MR Imaging of the Achilles Tendon after Surgical Repair

Tam, Kwok Fai; Lui, Tun Hing

doi:10.2174/1874325001711010697

Cited by 16 publications

(25 citation statements)

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“…Previous studies on the clinical efficacy of Achilles tendon lengthening were mainly based on functional follow-ups and scores, and lacked direct imaging observation. MRI is a good tool in the healing process observation and postoperative rehabilitation [23, 24]. Achilles tendon shows hypointense signal on all imaging sequences [25].…”

Section: Discussionmentioning

confidence: 99%

Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture

Lin

Cao

Zhang

et al. 2019

BioMed Research International

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Background Both percutaneous Achilles tendon lengthening by triple hemisection and the traditional open Z-lengthening are effective methods for Achilles tendon contracture. This study aims to evaluate the efficacy and safety of this new therapeutic method, which is based on the percutaneous sliding technique with three hemi-cuts in the tendon, as compared with the traditional open Z-lengthening. Methods Retrospective analysis of the Achilles tendon contracture cases in our hospital between January 2010 and September 2016 was conducted. Twenty-five cases received percutaneous Achilles tendon lengthening (group A), and 30 patients who underwent open Z-lengthening during the same period were in the control group (group B). Operative time and hospital stay were statistically analyzed. Incision complication, equinus recurrence rate and Achilles tendon rupture morbidity were recorded. The function was assessed by American Orthopaedic Foot & Ankle Society (AOFAS) score. All cases in group A received Magnetic Resonance Imaging (MRI) of ankle preoperatively and in the follow-ups. Results The mean follow-up period was 42.04 months in group A and 61.7 months in group B. The entire operative time and the mean hospitalization days were lower in group A than in group B. No incision and infection complication occurred in group A. The infection rate in group B was 3.3%. Equinus recurrence rate was 4% in group A and the equinus recurrence rate in group B was 21.4%. In group A, the mean AOFAS score increased from 64 ± 10.16 points preoperatively to 96.08 ± 3.17 at final follow-up, while the score in group B increased from 63.48 ± 6.2 points to 85.4 ± 10.3. MRI showed continuity of the Achilles tendon and homogeneous signal in group A. Conclusion Modified surgery can significantly reduce the risk of Achilles tendon rupture, provide better balance in soft tissue strength between ankle dorsiflexion and ankle plantarflexion, helping to avoid recurrence of the deformity.

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Section: Discussionmentioning

confidence: 99%

Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture

Lin

Cao

Zhang

et al. 2019

BioMed Research International

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show abstract

“…Previous studies on the clinical e cacy of Achilles tendon lengthening were mainly based on functional follow-ups and scores, and lacked direct imaging observation. MRI is a good tool in the healing process observation and postoperative rehabilitation [23,24]. Achilles tendon shows hypointense signal on all imaging sequences [25].…”

Section: Discussionmentioning

confidence: 99%

Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture

2019

CMR

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Background. Both percutaneous Achilles tendon lengthening by triple hemisection and the traditional open Z-lengthening are e ective methods for Achilles tendon contracture. is study aims to evaluate the e cacy and safety of this new therapeutic method, which is based on the percutaneous sliding technique with three hemi-cuts in the tendon, as compared with the traditional open Z-lengthening. Methods. Retrospective analysis of the Achilles tendon contracture cases in our hospital between January 2010 and September 2016 was conducted. Twenty-ve cases received percutaneous Achilles tendon lengthening (group A), and 30 patients who underwent open Z-lengthening during the same period were in the control group (group B). Operative time and hospital stay were statistically analyzed. Incision complication, equinus recurrence rate and Achilles tendon rupture morbidity were recorded. e function was assessed by American Orthopaedic Foot & Ankle Society (AOFAS) score. All cases in group A received Magnetic Resonance Imaging (MRI) of ankle preoperatively and in the follow-ups. Results. e mean follow-up period was 42.04 months in group A and 61.7 months in group B. e entire operative time and the mean hospitalization days were lower in group A than in group B. No incision and infection complication occurred in group A. e infection rate in group B was 3.3%. Equinus recurrence rate was 4% in group A and the equinus recurrence rate in group B was 21.4%. In group A, the mean AOFAS score increased from 64 ± 10.16 points preoperatively to 96.08 ± 3.17 at nal follow-up, while the score in group B increased from 63.48 ± 6.2 points to 85.4 ± 10.3. MRI showed continuity of the Achilles tendon and homogeneous signal in group A. Conclusion. Modi ed surgery can signi cantly reduce the risk of Achilles tendon rupture, provide better balance in so tissue strength between ankle dorsi exion and ankle plantar exion, helping to avoid recurrence of the deformity.

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“…La chirurgie mini-invasive est une technique simple qui peut être réalisée en ambulatoire et nécessite un minimum de soins de suivi. Elle est indiquée en cas d'échec du traitement conservateur ou en première intention permettant ainsi de diminuer les infections et les nécroses cutanées liées à la chirurgie classique (Maffulli, 2001 ;Longo 2009 ;Mahdane, 2014 ;Tam, 2017). Selon certains auteurs, la thromboprophylaxie à base d'héparine de bas poids moléculaire est instituée pour une durée de 6 semaines après l'intervention (Maffulli, 1999).…”

Section: Discussionunclassified

Rupture Spontanee Du Tendon D’achille Sur Terrain Diabetique : A Propos Du Cas

Adakal

Moussa

Mohamed

et al. 2018

ESJ

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Achilles Tendon Rupture (ATR) is a frequently described lesion in sports traumatology. It can occur following certain chronic or systemic diseases. We reported a case of a 48-year-old woman, a teacher by profession, who was consulting for lameness. Anamnesis found during a walk, a brutal sensation of blow on the heel with cowardice and sharp pain at the elective point imposing upon the resting of the patient. Clinical examination noted an increased spontaneous dorsiflexion of the affected ankle, depression corresponding to the tendon continuity solution, and a positive Thompson test. The diagnosis of Achilles Tendon Rupture was made. The patient was operated 2 weeks later by open surgery. A simple suture kept by a plaster splint was performed (the ankle in equinus). Functional rehabilitation was done for 6 weeks, and walking was allowed at the 6th week. In the absence of minimally invasive surgery, conventional surgery can provide good results in case of spontaneous Achilles Tendon Rupture at the cost of rigorous monitoring of the patient.European Scientific Journal February 2018 edition Vol.14, No.6 ISSN: 1857 -7881 (Print) e -ISSN 1857-7431 296 Keywords: Achilles tendon, Thompson's test, rupture of the tendon RésuméLa rupture du tendon d'Achille (RTA) est une lésion fréquente en pathologie du sport. Elle peut survenir suite à certaines maladies chroniques ou systémiques. Nous rapportons le cas d'une femme âgée de 48 ans, enseignante, qui consultait pour boiterie. L'interrogatoire retrouvait à l'esquisse d'une marche, une sensation brutale de coup sur le talon avec lâchage et douleur vive au point électif imposant la mise au repos de la patiente. L'examen clinique montrait une dorsiflexion spontanée augmentée de la cheville atteinte, une dépression correspondant à la solution de continuité du tendon et un test de Thompson positif. Le diagnostic de rupture de tendon d'Achille était posé. La patiente était opérée 2 semaines après par une chirurgie à ciel ouvert. Une suture simple maintenue d'une attelle plâtrée a été réalisée, la cheville en équin. Une rééducation fonctionnelle était faite pendant 6 semaines. La marche était autorisée à la 6 ème semaine. À défaut de la chirurgie mini-invasive, la chirurgie classique peut donner des résultats satisfaisants en cas de RSTA au prix d'un suivi rigoureux du patient.

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MR Imaging of the Achilles Tendon after Surgical Repair

Cited by 16 publications

References 5 publications

Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture

Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture

Modified Percutaneous Achilles Tendon Lengthening by Triple Hemisection for Achilles Tendon Contracture

Rupture Spontanee Du Tendon D’achille Sur Terrain Diabetique : A Propos Du Cas

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