Changing Incidence of Achilles Tendon Rupture in Scotland

Maffulli, Nicola; Sw, Waterston; Squair, J; Reaper, Jacqueline; As, Douglas

doi:10.1097/00042752-199907000-00007

Cited by 353 publications

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“…The Achilles tendon (AT), the largest and strongest tendon in the human body, is the most frequently ruptured [1,36]. Acute ruptures of the AT occur most commonly in men in their third and fourth decades of life who participate in sports intermittently [21,33].…”

Section: Introductionmentioning

confidence: 99%

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

Maffulli

Longo

Ronga

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Percutaneous repair of Achilles tendon (AT) ruptures reportedly reduces the risk of rerupture compared to nonoperative treatment and reduces the risk of wound infection compared to open surgery. We retrospectively reviewed the postoperative Achilles tendon total rupture score (ATRS), and the maximum calf circumference in 35 patients over 65 years of age who sustained an acute tear of the AT and underwent percutaneous repair of the AT. There were 26 men and nine women with a mean age at operation of 73.4 ± 8.7 years (range, 65-86 years). Of the 35 recruited patients, we report on 27 patients for whom we have a full data set. The minimum followup was 49 months (mean, 88 months; range, 49-110 months). The ATRS had a postoperative average rating of 69.4 ± 14 (range, 56-93). All patients were able to bear weight fully on the affected limb by the eighth postoperative week. The data suggest that percutaneous repair of the AT is a suitable option for patients older than 65, producing similar outcomes when compared to percutaneous repair in younger patients of previous reports.

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Section: Introductionmentioning

confidence: 99%

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

Maffulli

Longo

Ronga

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…El tendón de Aquiles es el tendón más largo y fuerte del cuerpo humano, pero también es el que se rompe con mayor frecuencia 1,2 . De acuerdo con un informe reciente en Finlandia 3 , la incidencia de roturas agudas del tendón de Aquiles aumentó de 8.3/105 en 1987 a 14.8/105 en 1999 y se cree que está en aumento; además se presentan con mayor frecuencia en grupos de hombres y mujeres de 30-39 y 40-49 años de edad 4 , con predominio masculino 5 .…”

Section: Introductionunclassified

Tratamiento quirúrgico frente al conservador para la ruptura aguda del tendón de Aquiles

Olivera

2018

Rev. Int. Cienc. Podol.

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Resumen. Introducción: La reparación quirúrgica es un método común para el tratamiento de la ruptura aguda del tendón de Aquiles, ya que, a pesar de presentar un mayor riesgo de complicaciones, ofrece un menor riesgo de rotura recurrente. Sin embargo, análisis recientes basados en el empleo de rehabilitación funcional temprana, han cuestionado esta creencia. El objetivo de este estudio consiste en evaluar la efectividad clínica de ambos tratamientos. Metodología: Se han empleado cuatro bases de datos (Medline, CINAHL, PubMed y Cochrane Library) para la búsqueda de estudios que comparen el tratamiento quirúrgico y el conservador para la ruptura aguda del tendón de Aquiles. La selección de los artículos se realizó en función de los criterios de inclusión y exclusión. Resultados: Los estudios mostraron que el tratamiento quirúrgico presenta una tasa inferior de rotura recurrente (P=0.002) en comparación con el conservador, pero aumenta el riesgo de otras complicaciones (P=0.004). Un análisis de subgrupos reveló una tasa significativamente más alta en relación con la adherencia cicatricial (P<0.00001), la infección superficial (P=0.05) y la perturbación de la sensibilidad (P=0.0003) en el grupo sometido a cirugía. Conclusiones: El tratamiento quirúrgico, en comparación con el conservador, puede reducir eficazmente el riesgo de rotura recurrente, pero incrementa la probabilidad de complicaciones, lo cual suele estar asociado a la cirugía de reparación abierta. No obstante, no hay pruebas suficientes de estudios actuales que apoyen la creencia de que la cirugía puede conducir a una mejor recuperación funcional. Palabras clave: ruptura aguda tendón Aquiles; tratamiento conservador; tratamiento quirúrgico.[en] Surgical versus Conservative Treatment for Acute Achilles Tendon Rupture Abstract. Background: Surgical repair is a common method of treatment of acute Achilles tendon rupture because, despite a higher risk of overall complications,it has been believed to offer a reduced risk of rerupture. However, recent analysis based on using early functional rehabilitation, have challenged this belief. The aim of this study is to evaluate the clinical effectiveness of both treatments. Methods: The search was performed using the following electronic bibliography databases (Medline, CINAHL, PubMed and Cochrane Library) to find studies comparing surgical and conservative treatment for acute Achilles tendon rupture. The selection of items was based on inclusion and exclusion criteria. Results: The studies showed that surgical treatment has a lower rate of rerupture (P=0.002) compared with nonsurgical treatment, but increases the risk of other complications (P=0.004). Subgroup analyses revealed significant differences in relation to scar adhesion (P<0.00001), superficial infection (P=0.05) and sensibility disturbance (P=0.0003) in the group undergoing surgery. Conclusions: Compared with conservative treatment, operative treatment can effectively reduce the risk of rerupture but increase the probability of complications, which is us...

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“…The Achilles tendon is the strongest tendon in the body, and its rupture is frequently linked to the physical demands in sports activities [1,2] . A Finnish study [3] shows a constant increase in the overall incidence per 100 000 person-years, from 2.1 in 1979 to 21.5 in 2011.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of chronic Achilles tendon rupture functional and anatomical outcomes over a mean follow-up period of two years

Bakriga¹,

Amouzou²,

Kombate³

et al. 2017

Int. J. Orthop. Sci.

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Background: The aim of this paper was to report the functional and clinical results of subcutaneous Achilles tendon rupture repairs through two surgical plasty techniques, with a mean follow-up of 2 years. Patients and methods:This study carries out a retrospective analysis of 27 patients presenting a subcutaneous rupture of Achilles tendon who enderwent surgical treatment between January 2012 and December 2016. Surgical treatment was carried out using the Chigot-Lynn technique for 19 patients and the Bosworth-Lynn technique for the remaining 8 patients. Functional and clinical results were evaluated according to McComis criteria and patient satisfaction. Results: Clinical measurement of the of ankle motion range revealed average flexion of 15 ° and an average extension of 40 °. Amyotrophy of the triceps surae muscle was found in all patients, with an average 2 cm. Residual pain was found in four patients. Average sick leave was 4 months. 8 patients had resumed sport at their previous level of training, 3 patients had returned to lower levels of sport, and one patient had abandoned their sporting activity. The results were considered highly satisfactory or satisfactory by 24 patients, good by two patients and poor by one patient. Conclusion: Chronic ruptures of the Achilles tendon remain a therapeutic challenge for the orthopaedic surgeon. Surgery with a reinforcement plasty must be proposed to patients who are active or have sports activities. Surgical repair reduce iterative ruptures and ensure the best functional recovery.

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Changing Incidence of Achilles Tendon Rupture in Scotland

Cited by 353 publications

References 0 publications

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

Tratamiento quirúrgico frente al conservador para la ruptura aguda del tendón de Aquiles

Surgical treatment of chronic Achilles tendon rupture functional and anatomical outcomes over a mean follow-up period of two years

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