Publications by authors named "M H Amlang"
[Update on minimally-invasive treatment of Achilles tendon rupture].
Orthopadie (Heidelb)
October 2024
Article Synopsis
- Percutaneous and minimally invasive suturing techniques are effective for acute Achilles tendon ruptures, providing benefits of both surgical (low re-rupture rate) and non-operative (less complication risk) treatments.!* -
- The Dresden technique, which has been a standard for 20 years, emphasizes careful incision and preparation to avoid nerve damage while adding a third suture for enhanced stability.!* -
- Future efforts should concentrate on personalizing post-operative care to improve patient outcomes related to tendon healing.!*
Article Synopsis
- Calcanectomy and Achilles tendon resection are complex procedures, but Ilizarov's technique allows for the reconstruction of the calcaneus while preserving the ankle joint.
- A case study of a 25-year-old motorcyclist who underwent significant surgeries showed a marked improvement in function, with an AOFAS score increase from 35 to 70 over 12 years and nearly complete recovery of plantar flexion strength.
- This innovative approach demonstrated that even after substantial muscle disconnection, it is possible to restore almost full push-off force using a fresh-frozen tendon-bone allograft, despite the neo-calcaneus being smaller than normal.
Introduction: The Achilles tendon is the strongest tendon in the human body and has the function of plantar ankle flexion. When the tendon is exposed, the peritendineum has been breached and the thick avascular tendon colonized with bacteria, a complete resection of the tendon may be indicated to achieve infection control and facilitate wound closure. The Achilles tendon reconstruction is not mandatory, as the plantar flexion of the ankle joint is assumed by the remaining flexor hallucis longus, flexor digitorum longus and tibialis posterior muscles.
View Article and Find Full Text PDF[Surgical treatment of calcifying insertional Achilles tendinopathy via a lateral approach].
Oper Orthop Traumatol
December 2022
Objective: Reduction of pain and swelling over the Achilles tendon insertion while maintaining function.
Indications: Strong, intolerable pain over the Achilles tendon insertion with chronic, calcifying insertional tendinopathy that does not respond to non-operative treatment over a minimum of 6 months.
Contraindications: Chronic wounds or severe circulatory deficits at the foot or ankle, irradiating or projected pain, complex regional pain syndrome (CRPS).