Functional outcomes and return to sports after surgical treatment of insertional Achilles tendinopathy: Surgical approach tailored to the degree of tendon involvement

Orthopaedics & Traumatology, Surgery & Research : OTSR
Alexandre HardyF Khiami

Abstract

Insertional Achilles tendinopathy is a generic term that encompasses several types of ailments. While conservative treatment is less effective than for conditions isolated to the tendon body, there is no consensus as to the best type of surgical care. Surgical treatment for insertional Achilles tendinopathy that is tailored to the severity of the tendon involvement will lead to satisfactory functional outcomes. Forty-six patients were included with an average age of 44.1±11.4 years and a mean preoperative AOFAS score of 62.2±11.7. The mean duration of symptoms before the surgery was 33.1±24 months. The inclusion criteria were pain at the tendon insertion and failure of at least 6 months of conservative treatment. Tendon involvement was evaluated preoperatively using MRI and confirmed intraoperatively after debridement. The primary treatment in all patients was resection of the calcaneal abnormality. Depending on the degree of tendon involvement, debridement or detachment/reattachment were also performed. The minimum follow-up was 12 months. The mean follow-up was 33±13.5 months. None of the patients were lost to follow-up. The mean AOFAS score was 93.7±7.3 at the last follow-up. The ATRS and VISA-A scores were 89.2±4.1 and 89±3...Continue Reading

Citations

Aug 21, 2020·Foot & Ankle International·Hubert HörtererHans Polzer
Aug 9, 2020·International Orthopaedics·Andrea CusumanoValerio Sansone
Feb 9, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Mirco Lo PrestiStefano Zaffagnini
Mar 9, 2021·The Journal of International Medical Research·Changgui ZhangXiaojun Duan
Apr 4, 2021·Journal of Controlled Release : Official Journal of the Controlled Release Society·Sandra Ruiz-AlonsoJose Luis Pedraz
Jun 23, 2021·Foot & Ankle International·Hubert HörtererSebastian Felix Baumbach
Jul 13, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Joseph WolfMary Coffey
Dec 18, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Michele AbateVincenzo Salini

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