Traumatic bilateral Achilles tendon rupture in a young athlete treated with percutaneous tenorrhaphy

Macera, Armando; Carulli, Christian; Matassi, Fabrizio; Veneziani, C.; Innocenti, Massimo

doi:10.11138/jts/2015.3.4.218

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Segundo a revisão sistemática realizada por Magnan (7) , refere-se a fatores intrínsecos como: O mecanismo de trauma pode ser traumático ou atraumático. As lesões bilaterais geralmente acontecem de forma atraumática associadas a fatores de risco (1,8) .…”

Section: Discussionunclassified

Acute spontaneous bilateral rupture of the Achilles tendon

Plothow¹,

Silva²

2018

Sci J Foot Ankle

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This is a case report of a 67-year-old active, healthy, male patient who played sports. He presented with pain and bilateral ecchymosis in the calf area. Data from the patient’s history, a physical examination and complementary exams confirmed a diagnosis of atraumatic spontaneous bilateral Achilles tendon rupture. Surgical treatment was performed using the percutaneous technique (the Achillon device) bilaterally. In thepostoperative period, the patient used a walking boot with a 3-cm heel lift in maximum equinus for 45 days and in a neutral position until 60 days after the procedure. The patient began rehabilitation with physical therapy and returned to his sporting activities without restrictions. Level of Evidence V; Prognostic Studies; Expert Opinion.

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Section: Discussionunclassified

Acute spontaneous bilateral rupture of the Achilles tendon

Plothow¹,

Silva²

2018

Sci J Foot Ankle

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“…There are several techniques for AT repair, all of which involve the reapproximation of the torn ends of the tendon. The indications are based on different factors: the nature of the lesion (acute, subacute, or chronic lesion), the patient’s age, the type of activity performed by the patient, the patient’s comorbidities, the surgeon’s experience, and the economic implications (minimally invasive surgery is more expensive than open surgery, but both surgeries are more expensive than conservative treatment) [ 8 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Fast Functional Rehabilitation Protocol versus Plaster Cast Immobilization Protocol after Achilles Tendon Tenorrhaphy: Is It Different? Clinical, Ultrasonographic, and Elastographic Comparison

et al. 2022

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Background: the incidence of Achilles tendon (AT) rupture is rising; however, there is no clear consensus regarding the optimal treatment. The aim of this retrospective study was to compare instrumental and patient-reported outcome scores after fast functional rehabilitation (group A) versus plaster cast immobilization (group B) programs in patients who underwent AT tenorrhaphy. Methods: 33 patients, with similar clinical and demographic features, underwent open AT tenorrhaphy between January and July 2018. Of these, 15 patients were treated with fast functional rehabilitation program (group A), and 18 patients were treated with plaster cast immobilization protocol (group B). Sural triceps hypotrophy and functional scores (American Orthopaedic Foot and Ankle Society (AOFAS) Ankle–Hindfoot Score, and Achilles tendon Total Rupture Score (ATRS)) were recorded at a 12-month follow-up. Ultrasonography (US) and elastosonography (ES) were used to compare the characteristics of the tendons after surgery. Results: At 12 months, no significant differences in any of the patient-reported outcomes or the instrumental measurement tests were seen between the two groups. Conclusions: fast functional rehabilitation after AT surgical repair is safe, effective, and may be the first choice of treatment, especially in young, collaborative, and active patients.

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“…There are different surgical methods. The decision concerning which is the best treatment is based on many different factors: acute, subacute or chronic lesions, age and way of living of the patient, comorbidities, experience of the surgeon and the economic implications (mini-invasive surgery is more expensive than open surgery, but both surgeries are more expensive than conservative treatment) [4,7].…”

Section: Introductionmentioning

confidence: 99%

Early rehabilitation protocol after Achilles tendon tenorraphy: ultrasonography and elastosonography difference with immobilization in cast: an observational study.

Mosconi¹,

Jannelli²,

Castelli³

et al. 2020

Preprint

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Background The incidence of Achilles tendon (AT) rupture increased, but there is no gold standard treatment. The aim of this study is to compare clinical and functional results of standard and fast rehabilitation program (immobilization and no weight bearing for 4 weeks vs early joint mobility and weight bearing). Methods 33 patients underwent to open achilles tenorraphy between January and July 2018 using Krackow suture.15 patients were enrolled and underwent fast rehabilitation program. A control group of 18 patients underwent surgery and standard protocol. The degree of sural triceps hypotrophy compared with the controlateral leg (calf circumference 4 cm below the anterior tibial tuberosity and the tibial length), American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score [8], the Victorian Institute of Sports Assesement - Achilles Questionnaire (VISA-A) [9] and The Achilles tendon Total Rupture Score (ATRS) [10] were recorded at 12 months follow up. Ultrasonography and elastosonography were used to calculate different parameters both on the operated tendon and on the contralateral. Discussion Using ultrasonography, the only significant difference was recorded in the distal depth in both groups. We detected an increase of all measures in both groups comparing surgical side to the contralateral one. Using the elastosonography, the stiffness on healthy side was increased at the proximal and medial third in standard group, even if the distal third was major in fast group. On the operated side, stiffness was more on the proximal third in fast group (not statistically significant). There was an increase of tendon size on the surgical side compared to the “basal” one using US. The only statistically significant result was at distal third, and it could be due to the fact that giving an accelerated mobilization stimulates more collagen deposition, which could be a protective factor. Furthermore, at distal third of tendon we observed a greater reduction of stiffness in the fast group compared of the standard one. The results of the post-operative assessment scales are overlapping in the two groups. Clinical and functional evidence suggest that fast rehabilitation after AT surgical repair may be a first choice of treat, especially in young and active patients, because of minor local complications and higher level of satisfaction.

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Traumatic bilateral Achilles tendon rupture in a young athlete treated with percutaneous tenorrhaphy

Cited by 4 publications

References 5 publications

Acute spontaneous bilateral rupture of the Achilles tendon

Acute spontaneous bilateral rupture of the Achilles tendon

Fast Functional Rehabilitation Protocol versus Plaster Cast Immobilization Protocol after Achilles Tendon Tenorrhaphy: Is It Different? Clinical, Ultrasonographic, and Elastographic Comparison

Early rehabilitation protocol after Achilles tendon tenorraphy: ultrasonography and elastosonography difference with immobilization in cast: an observational study.

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