Augmented Repair of Achilles Tendon Ruptures

Fernández-Fairén, Mariano; Gimeno, Carlos

doi:10.1177/036354659702500206

Cited by 38 publications

(36 citation statements)

References 23 publications

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“…Six studies did not report patient sex[38,61,75,85,102,126] and five studies did not report patient age[45,62,73,75,80]. Eighty-five of the studies reported RTP measure (RTP methodology sub-group 1) and 23 were classified as lacking RTP measure (methodology sub-group 2).…”

Section: Resultsmentioning

confidence: 99%

Return to play post-Achilles tendon rupture: a systematic review and meta-analysis of rate and measures of return to play

2016

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Aim This systematic review and meta-analysis sought to identify return to play (RTP) rates following Achilles tendon rupture and evaluate what measures are used to determine RTP. Design Systematic review and meta-analysis. Studies were assessed for risk of bias and grouped based on repeatability of their measure of RTP determination. Data Sources PubMed, CINAHL, Web of Science, and Scopus databases were searched to identify potentially relevant articles. Eligibility criteria for selecting studies Studies reporting return to play/sport/sport activity in acute, closed Achilles tendon rupture were included. Results A total of 108 studies encompassing 6,506 patients were included for review. Eighty-five studies included a measure for determining RTP. The rate of RTP in all studies was 80% (CI95%: 75 – 85%). Studies with measures describing determination of RTP reported lower rates than studies without metrics described, with rates being significantly different between groups (p < 0.001). Conclusions Eighty percent of patients returned to play following Achilles tendon rupture, however, the return to play rates are dependent on the quality of the method used to measure RTP. To further understand RTP after Achilles tendon rupture, a standardised, reliable, and valid method is required.

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Section: Resultsmentioning

confidence: 99%

Return to play post-Achilles tendon rupture: a systematic review and meta-analysis of rate and measures of return to play

2016

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“…Surgical techniques include simple end-to-end suture [1,2,16,17,19] and several procedures for augmented reconstruction. [5,13,22] Augmented reconstruction, initially developed for chronic or neglected ruptures, is now also used for acute ruptures by some authors [22]. Simple end-to-end suture is easier and can be performed through a more limited approach [2,16].…”

Section: Introductionmentioning

confidence: 99%

Augmented repair of acute Achilles tendon ruptures using gastrocnemius-soleus fascia

Garabito

Martinez-Miranda

Sánchez-Sotelo

2004

International Orthopaedics (SICOT)

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Fifty-four consecutive acute Achilles tendon ruptures were treated with end-to-end suture augmented with gastrocnemius fascial flaps. Surgery was performed within 24 h. Mean patient age was 35 (23-57) years, and 46 were men. Mean follow-up time was 4.8 (2-8) years. At follow-up, the mean visual analogue scale for pain was 0.49, and the mean AOFAS ankle-hindfoot score was 95 (74-100) points. Fifty-three patients were able to stand on their tiptoes for 30 s and perform repeated toe raises, and 50 patients were able to perform single-limb hopping. Complications included rerupture in one case, deep infection in three cases, delayed wound healing in eight cases, and deep venous thrombosis in one case. Reconstruction of acute ruptures of the Achilles tendon augmented with gastrocnemius-soleus fascial flaps provided a good outcome but was associated with a high complication rate.Résumé Cinquante-quatre ruptures récentes, consécu-tives, du tendon d'achille ont été traitées par suture bout à bout augmentée par un lambeau fascial du muscle jumeau. La chirurgie a été exécutée dans les vingt-quatre heures suivant la rupture. L'âge moyen des malades était de 35 ans (23-57) et 46 étaient de sexe masculin. Le temps de suivi moyen était de 4,8 ans (2-8). Au dernier examen la cotation visuelle moyenne pour la douleur était 0,49 et le score moyen de cheville AOFAS était de 95 points (74-100). Cinquante-trois malades étaient capables de se tenir sur la pointe des pieds trente secondes et d'exécuter des extensions d'orteils répétées, et 50 malades étaient capables d'exécuter un sautillement monopodal. Les complications ont été une rupture itérative dans un cas, une infection profonde dans trois cas, un retard de cicatrisation cutanée avec évolution favorable dans huit cas, et une thrombose veineuse profonde dans un cas. La reconstruction des ruptures récentes du tendon d'achille avec utilisation d'un lambeau du fascia des jumeaux a fourni un bon résultat mais avec un taux élevé de complications.

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“…Options include V-Y sliding tendinous flaps as in this case, 1 tendon transfer or augmentation with Plantaris, Flexor hallucis longus, 10,11 Peroneus longus 5 or Flexor Digitorum longus tendons, 7 or synthetic replacements. 3,4 In conclusion, this case reports an unusual cause to an uncommon injury in this country and highlights the importance of clinical suspicions from diagnostic signs against an otherwise unremarkable history.…”

Section: Discussionmentioning

confidence: 63%