The Achilles tendon: Management of acute and chronic conditions

Touzell, Amy

doi:10.31128/ajgp-07-20-5506

Cited by 11 publications

(5 citation statements)

References 24 publications

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“…This acute ATR is often preceded by degenerative changes to the tendon, with or without symptoms 198,199 . Increasing age is associated with tendinopathy with increasing degenerative changes and decreased vascular supply 200 .…”

Section: Achilles´ Tendon Healing Following Rupturementioning

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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Section: Achilles´ Tendon Healing Following Rupturementioning

confidence: 99%

Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture

et al. 2022

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“… 4 The Achilles tendon, crucial for ambulation, when ruptured, necessitates timely and effective intervention to restore functionality and minimize long‐term complications. 4 , 5 This injury is particularly prevalent in athletes, who rely heavily on optimal musculoskeletal function for their professional activities. 6 The management of Achilles tendon rupture pivots on two primary approaches: surgical and non‐surgical treatments.…”

Section: Introductionmentioning

confidence: 99%

“…If not effectively treated, long‐term implications can include chronic pain, decreased strength, limited range of motion and a propensity for re‐injury 4 . The Achilles tendon, crucial for ambulation, when ruptured, necessitates timely and effective intervention to restore functionality and minimize long‐term complications 4,5 . This injury is particularly prevalent in athletes, who rely heavily on optimal musculoskeletal function for their professional activities 6 .…”

Section: Introductionmentioning

confidence: 99%

Risk factors and clinical characteristics of surgical site infections in athletes undergoing Achilles tendon repair surgery

Guo,

Zhang,

Dong

et al. 2024

International Wound Journal

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Achilles tendon ruptures are common in athletes, requiring surgical intervention. However, the risk of surgical site infections (SSIs) post‐surgery poses significant challenges. This study aims to analyse the risk factors and microbial aetiology associated with SSIs in athletes undergoing Achilles tendon repair. A comprehensive retrospective analysis was conducted from May 2021 to July 2023. The study included 25 patients with SSIs (case group) and 50 patients without SSIs (control group) post Achilles tendon repair surgery. Inclusion criteria encompassed patients with medically confirmed Achilles tendon ruptures who underwent surgical repair. Exclusion criteria included prior tendon pathologies and significant chronic illnesses. Diagnostic criteria for SSIs involved symptoms like elevated body temperature and localized tenderness, along with laboratory confirmations such as positive microbiological cultures. The study utilized VITEK® 2 for bacterial identification and involved statistical analyses like univariate and multivariate logistic regression. The study identified Staphylococcus aureus as the primary pathogen in SSIs. Significant risk factors included lack of prophylactic antibiotic use, presence of diabetes, open wounds and prolonged surgery duration. Univariate analysis revealed stark contrasts in these factors between infected and non‐infected groups, while multivariate analysis underscored their importance in SSI development. S. aureus emerged as the predominant pathogen in SSIs post Achilles tendon repair. Critical risk factors such as absence of prophylactic antibiotics, diabetes, open wounds and extended surgery duration play a vital role in SSIs. Addressing these factors is essential for better postoperative outcomes in Achilles tendon repair surgeries.

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“…The Achilles tendon, approximately 15 cm long, is the largest and strongest tendon in humans but is also the most susceptible to rupture [1]. A growing aging population, the increased prevalence of obesity, and the popularization of sports have contributed to an increase in the total incidence of Achilles tendon ruptures, which account for 20% of all large tendon ruptures [2]. High-energy injuries in sports are mainly responsible for rupture among the youth, whereas in the elderly, low-energy injuries, such as the spontaneous rupture of a degenerated Achilles tendon or a rupture in chronic Achilles tendinopathy, are likely causes.…”

Section: Introductionmentioning

confidence: 99%

Anti-Adhesive Resorbable Indomethacin/Bupivacaine-Eluting Nanofibers for Tendon Rupture Repair: In Vitro and In Vivo Studies

Yu,

Lee,

Hsu

et al. 2023

IJMS

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The treatment and surgical repair of torn Achilles tendons seldom return the wounded tendon to its original elasticity and stiffness. This study explored the in vitro and in vivo simultaneous release of indomethacin and bupivacaine from electrospun polylactide–polyglycolide composite membranes for their capacity to repair torn Achilles tendons. These membranes were fabricated by mixing polylactide–polyglycolide/indomethacin, polylactide–polyglycolide/collagen, and polylactide–polyglycolide/bupivacaine with 1,1,1,3,3,3-hexafluoro-2-propanol into sandwich-structured composites. Subsequently, the in vitro pharmaceutic release rates over 30 days were determined, and the in vivo release behavior and effectiveness of the loaded drugs were assessed using an animal surgical model. High concentrations of indomethacin and bupivacaine were released for over four weeks. The released pharmaceutics resulted in complete recovery of rat tendons, and the nanofibrous composite membranes exhibited exceptional mechanical strength. Additionally, the anti-adhesion capacity of the developed membrane was confirmed. Using the electrospinning technique developed in this study, we plan on manufacturing degradable composite membranes for tendon healing, which can deliver sustained pharmaceutical release and provide a collagenous habitat.

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The Achilles tendon: Management of acute and chronic conditions

Cited by 11 publications

References 24 publications

Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture

Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture

Risk factors and clinical characteristics of surgical site infections in athletes undergoing Achilles tendon repair surgery

Anti-Adhesive Resorbable Indomethacin/Bupivacaine-Eluting Nanofibers for Tendon Rupture Repair: In Vitro and In Vivo Studies

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