Achilles tendon reattachment after surgical treatment of insertional tendinosis using the suture bridge technique: a case series

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Bryan L Witt, Christopher F Hyer

Abstract

Achilles tendinopathy is a clinical diagnosis characterized as a triad of symptoms including pain, swelling, and impaired performance of the diseased tendon. Achilles tendinopathy is divided into Achilles tendonitis and tendinosis based on histopathological examination. Achilles tendinosis is viewed microscopically as disorganized collagen, abnormal neovascularization, necrosis, and mucoid degeneration. Insertional Achilles tendinosis is a degenerative process of the tendon at the junction of the tendon and calcaneus. This disease is initially treated conservatively with activity modification, custom orthotic devices, heel lifts, and immobilization. After 3 to 6 months of conservative therapy has failed to alleviate symptoms, surgical management is indicated. Surgical management of insertional Achilles tendinosis includes Achilles tendon debridement, calcaneal exostosis ostectomy, and retrocalcaneal bursa excision. In this case series, we present 4 patients who underwent surgical management of insertional Achilles tendinosis with complete tendon detachment. All patients underwent reattachment of the Achilles tendon with the suture bridge technique. The Arthrex SutureBridge(®) (Arthrex, Inc., Naples, FL) device uses a series of ...Continue Reading

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Citations

Oct 3, 2014·Arthroscopy Techniques·James H LubowitzBrian Gilmer
Dec 26, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Craig T Gillis, Jason S Lin
May 23, 2014·Scandinavian Journal of Medicine & Science in Sports·J HuH Lu
Oct 7, 2016·Arthroscopy Techniques·Ahmad M Wagih, Ahmed M F Elguindy
Aug 25, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Paul A ByrneGordon M Mackay
Oct 23, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Sean Lai Wei HongGowreeson Thevendran
Sep 21, 2016·The Journal of Medical Investigation : JMI·Kazuaki MinetaKoichi Sairyo
Sep 17, 2014·The American Journal of Sports Medicine·Joseph T CoxRichard T Laughlin
Nov 15, 2017·Foot & Ankle Specialist·Stephanie A BodenJason T Bariteau
Jan 18, 2018·Foot & Ankle Specialist·Zachary L McBethJustin Robbins
Jun 19, 2020·BMJ Open Sport & Exercise Medicine·Håkan Alfredson, Christoph Spang
May 2, 2014·Journal of Orthopaedic Surgery·Heng An LinWilliam Yeo
Feb 13, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Ronny LopesOlivier Boniface
Feb 12, 2020·Singapore Medical Journal·Navin Kuthiah, Chaozer Er
Mar 23, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Olivier Boniface, Thomas Vervoort
Mar 23, 2021·Clinics in Podiatric Medicine and Surgery·Eric A BarpZachary J Bliek
May 25, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Amol SaxenaAlanna Wahl
Jun 11, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·John M ThompsonMark Prissel

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