Publications by authors named "K Pfahl"
Outcomes of Revision surgery for surgically treated insertional Achilles tendinopathy.
Arch Orthop Trauma Surg
December 2024
Introduction: There is a clear roadmap for the treatment of primary insertional Achilles tendinopathy (IAT), but data on the outcome of revision surgery is missing. The current study aimed to analyze the outcome following revision surgery for surgically failed IAT.
Material And Methods: Included were patients with IAT revision surgery at a single reference center (01/2010-10/2016) and a follow-up of at least 12 months.
Objective: A gold standard surgical treatment for osteochondral lesions (OCLs) of the talus still needs to be established. Still, autologous matrix-induced chondrogenesis (AMIC) is a commonly applied 1-stage procedure that has achieved good short- and mid-term results. The present cohort study aimed to assess whether the long-term, 10-year results can confirm the previous findings.
View Article and Find Full Text PDF[Treatment of chronic ruptures and defects of the Achilles tendon].
Orthopadie (Heidelb)
October 2024
Article Synopsis
- Chronic Achilles tendon ruptures can lead to challenges in treatment due to large defect zones and irreversible muscle degeneration affecting function.
- Tendon transfers, such as using the flexor hallucis longus or peroneus brevis, are recommended especially when calf muscle regeneration is in doubt, offering support for ankle motion.
- Follow-up treatment resembles that for acute ruptures, but permanent impairments can occur, with 75-80% of athletes recovering their original performance level.
Article Synopsis
- - Infections occurring within the first 4 weeks after total ankle replacement can often be treated effectively through procedures like debridements and changing out the polyethylene inlay.
- - Late infections typically necessitate the removal of the implant, and low-grade infections may be more common than previously thought.
- - The authors favor a 2-stage revision approach involving antibiotics-loaded bone cement over single-surgery revisions, and after a 12-week antibiotic therapy, final treatments may include fusion surgeries or, with some restrictions, revision TAR.
Background: The number of total ankle arthroplasty (TAA) procedures increased rapidly in the last years and so have its complications. The main pillars in treating failed TAA are revision total ankle arthroplasty (RTAA), revision total ankle arthrodesis (RAA), or revision tibiotalocalcaneal fusion (RTTC). To evaluate these options, we compared clinical, radiologic, and patient-reported outcomes.
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