scholarly journals Achilles tendon tear

2008 ◽  
Author(s):  
Daniel Bell ◽  
Frank Gaillard
Keyword(s):  
Achilles Tendon ◽  
Tendon Tear

Results of Reinsertion of the Distal Achilles Tendon

2018 ◽  
Vol 157 (03) ◽  
pp. 246-253 ◽  
Author(s):  
Heinz Lohrer
Keyword(s):  
Achilles Tendon ◽  
Long Term Outcomes ◽  
Heel Spur ◽  
Tendon Tear ◽  
Double Row ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Tendon Tears

Abstract Background Reattachment of the distal Achilles tendon to the posterior calcaneus following distal Achilles tendon tears/avulsions or after excision of large posterior heel spurs is a challenging task for the orthopaedic surgeon. Patients/Material and Methods Between 2005 and the end of 2015, 22 patients who underwent repair/reconstruction of a lesion of the distal Achilles tendon were identified from our electronic records. Calcaneal reinsertions were performed following distal Achilles tendon tears/avulsions (n = 15) or following excision of a large symptomatic posterior heel spur (n = 7). The respective outcome was evaluated comparatively using the VISA-A – G (Victorian Institute of Sports Assessment-Achilles tendon, German version) questionnaire (100 = maximum). Data were collected preoperatively (n = 11/22), and prospectively at three, six, and 12 months postoperatively (n = 5 – 11/22). Two further retrospective follow-ups were performed 12 – 114 and 21 – 149 months postoperatively (n = 17/22 and 22/22, respectively). All data were analysed retrospectively. Complications were searched from the electronic files. Results Transosseous sutures and different anchor techniques (Panalok®, Corkscrew®, SpeedBridge®) were generally performed. Preoperatively, the VISA-A – G score was 27.3 ± 13.5 (6 – 45) following distal Achilles tendon reinsertions for avulsions and 45.3 ± 49.0 (0 – 100) when reattachment was performed after resection of a large posterior heel spur (p = 0.831). At the final follow-up, VISA-A – G values were 89.4 ± 13.9 (54 – 100) following distal Achilles tendon tear/avulsion and 82.5 ± 24.5 (51 – 100), when Achilles tendons were reattached after posterior heel spur excisions (p = 0.969). There were no complications in the “heel spur group”. In the Achilles tendon tear/avulsion group, four out of seven patients with Panalok® repairs developed a fistula. One patient suffered a thromboembolism. None of these complications affected the long-term outcome. Conclusions This study demonstrates good long-term outcomes after distal Achilles tendon reinsertion. Knotless double row anchor repair provides a greater area of compression, simplifies and standardises the repair/reconstruction, and provides safety against fistula. These implants are therefore recommended for safe and effective reattachment of the distal Achilles tendon.

The Potential Role of Human Derived Amniotic Membrane Graft in The Repair of Induced Tendon Tear in Adult Male Albino Rat: Histological Study

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Dalia Ahmed Yousef Yehia ◽  
Somaya Abd Al Aleem Mohammed ◽  
Gehan Khalaf Megahed ◽  
Nevine Bahaa El din Mohamed Soliman
Keyword(s):  
Achilles Tendon ◽  
Adult Male ◽  
Amniotic Membrane ◽  
Treated Group ◽  
Human Amniotic Membrane ◽  
Tendon Tear ◽  
Group Iii ◽  
Tendon Tears ◽  
Group Ii

Abstract Introduction Achilles tendon tears cause severe impairment in patient mobility and productivity, causing significant reduction in the quality of life. Many complications are associated with the tendon healing process such as peritendinous adhesions and excessive fibrotic scars. Unsatisfactory results appeared with the existing medical and surgical treatments to regain full tendon structure and function. Amniotic membrane is avascular, and characterized by low immunogenicity, anti-inflammatory, antiscarring properties. These criteria render it as a natural biological substitute and a novel therapeutic alternative for tendon tears. Aim: The aim of the work was to study the effect of human amniotic membrane graft application on the repair of induced Achilles tendon tear. Material and methods Fresh human amniotic membrane (AM) grafts were prepared from harvested human full-term caesarian sections-delivered placentas. Thirty adult male albino rats were divided into 3 equal groups (n = 10); group I (control group), group II (tendon tear group) and group III (AM treated group). After anesthesia, a full thickness transverse incision was induced in the rat right Achilles tendons of group II and III. Human derived amniotic membrane graft measuring 1 cm2 was applied circumferentially on the tendon tear in group III. Rats were sacrificed after 28 days. Results After the tendon tear, the untreated group (II) showed gradual accumulation of fat cells replacing the collagen bundles in focal areas. Areas of mononuclear cellular infiltration were demonstrated. The AM-treated group showed many thick parallel regularly arranged collagen fibers with a significant increase in the collagen fibers area percentage. It also showed apparent increase in tenoblasts with regular organization and apparent decrease of mononuclear inflammatory cells. Conclusion This study demonstrated the potential therapeutic role of the application of human amniotic membrane grafts in the repair of Achilles tendon tears, suggesting a future alternative therapy for patients suffering from Achilles tendon tears.

Platelet-rich plasma therapy as a first-line treatment for severe Achilles tendon tear: a case report

2011 ◽  
Vol 18 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Steven Sampson ◽  
Danielle Aufiero ◽  
Michael Meng ◽  
Anthony Bledin ◽  
Terry Gillette ◽  
...  
Keyword(s):  
Case Report ◽  
Achilles Tendon ◽  
Platelet Rich Plasma ◽  
Line Treatment ◽  
First Line ◽  
Tendon Tear ◽  
Plasma Therapy ◽  
First Line Treatment

Chronic Tibialis Anterior Tendon Tear Treated With an Achilles Tendon Allograft Technique

Orthopedics ◽  
2013 ◽  
Vol 36 (11) ◽  
pp. 850-853 ◽  
Author(s):  
Ezequiel Palmanovich ◽  
Yaron S. Brin ◽  
Lior Laver ◽  
Dror Ben David ◽  
Sabri Massrawe ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tibialis Anterior ◽  
Tendon Tear ◽  
Tibialis Anterior Tendon ◽  
Tendon Allograft ◽  
Achilles Tendon Allograft

The Clinical Diagnosis of Subcutaneous Tear of the Achilles Tendon

1998 ◽  
Vol 26 (2) ◽  
pp. 266-270 ◽  
Author(s):  
Nicola Maffulli
Keyword(s):  
Achilles Tendon ◽  
Clinical Diagnosis ◽  
Achilles Tendon Rupture ◽  
Clinical Test ◽  
Tendon Tear ◽  
Predictive Values ◽  
Significant Difference ◽  
High Positive Predictive Value ◽  
Test Specificity ◽  
Sensitivity Specificity

A study to determine the sensitivity, specificity, and positive and negative predictive values of several clinical diagnostic tests of subcutaneous Achilles tendon rupture was performed during a 13-year period. There were 174 patients with clinical diagnosis of unilateral complete subcutaneous Achilles tendon tear and 28 patients with unilateral suspected but no actual Achilles tendon tear. The following tests were used: palpation, calf squeeze, Matles, Copeland, and O'Brien. Palpation of the gap was the least sensitive clinical test with the patient awake (0.73), increasing to 0.81 when the test was performed under anesthesia; the Copeland and O'Brien tests showed a sensitivity of 0.8. Both the calf squeeze and Matles tests were significantly more sensitive than the other tests (0.96 and 0.88, respectively; 0.022 P 0.05). All tests showed a high positive predictive value, with no statistically significant difference between the various tests. In the 28 patients with no evidence of a subcutaneous Achilles tendon tear on imaging, the tests showed a high capability to detect that the Achilles tendon was intact (gap palpation specificity, 0.89; calf squeeze test specificity, 0.93; Matles test specificity, 0.85). Whichever tests were performed, at least two of them were positive for a subcutaneous tear of the Achilles tendon in all patients in this study.

Achilles tendon tear following shock wave therapy for calcific tendinopathy of the Achilles tendon: A case report

2012 ◽  
Vol 13 (3) ◽  
pp. 189-192 ◽  
Author(s):  
Tsung-Ching Lin ◽  
Cheng-Yuan Lin ◽  
Cheng-Liang Chou ◽  
Cheng-Ming Chiu
Keyword(s):  
Shock Wave ◽  
Case Report ◽  
Achilles Tendon ◽  
Shock Wave Therapy ◽  
Tendon Tear ◽  
Calcific Tendinopathy

scholarly journals Achilles tendon tear

2021 ◽  
Author(s):  
Maulik Patel
Keyword(s):  
Achilles Tendon ◽  
Tendon Tear

scholarly journals MR Imaging of the Achilles Tendon after Surgical Repair

2017 ◽  
Vol 11 (1) ◽  
pp. 697-703 ◽  
Author(s):  
Kwok Fai Tam ◽  
Tun Hing Lui
Keyword(s):  
Achilles Tendon ◽  
Surgical Repair ◽  
Healing Process ◽  
Scar Tissue ◽  
Tendon Tear ◽  
The Status ◽  
Healing Phase ◽  
Magnetic Resonance Imaging Mri ◽  
Tendon Remodeling ◽  
Early Healing

Achilles tendon tear is common and increasingly frequent. Magnetic resonance imaging (MRI) is the modality of choice for radiological evaluation. It is accurate to assess the status and integrity of the tendon with well documented features. In this article, the MR findings of a normal Achilles tendon as well as common diseases like insertional and noninsertional tendinosis, chronic tendinosis with marked lengthening, tendon rupture are illustrated. After a torn Achilles tendon receives surgical repair, it undergoes different stages of healing process including inflammatory, reparative and remodeling phases. Acute scar tissue in the surgical bed may share similar MR features of tendon re-rupture especially in the early healing phase because both are T2W hyperintense. The size of the gap may even appear larger than expected on T2W images possibly due to tendon remodeling. Understanding of the healing process in post-operative period may prevent overestimation of tendon gap and misdiagnosis of re-tear. We describe the MR features of the post-operative changes with serial studies in different months after surgery. The MR findings with the highlights of the expected sequential changes in normal healing process are illustrated in different cases. A case with surgical repair on a partial tear of Achilles tendon is also included.

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