Efficacy of Achilles Suture Bridge Technique for Insertional Achilles Tendinosis in an Obese and Athletic Patient

Mineta, Kazuaki; Suzue, Naoto; Matsuura, Tetsuya; Sairyo, Koichi

doi:10.2152/jmi.63.310

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…At last, more and more patients in modern day society required to return to their original jobs and life as soon as possible. The double row suture bridge can facilitate their postoperative recovery, especially for those with high BMI or active activity [24, 25]. Due to the nature of the double-row suture, applying a cast below the knee is sufficient postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Central Tendon-Splitting Approach and Double Row Suturing for the Treatment of Insertional Achilles Tendinopathy

Zhuang

Yang

Chhantyal

et al. 2019

BioMed Research International

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Background. To assess the clinical outcomes of central tendon-splitting approach and double row anchor suturing for the treatment of insertional Achilles tendinopathy. Methods. 28 patients (28 feet) diagnosed with insertional Achilles tendinopathy were included in this study. The inclusions were symptom of hindfoot pain around the insertion of the Achilles tendon, radiographic demonstration of calcification, or degeneration of the Achilles tendon, showing no symptom improvement even after standard nonsurgical treatment for more than six months. The X-ray revealed that patients had obvious posterior superior calcaneal exostosis with the possibility of friction with the Achilles tendon or intratendinous calcification. Surgical correction by the central tendon-splitting approach and double row Achilles tendon suturing was performed. The ankles were immobilized with plaster for four weeks postoperatively. The American Orthopaedic Foot and Ankle Society (AOFAS) score and visual analogue score (VAS) were assessed preoperatively and at 2 years postoperatively. At final follow-up, the Manchester-Oxford Foot Questionnaire (MOXFQ) as patient-reported outcome measures (PROMs) was also evaluated. Results. No complication, including postoperative wound infection and tendon rupture, was not found. All the patients resumed their daily activities with no high level of daily activities, such as jumping and jogging after 6 weeks postoperatively. 27 patients were available for follow-up for at least 2 years, while only one patient was lost to follow-up. At postoperative 2 years, the postoperative AOFAS score increased significantly, while the VAS score decreased statistically when compared with preoperative values. At final follow-up, 24 patients had complete alleviation of pain, whereas the remaining 3 patients complained of mild heel pain after walking for a long time. The MOXFQ score showed obvious relief of previous symptoms for all included cases. Conclusions. Central tendon-splitting approach and double row Achilles tendon suture provide excellent intraoperative visual field, larger tendon-bone contact area, and stronger pullout strength and, thus, facilitate early rehabilitation. It can be a safe and effective method for the treatment of insertional Achilles tendinopathy.

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Section: Discussionmentioning

confidence: 99%

Central Tendon-Splitting Approach and Double Row Suturing for the Treatment of Insertional Achilles Tendinopathy

Zhuang

Yang

Chhantyal

et al. 2019

BioMed Research International

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“…J Foot Ankle. 2021;15(1): [8][9][10][11][12][13] The double-row technique was developed to produce greater stability of the tendon insertion and allow earlier rehabilitation without increasing the complication rate (18,19) . However, the single-row method also has good functional results and a low rate of complications.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of single-vs. double-row technique in surgical treatment of insertional Achilles tendinopathy

Maciel¹,

Castilho

Baumfeld

et al. 2021

J Foot Ankle

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Objective: This retrospective study compared the clinical and functional results of single- and double-row surgical techniques for insertional Achilles tendinopathy in the postoperative period. Methods: In this case series, 29 patients who underwent surgery with one of the two techniques were followed up for one year postoperatively. Data were collected from medical records, imaging exams, and visual analog scale (VAS), Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire, 12-item Short Form Health Survey (SF-12), and Foot and Ankle Ability Measure (FAAM) scores. Results: The following mean values (5% significance level) were found for single- and double-row techniques, respectively: postoperative VAS (2.9/2.2), FAAM-ADL (71.9/74.4), FAAM-Sports (28.3/29.8), SF-12 physical component (45.2/47.0), SF-12 mental component (44.9/48.2), and VISA-A (72.1/75.9). The complication rate did not differ significantly between the techniques. Conclusion: No significant differences were found in any of the scores between the two surgical techniques. Level of Evidence III; Therapeutic Studies, Comparative Retrospective Study.

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“…For patients electing to undergo operative intervention, we present an augmentation technique that may be performed with distal Achilles tendon ruptures, insertional Achilles tendinitis, Achilles tendon repair status post-Haglund resection, and as an augment to the SpeedBridge Achilles tendon repair technique. 5 We propose a modified Achilles rip-stop technique that incorporates the use of FiberWire stay sutures into an Achilles tendon repair to provide a further point of fixation and an additional barrier to failure.…”

mentioning

confidence: 99%

Achilles Tendon Rip-Stop SpeedBridge Repair

Hoffman

Gupta

Amesur

et al. 2021

Arthroscopy Techniques

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Achilles tendon injuries have been on the rise secondary to our increased participation in sports, increase in societal obesity rates, and the growing elderly population. There has been disagreement in recent years about whether to treat injuries such as Achilles tendon ruptures operatively or nonoperatively with aggressive functional rehabilitation. For those opting to surgically manage Achilles tendon ruptures, insertional Achilles tendonitis, or augment the described SpeedBridge Achilles tendon repair, we propose a modified rip-stop technique. The goal of this technique is to provide a biomechanical advantage to our current operative interventions for these injuries, a greater load-to-failure and a speedier, more reliable return to sport in our athletic populations.

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Efficacy of Achilles Suture Bridge Technique for Insertional Achilles Tendinosis in an Obese and Athletic Patient

Cited by 6 publications

References 15 publications

Central Tendon-Splitting Approach and Double Row Suturing for the Treatment of Insertional Achilles Tendinopathy

Central Tendon-Splitting Approach and Double Row Suturing for the Treatment of Insertional Achilles Tendinopathy

A comparative study of single-vs. double-row technique in surgical treatment of insertional Achilles tendinopathy

Achilles Tendon Rip-Stop SpeedBridge Repair

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