Surgical Treatment of the Neglected Achilles Tendon Rupture with Hyalonect

Abstract

For patients with chronic Achilles tendon rupture with a rupture gap of at least 5 cm, surgical repair using a single turndown fascial flap covered with Hyalonect achieved excellent outcomes.

The clinical strategies for tendon repair with biomaterials: A review on rotator cuff and Achilles tendons

“…All patients with RCT underwent to double-or single-row arthroscopy for the repair of lesions with different dimensions: small (0-1 cm) in 10% of the studies (Castricini et al, 2011;Rodeo et al, 2012), medium (1-3 cm) in 2/20 studies (Gumina et al, 2012;Weber et al, 2013), full-thickness up to 3 cm (Barber, 2016;Barber, Hrnack, Snyder, & Hapa, 2011;Bergeson et al, 2012;Encalada-Diaz et al, 2011;Jo et al, 2011;Sears, Choo, Yu, Greis, & Lazarus, 2015) in 30%, large (>3 cm), and massive (4-5 cm) in 45% (Badhe, Lawrence, Smith, & Lunn, 2008;Barber, Burns, Deutsch, Labbé, & Litchfield, 2012;Bond, Dopirak, Higgins, Burns, & Snyder, 2008;Cho, Lee, Lee, & Shin, 2014;Ciampi et al, 2014;Jo et al, 2013;Rotini et al, 2011;Russo, Lombardi, Visconti, & Della, 2011;Wong, Burns, & Snyder, 2010). On the other hand, all patients with Achilles tendon ruptures (Basiglini, Iorio, Vadalà, Conteduca, & Ferretti, 2010;Bibbo, 2010;Branch, 2011;DeCarbo, Feldner, & Hyer, 2010;Elias, Raikin, Besser, & Nazarian, 2009;Esenyel et al, 2014;Ibrahim, 2009;Kearney & Costa, 2010;Lee, 2008;Nilsson-Helander et al, 2008;Ollivere, Bosman, Bearcroft, & Robinson, 2014;Stover, Zelen, & Nielson, 2009;Wegrzyn et al, 2010) were operated with suture techniques for acute (7/13 studies) (Basiglini et al, 2010;Bibbo, 20...…”

“…Thirty percent of the studies regarding RCT reached a maximum follow-up of 12 months (Barber, 2016;Bergeson et al, 2012;Encalada-Diaz et al, 2011;Rodeo et al, 2012;Rotini et al, 2011;Weber et al, 2013), while 1 (Basiglini et al, 2010) study evaluated outcomes at 12 months in Achilles tendon ruptures. Studies that exceeded 36 months of follow-up were five in RCT studies (44, 60, 68, or 112 months and 16 years;Badhe et al, 2008;Barber et al, 2011;Russo et al, 2011;Sears et al, 2015;Wong et al, 2010) and six (41, 60, 68, 81, and 117 months;Bibbo, 2010;Elias et al, 2009;Esenyel et al, 2014;Ibrahim, 2009;Nilsson-Helander et al, 2008;Wegrzyn et al, 2010) in Achilles tendon ones. Only one study showed a follow-up earlier than 12 months in RCT (Snyder et al, 2009) and five studies in Achilles tendon (3, 6, and 9 and 11 months;Branch, 2011;DeCarbo et al, 2010;Kearney & Costa, 2010;Ollivere et al, 2014;Stover et al, 2009).…”

“…Biological scaffolds (Badhe et al, 2008;Barber, 2016;Barber et al, 2011;Barber et al, 2012;Bergeson et al, 2012;Bibbo, 2010;Bond et al, 2008;Branch, 2011;Castricini et al, 2011;Cho et al, 2014;DeCarbo et al, 2010;Elias et al, 2009;Esenyel et al, 2014;Gumina et al, 2012;Jo et al, 2011;Jo et al, 2013;Kearney & Costa, 2010;Lee, 2008;Nilsson-Helander et al, 2008;Ollivere et al, 2014;Rodeo et al, 2012;Rotini et al, 2011;Sears et al, 2015;Snyder et al, 2009;Stover et al, 2009;Weber et al, 2013;Wegrzyn et al, 2010;Wong et al, 2010) are more employed in the clinical setting compared to synthetic ones (Basiglini et al, 2010;Ciampi et al, 2014;Encalada-Diaz et al, 2011;Ibrahim, 2009;Russo et al, 2011), representing 28 studies over 33 (84.85 vs. 15.15%), for both RCT (85%) and Achilles tendon ruptures (84.62%).…”

“…(Bond et al, 2008;Wong et al, 2010) "vs. pre (Rotini et al, 2011) "vs. pre (Badhe et al, 2008;Cho et al, 2014) #vs. pre (Sears et al, 2015) "vs. pre (Encalada-Diaz et al, 2011) "vs. pre (Russo et al, 2011) Abbreviations Clinical indices AOFAS "vs. pre (Lee, 2008) "vs. pre (Elias et al, 2009;Wegrzyn et al, 2010) "vs. pre (Esenyel et al, 2014) "vs. pre (Ibrahim, 2009) RTA score "vs. pre (Lee, 2008) Strength "vs. pre (Branch, 2011) =vs. pre (Elias et al, 2009); #vs. pre (Wegrzyn et al, 2010) #vs. pre (Nilsson-Helander et al, 2008) Overall function "vs. pre (Branch, 2011) "vs. pre (Ollivere et al, 2014) "vs. pre (Nilsson-Helander et al, 2008) "vs. pre (Esenyel et al, 2014) "vs. pre (Bibbo, 2010) " …”

“…pre (Elias et al, 2009); #vs. pre (Wegrzyn et al, 2010) #vs. pre (Nilsson-Helander et al, 2008) Overall function "vs. pre (Branch, 2011) "vs. pre (Ollivere et al, 2014) "vs. pre (Nilsson-Helander et al, 2008) "vs. pre (Esenyel et al, 2014) "vs. pre (Bibbo, 2010) " (Basiglini et al, 2010) Patient reported outcomes ATRS score =80 EQ-5D score =vs. pre (Kearney & Costa, 2010) DRI score "vs. pre (Kearney & Costa, 2010) VAS pain score #vs. pre (Lee, 2008) #vs. pre (Elias et al, 2009) TA score # vs. pre (Ibrahim, 2009) Pain Absent (Branch, 2011;Lee, 2008) Absent (Esenyel et al, 2014) Absent (Ibrahim, 2009 et al, 2010). SIS showed excellent clinical outcomes in 85% of patients, but equine pericardium was removed 8 months after implantation due to an inflammatory and allergic reaction.…”