Spiked metallic washer and screw for reattachment of the Achilles tendon after repair of a distal rupture

Janis, Leonard R.; Massa, Eric G.

doi:10.1016/s1067-2516(00)80064-2

Cited by 10 publications

(2 citation statements)

References 15 publications

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“…Insertional ruptures are avulsions of the tendon from the calcaneal insertion. These injuries are rare and have traditionally been treated surgically 261 .…”

Section: Classification Of Acute Achilles´ Tendon Ruptures In the Pre...mentioning

confidence: 99%

Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture

et al. 2022

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Aufwerber and co-workers (2021) compared gait patterns between patients allowed to weight-bear immediately in an orthosis with patients deferring weight-bearing in a cast for two weeks followed by four weeks of weight-bearing in an orthosis. They found that immediate weight-bearing did not result in a more symmetrical gait pattern than deferring weight-bearing the first two weeks postoperatively 79 .

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“…Insertional ruptures are avulsions of the tendon from the calcaneal insertion. These injuries are rare and have traditionally been treated surgically 261 .…”

Section: Classification Of Acute Achilles´ Tendon Ruptures In the Pre...mentioning

confidence: 99%

Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture

et al. 2022

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“…They describe a total of 12 patients with distal Achilles tendon ruptures and their therapy. The authors performed the reinsertions using a titanium anchor [3,5] or using a cortical bone screw with a spiked washer [4]. Double-row bone anchors have already been used for years for knotless reattachment of major rotator cuff ruptures.…”

Section: Results Of Reinsertion Of the Distal Achilles Tendonmentioning

confidence: 99%

Results of Reinsertion of the Distal Achilles Tendon

Lohrer¹

2018

Z Orthop Unfall

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Background Reattachment of the distal Achilles tendon to the posterior calcaneus following distal Achilles tendon tears/avulsions or after excision of large posterior heel spurs is a challenging task for the orthopaedic surgeon. Patients/Material and Methods Between 2005 and the end of 2015, 22 patients who underwent repair/reconstruction of a lesion of the distal Achilles tendon were identified from our electronic records. Calcaneal reinsertions were performed following distal Achilles tendon tears/avulsions (n = 15) or following excision of a large symptomatic posterior heel spur (n = 7). The respective outcome was evaluated comparatively using the VISA-A – G (Victorian Institute of Sports Assessment-Achilles tendon, German version) questionnaire (100 = maximum). Data were collected preoperatively (n = 11/22), and prospectively at three, six, and 12 months postoperatively (n = 5 – 11/22). Two further retrospective follow-ups were performed 12 – 114 and 21 – 149 months postoperatively (n = 17/22 and 22/22, respectively). All data were analysed retrospectively. Complications were searched from the electronic files. Results Transosseous sutures and different anchor techniques (Panalok®, Corkscrew®, SpeedBridge®) were generally performed. Preoperatively, the VISA-A – G score was 27.3 ± 13.5 (6 – 45) following distal Achilles tendon reinsertions for avulsions and 45.3 ± 49.0 (0 – 100) when reattachment was performed after resection of a large posterior heel spur (p = 0.831). At the final follow-up, VISA-A – G values were 89.4 ± 13.9 (54 – 100) following distal Achilles tendon tear/avulsion and 82.5 ± 24.5 (51 – 100), when Achilles tendons were reattached after posterior heel spur excisions (p = 0.969). There were no complications in the “heel spur group”. In the Achilles tendon tear/avulsion group, four out of seven patients with Panalok® repairs developed a fistula. One patient suffered a thromboembolism. None of these complications affected the long-term outcome. Conclusions This study demonstrates good long-term outcomes after distal Achilles tendon reinsertion. Knotless double row anchor repair provides a greater area of compression, simplifies and standardises the repair/reconstruction, and provides safety against fistula. These implants are therefore recommended for safe and effective reattachment of the distal Achilles tendon.

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