with aging, we aimed to determine the effect of increased loading on tendons of old animals. We subjected 28-month-old mice to 10 weeks of uphill treadmill running; sedentary 8- and 28-month-old mice served as controls. Following training, plantaris tendon stiffness and modulus were reduced by approximately half, such that the values were not different from those of tendons from adult sedentary animals...
February 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Nicola Maffulli, Francesco Oliva, Angelo Del Buono, Antonietta Florio, Gayle Maffulli
PURPOSE: The purpose of this study was to compare outcomes of different minimally invasive techniques for reconstruction of Achilles tendon re-ruptures. METHODS: We prospectively enrolled 21 patients undergoing minimally invasive reconstruction using a transfer of the ipsilateral peroneus brevis (PB) (five patients) or the free ipsilateral semitendinosus tendon (ST) graft with or without interference screw fixation (ten and six patients, respectively). We assessed the maximum calf circumference and isometric plantar flexion strength before surgery and at the last follow up...
April 2015: International Orthopaedics
Raymond Y Hsu, Scott VanValkenburg, Altug Tanriover, Christopher W DiGiovanni
This article summarizes the various alternatives for direct gastrocnemius lengthening and elucidates the relative strengths and tradeoffs of each as a means of providing balanced perspective in selecting the appropriate procedure for any given patient.
December 2014: Foot and Ankle Clinics
Cem Zeki Esenyel, Cagri Tekin, Murat Cakar, Kursat Bayraktar, Selcuk Saygili, Meltem Esenyel, Zeynep N Tekin
BACKGROUND: The purpose of this study was to report the management and outcomes of ten patients with chronic Achilles tendon rupture treated with a turndown gastrocnemius-soleus fascial flap wrapped with a surgical mesh (Hyalonect). METHODS: Ten men with neglected Achilles tendon rupture were treated with a centrally based turndown gastrocnemius fascial flap wrapped with Hyalonect. Hyalonect is a knitted mesh composed of HYAFF, a benzyl ester of hyaluronic acid...
September 2014: Journal of the American Podiatric Medical Association
Yael Milgrom, Charles Milgrom, Talya Altaras, Opher Globus, Ehud Zeltzer, Aharon S Finestone
BACKGROUND: Whether the human Achilles tendon undergoes hypertrophic changes as measured by an increase in cross-sectional area, in response to endurance training exercise remains in question. We investigated the hypothesis that transition from civilian life through 6 months of elite infantry training would induce adaptive Achilles tendon hypertrophy. METHODS: Seventy-two new elite infantry recruits had the cross-sectional area of their Achilles tendons measured at a point 2...
December 2014: Foot & Ankle International
Gregory C Berlet, Christopher F Hyer, Thomas H Lee, Barbara E Blum
Early motion of a repaired Achilles tendon has been accepted to improve both clinical and biomechanical outcomes. It has been postulated that augmenting a primary Achilles tendon repair with a collagen ribbon will improve the repair construct's initial strength, thereby facilitating early motion. The purpose of the present study was to compare the failure load of Achilles tendon defects repaired with suture, with or without augmentation with a collagen ribbon. Ten matched pairs of cadaveric feet and tibiae underwent simulated Achilles tendon tear in the watershed area and were then repaired with 4-strand Krackow sutures only or were sutured and augmented with a box weave collagen ribbon xenograft...
May 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Steven K Neufeld, Daniel C Farber
The Achilles tendon is the strongest tendon in the human body and, as such, has its share of problems. Although many conditions affecting this tendon can be treated nonoperatively, surgical intervention is often necessary. Local, regional, distant, and allograft tendon can be used to supplement or enhance reconstruction or repair of the Achilles tendon. Specific techniques are explored and described and the published results from the literature summarized. This article explores the use of tendon transfers and supplementation in the treatment of insertional and noninsertional Achilles tendinosis as well as in cases of neglected or chronic ruptures of the tendoachilles...
March 2014: Foot and Ankle Clinics
Keitaro Kubo, Toshihiro Ikebukuro
PURPOSE: Recent studies using ultrasonography have demonstrated that training-induced changes in the mechanical properties of tendons in plantar flexors (i.e., Achilles tendon) are lower than those in knee extensors (i.e., patellar tendon). However, the mechanisms for these phenomena are unknown. The purpose of this study was to compare changes in blood circulation of patellar and Achilles tendons by repeated muscle contractions and heating. METHODS: Eleven healthy males participated in this study...
November 2012: Medicine and Science in Sports and Exercise
Nicola Maffulli, Filippo Spiezia, Ernesto Pintore, Umile Giuseppe Longo, Vittorino Testa, Giovanni Capasso, Vincenzo Denaro
BACKGROUND: Chronic tears of the Achilles tendon can result in substantial loss of function. Those tears with a tendon gap of up to 6.5 cm can be treated surgically with use of an autologous peroneus brevis tendon graft. METHODS: At an average follow-up period of 15.5 years after the surgery, we examined sixteen of twenty-two patients who had undergone peroneus brevis tendon graft reconstruction for a chronic Achilles tendon tear. Clinical and functional assessment was performed...
May 16, 2012: Journal of Bone and Joint Surgery. American Volume
Suan Cheng Tan, Otto Chan
PURPOSE: Achilles and patellar tendinopathy cause significant morbidity in professional and recreational athletes. Both the Achilles and patellar tendons are weight-bearing tendons that lack a true tendon sheath but are surrounded by paratenon. METHOD: A review of the literature to outline the characteristics of tendinopathy in these two tendons, and to discuss current concepts of pathophysiology, use of imaging in the diagnosis and aid to clinical management strategies in tendinopathy...
2008: Disability and Rehabilitation
Bryan D Den Hartog
A technique similar to the one described by Hansen for reconstruction of chronic Achilles tendinosis using the flexor hallucis longus (FHL) tendon was used in 26 patients (29 tendons). Follow-up on all 26 patients (mean age 51.3 years) is provided with an average follow-up 35 months (range, 12 to 58 months). All patients were evaluated postoperatively to assess pain, function, and alignment of the ankle and hindfoot. The AOFAS Foot Ratios for the ankle and hindfoot (total of 100 points) was used. Time to maximum improvement was 8...
March 2003: Foot & Ankle International
Marilyn L Yodlowski, Arnold D Scheller, Lampros Minos
BACKGROUND: Initial nonoperative treatment of pain at the Achilles tendon, often referred to as "tendinitis," is not always successful. HYPOTHESIS: Surgical treatment is effective for patients with insertional tendinitis unrelieved by nonoperative measures. STUDY DESIGN: Retrospective cohort study. METHODS: Thirty-five patients (41 feet) who had painful Achilles tendon syndrome unrelieved by 6 months of nonoperative measures were treated surgically...
May 2002: American Journal of Sports Medicine
H Tatari, C Kosay, O Baran, O Ozcan, E Ozer
The purpose of this study was to examine the pathological changes in the Achilles tendon and its paratenon after intratendinous corticosteroid injections and to reveal the effects of this drug on healthy tendon. We also sought for the effects of these injections compared with compression with a clamp on the Achilles tendons of the rats. Fifty-two Achilles tendons in 26 male Wistar rats were included in the study. Betamethasone injections were applied to the left tendons at different intervals, while the right tendons served for compression with mosquito clamps for varied periods...
June 2001: Archives of Orthopaedic and Trauma Surgery
I Shrier, G O Matheson, H W Kohl
OBJECTIVE: The use of local corticosteroid injections for the treatment of Achilles tendonitis is controversial. Some authors advocate their use based on efficacy in accelerating the healing process of Achilles tendonitis; others feel the associated side effects should preclude their use altogether. The purpose of this study was to comprehensively review and critically appraise the available literature in order to examine the evidence concerning this clinical dilemma. DATA SOURCES: MEDLINE was searched using MeSH and textwords for English- and French-language articles related to Achilles tendonitis and corticosteroids published since 1966...
October 1996: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
H Kvist, M Kvist
The conservative management of chronic calcaneal paratenonitis is time-consuming and often unsatisfactory. A new, safe and simple technique is described. The crural fascia on both sides of the tendon is incised and left open, adhesions around the tendon are trimmed away, the strongly hypertrophied portions of the paratenon are removed and mobilisation is begun immediately after operation. Between 1961 and 1978 201 such operations were performed on 182 patients 62 of whom were top-ranking Finnish athletes. Only five patients were not athletes...
August 1980: Journal of Bone and Joint Surgery. British Volume
2014-10-21 22:34:19
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