Achilles tendon surgical revision with synthetic augmentation

Basiglini, Luca; Iorio, Raffaele; Vadalà, Antonio; Conteduca, Fabio; Ferretti, Andrea

doi:10.1007/s00167-010-1085-5

Cited by 16 publications

(23 citation statements)

References 26 publications

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“…However, other authors, such as Aracil et al 2 and Wong et al 20 , did not report the same positive results and complained about high re-rupture rates and sural nerve injuries. Some authors tried to reinforce their surgical procedure with the use of autologous or synthetic augmentations, but even in these cases results were not uniform [29][30][31][32] .…”

Section: Discussionmentioning

confidence: 99%

Functional evaluation of professional athletes treated with a mini-open technique for achilles tendon rupture

Vadalà

Lanzetti

Ciompi

et al. 2019

Muscle Ligaments and Tendons J

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Introduction: in this study we report the functional results of 36 professional athletes treated with a combined percutaneous and mini-open technique. Methods: patients were evaluated with Victorian Institute of Sports Assessment-Achilles questionnaire (VISA-A), the objective 100-points Hannover scale and the Ergo-jump Bosco System device. Results: at a mean 28-month follow-up no re-rupture cases were observed. Six patients had minor complications. The Ergo-jump Bosco System device showed no significant differences in the side-to-side evaluation in regard to strength (-0.94%) and elasticity (+2.44%), while a significant post-operative loss was detected in the endurance trials (-6.78%). The Hannover scale showed an average score of 94.5, while the VISA-A had an average of 93.1. Thirty-one patients resumed their pre-operative sports activity level within five months from surgery. Conclusions: our results showed that the combined mini-open and percutaneous repair is an effective treatment for professional athletes, with satisfactory clinical and functional results, lack of major complications and a quick return to professional sports activity.

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Section: Discussionmentioning

confidence: 99%

Functional evaluation of professional athletes treated with a mini-open technique for achilles tendon rupture

Vadalà

Lanzetti

Ciompi

et al. 2019

Muscle Ligaments and Tendons J

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“…(Bond et al, 2008;Wong et al, 2010) "vs. pre (Rotini et al, 2011) "vs. pre (Badhe et al, 2008;Cho et al, 2014) #vs. pre (Sears et al, 2015) "vs. pre (Encalada-Diaz et al, 2011) "vs. pre (Russo et al, 2011) Abbreviations Clinical indices AOFAS "vs. pre (Lee, 2008) "vs. pre (Elias et al, 2009;Wegrzyn et al, 2010) "vs. pre (Esenyel et al, 2014) "vs. pre (Ibrahim, 2009) RTA score "vs. pre (Lee, 2008) Strength "vs. pre (Branch, 2011) =vs. pre (Elias et al, 2009); #vs. pre (Wegrzyn et al, 2010) #vs. pre (Nilsson-Helander et al, 2008) Overall function "vs. pre (Branch, 2011) "vs. pre (Ollivere et al, 2014) "vs. pre (Nilsson-Helander et al, 2008) "vs. pre (Esenyel et al, 2014) "vs. pre (Bibbo, 2010) " …”

Section: Discussionmentioning

confidence: 99%

The clinical strategies for tendon repair with biomaterials: A review on rotator cuff and Achilles tendons

et al. 2019

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Tendon repair is a complex process due to the low tenocyte density, metabolism, and vascularization. Tears of rotator cuff (RCT) and Achilles tendons ruptures have a major impact on healthcare costs and quality of life of patients. Scaffolds are used to improve the healing rate after surgery and long-term results. A systematic search was carried out to identify the different types of scaffolds used during RCT and Achilles tendon repair surgery in the last 10 years. A higher number of clinical studies were reported on RCT ruptures. Biological scaffolds were used more than synthetic ones, for both rotator cuff and Achilles tendons. Moreover, platelet-rich plasma (PRP)based scaffolds were the most widely used in RCT. A different type of synthetic scaffold was used in each of the five studies found. Biological scaffolds either provide variable results, in particular PRP-based ones, or poor results, such as bovine equine pericardium. All the synthetic scaffolds demonstrated a significant increase in clinical and functional scores in biomechanics, and a significant decrease in pain and re-tear rate in comparison to conventional surgery. Despite the limited number of studies, further investigation in the clinical use of synthetic scaffolds should be carried out. K E Y W O R D S Achilles tendon, biological scaffolds, rotator cuff tendon, synthetic scaffolds, tissue repair

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“…Generally, patients feel better when the repaired tendon heals 13 ; to enhance healing, the medical community has actively sought the augmentation of tendon repairs with two types of augmentation grafts, namely biologic and synthetic. Synthetic graft exhibit stronger mechanical strength, in severely neglected repairs was recommended for this capability to act as permanent replacement tissue 14,15 . Artelon ® is a porous polyurethane urea synthetic graft, which performs as a scaffold allowing ingrowth of host tissue.…”

Section: Discussionmentioning

confidence: 99%

Failed synthetic graft after acute Achilles tendon repair

Mohamed

Oliva

Nardoni

et al. 2017

MLTJ

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SummaryBackground: The present case report aimed to determine the results of Flexor Hallucis Longus (FHL) transfer as a second surgery after synthetic tissue reinforcement graft (Artelon ® ) implanted to a primary repaired Achilles tendon (AT), that was undertaken by another orthopedic. One year postoperative the patient was referred to us with retrocalcaneal pain and difficulty in walking, associated with stiffness and significant impairment of daily living activities. Methods: MRI and full clinical examination were the outcome measures applied before and 1 year after surgery. Removal of the synthetic graft and subsequent FHL autologous transfer was undertaken and the graft was sent for histology examination. After removing the below knee leg cast, patient started rehabilitation program supervised by a trained physiotherapist. Results: The patient was allowed to return to his normal activities at the sixth postoperative month, 1 year post-surgery MRI showed correct position of the autograft in the calcaneous bone and in the centre of the native AT plus reduced oedema of the AT body, with clinical improvement of the patient who reported no pain and was able to walk on tiptoes. Conclusion: Synthetic patch augmentation to enhance tendon healing should be subjected to proper investigation before using it in routine parctice, as it may act as a barrier against proper tendon healing. Level of evidence: V.

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Achilles tendon surgical revision with synthetic augmentation

Cited by 16 publications

References 26 publications

Functional evaluation of professional athletes treated with a mini-open technique for achilles tendon rupture

Functional evaluation of professional athletes treated with a mini-open technique for achilles tendon rupture

The clinical strategies for tendon repair with biomaterials: A review on rotator cuff and Achilles tendons

Failed synthetic graft after acute Achilles tendon repair

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