Midterm functional performance following open surgical repair of acute Achilles tendon rupture
TL;DR: In this paper, two different surgical techniques (anatomical repair and conventional repair) were compared in a sub-analysis to assess the functional performance at midterm following open surgical repair.
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Abstract: Various impairments such as soleus atrophy and consecutive functional deficits in end-range plantarflexion have been described in surgical repair of acute Achilles tendon rupture. The aim of this study was to assess the functional performance at midterm following open surgical repair. This cross-sectional study includes n = 52 patients which were tested on average 3.5 ± 1.4 years postoperatively using three different functional performance tests and patient-reported outcome measures. Two different surgical techniques (anatomical repair = AR vs. conventional repair = CR) were compared in a subanalysis. The testing included isokinetic strength testing, a novel setup of heel-rise testing using a marker-based 3D motion analysis system and a gait analysis. At an average 3.5 years post-surgery, there is a persisting deficit in plantarflexion strength of 10.2%. Moreover, analysis of maximum peak torque angle and strength deficits according to the plantarflexion angle revealed that these deficits are not equally distributed across the range of motion. AR results in a significantly smaller deficit at 10° of plantarflexion compared to CR (13.9 vs. 29.9%, p 3 years following Achilles tendon repair which range from strength deficits to specific impairments of functional performance e.g. during heel rise. Anatomical reconstruction is associated with an improved functional performance potentially due to a more symmetric strength during end-range plantarflexion which transfers into a higher satisfaction during athletic activities. III, retrospective cohort study
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Citations
Persistent Deficits after an Achilles Tendon Rupture: A Narrative Review
TL;DR: The available literature indicates that further research is highly warranted and that efforts to restore normal tendon length may improve the likelihood of returning to preinjury level after an Achilles tendon rupture.
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Operative versus conservative treatment of acute Achilles tendon ruptures: preliminary results of clinical outcome, kinematic MRI and contrast-enhanced ultrasound
Juana Kosiol,Alexander Keiler,Alexander Loizides,Hannes Gruber,Benjamin Henninger,Andreas Bölderl,Leonhard Gruber +6 more
TL;DR: In this article , the authors compare operative and conservative treatment regarding imaging findings and clinical outcome for acute Achilles tendon rupture and conclude that both, conservative and surgical treatment showed comparable outcomes in their preliminary results and may suggest noninferiority of a conservative approach.
Neuromechanical activation of triceps surae muscle remains altered at 3.5 years following open surgical repair of acute Achilles tendon rupture
TL;DR: In this article, the neuromuscular activation using surface EMG of n = 52 patients was assessed during a battery of functional performance tasks to assess potential alterations of muscular activation and recruitment.
Comparison of the Effects of Open Surgery and Minimally Invasive Surgery on the Achilles Tendon Rupture Healing Based on Angiogenesis
F Gong,Xiaoliang Li,Hanling Zhang,Jianke Wu,Guoxu Ma,Bowen Zhang,Jian-hua Gao,Yi Ding,Yonglu Huang,Su Chin Cheng,Xu Zhou,F Zhao +11 more
TL;DR: This research revealed the superiority of MS in Achilles tendon rupture treatment at the molecular level compared with OS or CT and exhibited best therapeutic efficiency on Achilles tendon ruptures healing, compared withOS or CT.
Learning curve of the Krackow suture technique for the repair of Achilles tendon rupture
Young Hwan Park,Woon Young Kim,Kyu Sun Jang,Tae Hoon Lee,Eui Dong Yeo,Gi Won Choi,Hak Jun Kim +6 more
TL;DR: In this article, the authors quantify the learning curve for the Krackow suture technique for the repair of Achilles tendon rupture and identify the correlation between the cumulative volume of cases and clinical outcome measures.
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TL;DR: Infection was four times more common after operative treatment compared with nonoperative treatment, re‐rupture rates were similar, and the incidence of Achilles tendon ruptures increased in all age groups over a 33‐year period.
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Stable Surgical Repair With Accelerated Rehabilitation Versus Nonsurgical Treatment for Acute Achilles Tendon Ruptures A Randomized Controlled Study
Nicklas Olsson,Karin Grävare Silbernagel,Bengt I. Eriksson,Mikael Sansone,Annelie Brorsson,Katarina Nilsson-Helander,Jon Karlsson +6 more
TL;DR: It is demonstrated that stable surgical repair with accelerated tendon loading could be performed in all patients without reruptures and major soft tissue–related complications, and this treatment was not significantly superior to nonsurgical treatment in terms of functional results, physical activity, or quality of life.
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