Acute Achilles Tendon Repair

Porter, David A.; Barnes, Adam F.; Rund, Angela M.; Kaz, Ari J.; Tyndall, James A.; Millis, Andrew A.

doi:10.1177/1071100713514228

Cited by 16 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There have been many studies that have evaluated the success of operative and nonoperative treatment for ruptured Achilles tendons. Porter et al 14 recently evaluated operative repair of ruptured Achilles tendons at a minimum of 12 months postoperatively. Patients demonstrated decreased calf circumference, decreased plantar flexion strength, and equal dorsiflexion strength compared with the noninjured leg.…”

Section: Discussionmentioning

confidence: 99%

“… 6 , 20 However, differences can be seen in high-level athletes as it pertains to explosiveness when initiating running, as well as in other general lower extremity strength parameters. 5 , 14 According to a recent review of National Basketball Association (NBA) players in the United States who underwent Achilles tendon repair, these players do not return to their preinjury performance level, and their performance declines compared with controls. 1 There is also a higher rate of rerupture reported with nonoperative management (8.8% to 12.6%) compared with operative intervention (3.6%).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Trends in the Management of Achilles Tendon Ruptures in the United States Medicare Population, 2005-2011

Erickson

Cvetanovich

Nwachukwu

et al. 2014

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:Achilles tendon ruptures are one of the most commonly treated injuries by orthopaedic surgeons and general practitioners. Achilles tendon ruptures have classically been thought to affect the middle-aged “weekend warrior” participating in basketball, volleyball, soccer, or any other ground sport that requires speed and agility; however, with a more active elderly population, these tears are becoming more common in older patients.Purpose:To report trends in nonoperative and operative treatment of Achilles tendon tears in the United States from 2005 to 2011 in patients registered with a large Medicare database.Study Design:Descriptive epidemiological study.Methods:Patients who underwent nonoperative and operative treatment of Achilles tendon ruptures by either primary repair or primary repair with graft (International Classification of Diseases 9 [ICD-9] diagnosis code 727.67, Current Procedural Terminology [CPT] codes 27650 and 27652) for the years 2005 to 2011 were identified using the PearlDiver Medicare Database. Demographic and utilization data available within the database were extracted for patients who underwent nonoperative as well as operative treatment for Achilles tendon ruptures. Statistical analysis involved Student t tests, chi-square tests, and linear regression analyses, with statistical significance set at P < .05.Results:From 2005 to 2011, there were a total of 14,127 Achilles tendon ruptures. Of these, 9814 were managed nonoperatively, 3531 were treated with primary repair, and 782 were treated with primary repair with graft. The incidence of Achilles tendon increased from 0.67 per 10,000 in 2005 to 1.08 per 10,000 in 2011 (P < .01). There was no significant difference in the number of Achilles ruptures between males (6636) and females (7582) (P > .05). There was an increase in the overall number of Achilles tendon ruptures over time (1689 in 2005 compared with 2788 in 2011; P < .001) but no difference in the percentage of Achilles ruptures treated operatively (P > .05). Older patients were more likely to be treated nonoperatively (P < .05). No differences in operative versus nonoperative treatment were seen between yearly quarter (P > .05), sex (P > .05), or region (P > .05).Conclusion:The incidence of Achilles tendon ruptures is increasing with time, but the trend in operative and nonoperative treatment has not changed between 2005 and 2011. Older patients, especially those older than 85 years, are more likely to be treated nonoperatively. No differences in treatment patterns were seen based on sex, region, or yearly quarter.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Trends in the Management of Achilles Tendon Ruptures in the United States Medicare Population, 2005-2011

Erickson

Cvetanovich

Nwachukwu

et al. 2014

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…Deficits in multiple aspects of ankle muscle strength are common to ankle injuries [3], aging [4,5], and disease processes such as diabetic neuropathy [6][7][8], and can negatively impact performance of many functional tasks. Ankle strength can be used clinically to identify increased risk for movement impairments, falls, and progression of neuropathy [9,10] and as a marker of recovery during musculoskeletal rehabilitation after injury or surgical interventions [11,12]. While the ankle involves multiple joints and is therefore capable of complex triplanar motion, ankle strength assessments have focused primarily on plantarflexion (PF) and/or dorsiflexion (DF) in healthy [5,[13][14][15][16][17][18][19][20][21][22][23][24][25] and patient [1,2,6,7] populations.…”

Section: Introductionmentioning

confidence: 99%

3D strength surfaces for ankle plantar‐ and dorsi‐flexion in healthy adults: an isometric and isokinetic dynamometry study

Hussain

Law

2016

Journal of Foot and Ankle Research

View full text Add to dashboard Cite

BackgroundThe ankle is an important component of the human kinetic chain, and deficits in ankle strength can negatively impact functional tasks such as balance and gait. While peak torque is influenced by joint angle and movement velocity, ankle strength is typically reported for a single angle or movement speed. To better identify deficits and track recovery of ankle strength after injury or surgical intervention, ankle strength across a range of movement velocities and joint angles in healthy adults is needed. Thus, the primary goals of this study were to generate a database of strength values and 3-dimensional strength surface models for plantarflexion (PF) and dorsiflexion (DF) ankle strength in healthy men and women. Secondary goals were to develop a means to estimate ankle strength percentiles as well as examine predictors of maximal ankle strength in healthy adults.MethodsUsing an isokinetic dynamometer, we tested PF and DF peak torques at five joint angles (−10° [DF], 0° [neutral], 10° [PF], 20° [PF] and 30° [PF]) and six velocities (0°/s, 30°/s, 60°/s, 90°/s, 120°/s and 180°/s) in 53 healthy adults. These data were used to generate 3D plots, or “strength surfaces”, for males and females for each direction; surfaces were fit using a logistic equation. We also tested predictors of ankle strength, including height, weight, sex, and self-reported physical activity levels.ResultsTorque-velocity and torque-angle relationships at the ankle interact, indicating that these relationships are interdependent and best modeled using 3D surfaces. Sex was the strongest predictor of ankle strength over height, weight, and self-reported physical activity levels. 79 to 97 % of the variance in mean peak torque was explained by joint angle and movement velocity using logistic equations, for men and women and PF and DF directions separately.ConclusionsThe 3D strength data and surface models provide a more comprehensive dataset of ankle strength in healthy adults than previously reported. These models may allow researchers and clinicians to quantify ankle strength deficits and track recovery in patient populations, using angle- and velocity-specific ankle strength values and/or strength percentiles from healthy adults.Electronic supplementary materialThe online version of this article (doi:10.1186/s13047-016-0174-1) contains supplementary material, which is available to authorized users.

show abstract

Rehabilitation of Achilles tendon ruptures: is early functional rehabilitation daily routine?

Frankewycz

Krutsch

Weber

et al. 2017

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

Our study shows that a huge variability in rehabilitation after Achilles tendon rupture exists. This study shows different strategies in rehabilitation of Achilles tendon ruptures using a convertible vacuum brace system. To improve patient care, further clinical as well as biomechanical studies need to be conducted. This study might serve as basis for prospective randomized controlled trials to optimize rehabilitation for Achilles tendon ruptures.

show abstract

Acute Achilles Tendon Repair

Abstract: Level III, cohort study.

Cited by 16 publications

References 22 publications

Trends in the Management of Achilles Tendon Ruptures in the United States Medicare Population, 2005-2011

Trends in the Management of Achilles Tendon Ruptures in the United States Medicare Population, 2005-2011

3D strength surfaces for ankle plantar‐ and dorsi‐flexion in healthy adults: an isometric and isokinetic dynamometry study

Rehabilitation of Achilles tendon ruptures: is early functional rehabilitation daily routine?

Contact Info

Product

Resources

About