4,250 results match your criteria: "Achilles Tendon Rupture"
H-Loop Knotless Double-Row Repair Versus Krackow Repair for Achilles Tendon Rupture: A Biomechanical Study in a Cadaveric Model.
Orthop J Sports Med
October 2024
Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangdong, China.
Article Synopsis
- Surgery is a common treatment for Achilles tendon ruptures, but there's ongoing debate about the best surgical method.
- This study compared the biomechanical properties of two techniques—H-loop knotless double-row (HLDR) suture repair and Krackow suture repair—using cadaveric Achilles tendon specimens.
- Results showed that the HLDR technique was superior, demonstrating less elongation, smaller gap distances under load, more force needed to create gaps, and greater load to failure compared to the Krackow technique.
Pickleball and the Rising Incidence of Achilles Tendon Injuries in the Elderly.
Foot Ankle Spec
October 2024
Rothman Orthopaedic Institute, Philadelphia, Pennsylvania.
Article Synopsis
- - The study examined trends in pickleball-related Achilles tendon injuries over the past decade, particularly among the aging population, due to the sport’s growing popularity.
- - Researchers identified 43 cases of Achilles tendon ruptures related to pickleball from a larger pool of 2,684 injuries, noting an increase since 2016, with a significant dip in 2020 likely due to COVID-19.
- - Findings showed older players (average age 64.5) had these injuries and were more likely to require surgery (67.4%) compared to the general population with Achilles injuries.
Enhanced Achilles Tendon Gliding Through Ultrasound-Guided Manual Therapy Post-surgical Repair: A Case Report.
Cureus
September 2024
Rehabilitation, Machida Orthopaedics, Kochi, JPN.
Article Synopsis
- - Achilles tendon ruptures are common injuries that can be treated surgically, but optimizing recovery after surgery can be tough due to issues with tendon movement.
- - A case study of a 65-year-old man shows that dynamic ultrasound imaging can identify problems with Achilles tendon movement and guide manual therapy that helps improve recovery.
- - After 16 sessions of targeted therapy, the patient experienced significant functional improvements, suggesting that focusing on tendon gliding is crucial for successful rehabilitation and warranting further research on this method's effectiveness.
Differences in Player Performance and Longevity After Achilles Tendon Rupture Between Professional Basketball Players in the NBA and WNBA.
Orthop J Sports Med
October 2024
Department of Orthopaedics, Baylor College of Medicine, Houston, Texas, USA.
Article Synopsis
- Previous research shows that players in both the NBA and WNBA perform worse after suffering an Achilles tendon rupture (ATR), but this study aims to compare the recovery and performance differences between the two leagues.
- The study included 102 professional players, analyzing 34 ATR cases and measuring factors like return to play (RTP) time and player efficiency rating (PER) among injured and uninjured athletes.
- Results indicated significant differences: NBA players took longer to recover (126 days more than WNBA players) and had a greater decline in performance after injury, with notable discrepancies in PER before and after ATR in both leagues.
Prognosis of Nonconcurrent Bilateral Achilles Tendon Rupture Is Worse Than Unilateral Achilles Tendon Rupture: Patient-Reported Outcomes at Minimum 2-Year Follow-up.
Clin Orthop Surg
October 2024
Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea.
Article Synopsis
- About 5%-7% of patients who experience an Achilles tendon rupture (ATR) face a subsequent rupture in the opposite tendon, but the effects on clinical outcomes remain unexplored.
- A study analyzed data from 222 ATR patients, finding that 17 had nonconcurrent bilateral ATR, and assessments were made through phone interviews focused on patient-reported outcomes.
- Results indicated that those with nonconcurrent bilateral ATR reported significantly lower ankle function and activity levels and were less satisfied with their condition compared to patients with only one ATR, highlighting the need for prevention strategies for contralateral injuries.
Trimalleolar Fracture Associated with Subcutaneous Rupture of the Achilles Tendon and Traumatic Peroneal Dislocation: A Case Report and Review of the Literature.
JBJS Case Connect
October 2024
Department of Orthopedics and Trauma-Surgery, Annecy Genevois Hospital Center, Annecy, France.
Article Synopsis
- A 44-year-old man experienced an Achilles tendon rupture along with a trimalleolar fracture and peroneal dislocation after a snowboarding accident, which were surgically treated.
- The patient successfully resumed all activities 18 months post-surgery, highlighting effective recovery.
- It emphasizes the importance of considering combined injuries in high-energy ankle traumas and suggests utilizing a thorough examination and imaging tests for proper diagnosis and treatment.
Evaluation of Results of Primary Repair of Open Tendo-Achilles Injury in the Department of Casualty, MMCH, Bangladesh.
Mymensingh Med J
October 2024
Dr Khandaker Hafijur Rahman, Assistant Professor, Department of Orthopedic Surgery, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
Article Synopsis
- Achilles tendon injuries are on the rise, often due to various causes, and treatment is challenging, particularly with significant tendon gaps; timely surgical intervention is crucial for recovery.
- A study conducted at Mymensingh Medical College Hospital in Bangladesh aimed to evaluate the effectiveness of primary repair for open tendo-achilles injuries, with patients undergoing the Modified Kessler's surgical method within 12 hours of injury.
- The results showed that 89.58% of patients could stand on tiptoes post-surgery, indicating excellent surgical outcomes, while a few experienced complications like severe infection affecting their mobility.
Panda Rope Bridge Technique promoted Achilles tendon regeneration in a novel rat tendon defect model.
Knee Surg Sports Traumatol Arthrosc
September 2024
Department of Orthopedic, Center for Joint Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Article Synopsis
- This study looked at how a special technique called the Panda Rope Bridge Technique (PRBT) can help heal injured Achilles tendons in rats.!
- They divided the rats into three groups: one group healed naturally, one group used PRBT, and the last group had their ankles fixed to heal.!
- The results showed that tendons treated with PRBT healed faster and stronger compared to the others, suggesting that PRBT could be a good way to treat tendon injuries in the future.!
Correction: Derivation and validation of a risk calculator for the prediction of incidence of complications following repair of Achilles Tendon Rupture.
J Orthop Surg Res
September 2024
Department of Orthopedics Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Platelet Rich Plasma Therapy in Achilles and Patellar Tendinopathies: Outcomes in Subjects with Diabetes (A Retrospective Case-Control Study).
J Clin Med
September 2024
IRCSS Ospedale San Raffaele, 20132 Milan, Italy.
Article Synopsis
- Diabetes mellitus (DM) increases the risk of chronic tendinopathies and can negatively impact the effectiveness of Platelet Rich Plasma (PRP) treatment in tendon healing compared to non-diabetic individuals.
- A study compared 60 diabetic and pre-diabetic subjects with 60 non-diabetic controls undergoing PRP therapy for Achilles and Patellar tendinopathies, finding that while both groups improved, the diabetic patients saw less significant results.
- Factors like higher body mass index (BMI) and lower baseline VISA scores were associated with poorer outcomes in diabetic patients undergoing PRP treatment for tendon issues.
Open vs. Percutaneous Achilles Tendon Repair: Experience of Single Orthopedic Institute with Long-Term Follow-Up.
Medicina (Kaunas)
August 2024
Department of Translational Medicine and for Romagna, University of Ferrara, c/o "S. Anna", via Aldo Moro 8, 44124 Ferrara, Italy.
Article Synopsis
- * Out of 155 patients treated between April 2014 and December 2021, 103 underwent percutaneous repair while 52 had open surgery, with the percutaneous group showing a higher average Achilles tendon recovery score (ATRS) of 92.5 compared to 82 for the open surgery group.
- * The findings suggest that the Tenolig percutaneous repair method offers better long-term recovery outcomes similar to the complication rates of open surgery, despite
[An update on Achilles tendon ruptures].
Orthopadie (Heidelb)
October 2024
Abteilung für Unfall- und Wiederherstellungschirurgie, Department für Orthopädie, Unfall- und Wiederherstellungschirurgie Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.
Value of ultrasound and magnetic resonance imaging in the assessment of Achilles tendon healing following percutaneous repair with the Dresden instrument.
Orthopadie (Heidelb)
October 2024
Hospital Raúl Larcade, Av. Perón 2311, San Miguel, Buenos Aires, Argentina.
Background: Percutaneous Achilles tendon (AT) repair with the Dresden instrument is a safe and effective treatment for AT rupture within 15 days after injury. Follow-up includes clinical examination and imaging to assess the healing process and detect possible complications. The findings of each control visit determine the progression of the rehabilitation of each patient.
View Article and Find Full Text PDF[Transverse small incision intrathecal "loop" minimally invasive suture for treatment of acute Achilles tendon rupture].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
September 2024
Division of Sports Medicine and Adult Reconstructive Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing Jiangsu, 210008, P. R. China.
Article Synopsis
- The study analyzed 30 male patients, aged 29 to 51, who underwent surgery for acute Achilles tendon ruptures using a minimally invasive technique over 1-14 days post-injury between January 2022 and October 2023.
- Key outcomes included an average operation time of 54.2 minutes, incision length of 2.2 cm, and an average hospital stay of 3.7 days, with no complications such as infections or re-ruptures during follow-up.
- At the last follow-up (mean 14.7 months), patients achieved high functional outcomes with average AOFAS scores of 95.1, indicating successful recovery and return to exercise.
Carbon Fiber-Mediated Electrospinning Scaffolds Can Conduct Electricity for Repairing Defective Tendon.
ACS Appl Mater Interfaces
October 2024
Department of Orthopedic Surgery, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200240, China.
Article Synopsis
- - The study focuses on creating a carbon fiber-mediated electrospinning scaffold to repair tendon injuries, addressing the challenge of restoring the electrical signal pathway lost due to tendon rupture.
- - This innovative scaffold, which combines strong carbon fibers with nanofiber membranes, showed superior tensile strength and supported tenocyte proliferation and adaptation to electrical stimulation, promoting tendon regeneration.
- - Results from a rabbit model indicated that this scaffold significantly enhanced collagen fiber filling and improved the expression of important proteins related to tendon repair, suggesting that conductivity plays a crucial role in tendon healing and offering a promising method for future clinical applications.
[Treatment of chronic ruptures and defects of the Achilles tendon].
Orthopadie (Heidelb)
October 2024
Schön Klinik München Harlaching - FIFA Medical Centre of Excellence, Harlachinger Straße 51, 81547, München, Deutschland.
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.
[Update on minimally-invasive treatment of Achilles tendon rupture].
Orthopadie (Heidelb)
October 2024
Universitäts Centrum für Orthopädie, Unfall- und Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01309, Dresden, Deutschland.
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.!*
Achilles tendon ruptures related to fluoroquinolone use - How can we manage these patients? A case series.
Foot (Edinb)
December 2024
University Hospital Birmingham HGS site, Physiotherapy Dept, Heartlands Hospital, Bordesley Green Rd, Birmingham B9 5SS, United Kingdom. Electronic address:
Article Synopsis
- - Fluoroquinolone antibiotics are linked to an increased risk of Achilles tendon ruptures, complicating treatment due to other health issues.
- - A study tracked 13 patients over two years who suffered Achilles ruptures after using fluoroquinolones, managing their recovery with functional rehabilitation.
- - The findings showed significant improvements in their Achilles tendon rupture scores after 12 months, indicating that functional rehabilitation is an effective treatment for these patients.
The effectiveness of low-load Blood flow restriction Exercise in patients with an acute Achilles tendon rupture treated Non-surgically (BEAN): Protocol for a randomized controlled trial.
Foot (Edinb)
December 2024
Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus N, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus C, Denmark; Department of Public Health, Aarhus University, Aarhus C, Denmark.
Article Synopsis
- Blood flow restriction exercise (BFRE) has the potential to help maintain muscle function after an Achilles tendon injury but lacks evidence from rigorous trials regarding its safety and effectiveness.
- This study aims to compare the benefits of starting BFRE early (1-12 weeks) versus later (13-24 weeks) in rehabilitation for patients who have acute Achilles tendon ruptures.
- The trial is a randomized controlled study that evaluates patient outcomes through specific tests at 13 and 25 weeks to determine if early BFRE improves recovery compared to conventional care and late BFRE.
Clinical and biomechanical comparison of suture-external button versus interference screw associated with V-Y advancement or turndown flaps for flexor hallucis longus transfer in chronic Achilles tendon rupture.
Musculoskelet Surg
September 2024
Orthopedic & Rehabilitation Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Article Synopsis
- A study was conducted to compare two surgical techniques for repairing chronic Achilles tendon ruptures, specifically looking at interference screws vs. suture-external button for attaching the flexor hallucis longus tendon to the calcaneus.
- Twenty-five patients were followed up after at least one year post-surgery, with outcomes evaluated using pain scales and range of motion assessments.
- Results showed no significant difference in overall pain or functional scores between the two techniques, but the interference screw method resulted in greater limitations in ankle dorsiflexion compared to the suture-external button method.
Parathyroidectomy restored bone mineral density in a neglected femoral neck fracture with renal osteodystrophy: A case report.
World J Clin Cases
September 2024
Department of Education, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970473, Taiwan Province, China.
Article Synopsis
- * A 36-year-old woman experienced persistent hip pain after undergoing multiple tendon repairs; a femoral neck fracture was eventually identified and treated with parathyroidectomy two months post-surgery.
- * The treatment led to improved bone mineral density and successful fracture healing over two years, emphasizing the importance of surgery and rehabilitation for ESRD patients with related bone issues.
[Surgical or non-operative treatment of acute Achilles tendon rupture : What does the current literature say?].
Orthopadie (Heidelb)
October 2024
Zentrum für Fuß- und Sprunggelenkchirurgie, UniversitätsCentrum für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Deutschland.
Article Synopsis
- * This article aims to compare non-operative (N-OP) and operative (OP) treatments for ATR by analyzing existing literature, including meta-analyses and cost analyses.
- * Both treatment methods can effectively restore function, with OP having a lower re-rupture rate and N-OP having fewer complications; minimally invasive surgery (M-OP) is preferred, provided there is care to protect the sural nerve.
[Acute Achilles tendon rupture; intend to treat conservatively].
Ned Tijdschr Geneeskd
August 2024
Diakonessenhuis, afd. Chirurgie, Utrecht.
Article Synopsis
- - Recent research indicates that both conservative and surgical treatments yield similar functional outcomes for acute Achilles tendon ruptures, leading to a preference for conservative management unless compelling reasons favor surgery.
- - No extra imaging is typically needed to diagnose the injury; a thorough patient history, physical examination, and a positive Thompson test are usually sufficient.
- - A collaborative decision-making approach is vital in determining the treatment plan, especially considering the patient's risk of re-rupture and informing them about the rehabilitation expectations.
Prospective randomized comparison of functional bracing versus rigid immobilization with early weightbearing after modified percutaneous achilles tendon repair under local anesthesia.
Foot (Edinb)
September 2024
Department of Traumatology, Clinic for Surgery, University Clinical Center Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
Article Synopsis
- This study aimed to evaluate the effectiveness of two different postoperative regimens for patients with acute Achilles tendon rupture (ATR) following a modified closed percutaneous repair.
- A total of 72 patients were randomized into a Functional Group (FG) using a modified brace and an Immobilization Group (IG) using a rigid plaster, both monitored for 3 years.
- Results showed that while both groups had similar final outcomes in terms of complications and function, the FG had faster recovery in range of motion and strength, leading to greater patient satisfaction.
Emerging Patterns of Foot and Ankle Injuries in Pickleball Players: A Short Report.
Foot Ankle Int
November 2024
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Article Synopsis
- Pickleball is becoming increasingly popular, leading to a rise in foot and ankle injuries that are being treated by medical providers.
- A study analyzed 198 patients who suffered injuries while playing pickleball, finding a 6.5-fold increase in injuries from 2019 to 2023.
- The majority of injured patients were older males, with Achilles tendon ruptures being the most common injury, often treated nonoperatively, although many ruptures required surgery.