Long-Term Outcomes of Gastrocnemius V–Y Plasty Gastrosoleus Fascial Turndown Flap for Chronic Tendo-achilles Injuries with Complex Gap (Kuwada Type IV Injuries)

Raju, Sivakumar; Singhi, Prahalad Kumar; Somashekar, V; Ajari, Ashutosh; Chidambaram, M

doi:10.1007/s43465-021-00475-6

Cited by 7 publications

(3 citation statements)

References 24 publications

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“…Arms and legs account for 10% and 5%, respectively. It is easy to get injured in the knee and ankle [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Observation on the Effect of Shoulder Pain Caused by Volleyball Training Injury Based on MRI Image Scanning

2022

Scanning

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In order to observe the effect of MRI image scanning on shoulder pain caused by volleyball training injury, this paper proposes to analyze the value of MR arthrography and conventional MRI image scanning in the diagnosis of shoulder injury. Taking the female volleyball players in a no. 1 middle school for nearly ten years as the research object, the injury investigation and statistics were carried out. The shoulder joint injury was investigated using arthroscopy and no injury was found. All patients underwent MR arthrography and routine MRI image scanning after admission. All patients underwent MR arthrography and routine MRI image scanning after admission. The patient took the flat lying position and put their arms flat on both sides of the body, and the Philips Achieva 3.0T MRI image scanning and Sense Flex M soft coil for MRI image scanning detection were used. The plain scan included oblique sagittal, axial, and oblique coronal proton density weighted image sequences; echo chain ETL = 6 , TR/TE 2300/25 ms; and oblique sagittal and oblique coronal SET1W1; TRTE is 400/10 ms. Comparison was made with regard to the sensitivity, specificity, Jordan index, and accuracy of MR arthrography versus conventional MRI imaging in the diagnosis of shoulder injuries. The results were 38 true positives, 19 true negatives, 1 false positive, and 2 false negatives; a normal MRI scan showed 33 true positives, 13 true negatives, 7 false positives, and 7 false negatives. MR arthrography is more accurate than MRI image scanners in the diagnosis of shoulder injuries.

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“…Arms and legs account for 10% and 5%, respectively. It is easy to get injured in the knee and ankle [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Observation on the Effect of Shoulder Pain Caused by Volleyball Training Injury Based on MRI Image Scanning

2022

Scanning

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“…However, studies focusing on the surgical management of CATR were reviewed, specifically those with evidence levels A to D. The researchers carefully analyzed the inclusion criteria of the identified studies to observe and determine the surgical indications for CATR. Following the above search strategy, 16 studies were included [33,[56][57][58][59][60][61][62][63][64][65][66][67][68][69][70], of which 1 study was grade A [56], 1 study was grade B [57], 6 studies were grade C [33,[58][59][60][61][62], and 8 studies were grade D [63][64][65][66][67][68][69][70]. The most common conditions for which surgical management is indicated were CATR patients exhibiting signs of functional limitation, such as pain or tenderness, inability to execute a single heel raise, or repetitive single-leg heel raise endurance exercises, as well as difficulty in walking and ascending stairs, along with ankle swelling; these symptoms were accompanied by positive results in the call squeeze and knee flexion [71], and their diagnoses were confirmed through MRI or ultrasound examinations (16 studies).…”

Section: What Are the Indications For Surgical Treatment Of Catr?mentioning

confidence: 99%

“…Additionally, the mean calf atrophy measured 3.4 cm (with a range of 1-6 cm) after an average follow-up period of 195 months. Raju et al [63] presented a study on 12 CATR patients with a tendon gap exceeding 8 cm, where they utilized a gastrosoleus turndown flap along with V-Y plasty. After an average follow-up period of 34 months, the major limitations observed were a preoperative calf diameter loss of 3.4 cm and a noticeable decline in plantar flexion strength on the affected side.…”

Section: When Should Tendon Flaps Be Used?mentioning

confidence: 99%

Surgical management of chronic Achilles tendon rupture: evidence-based guidelines

Feng,

Maffulli,

Oliva

et al. 2024

J Orthop Surg Res

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Background Chronic Achilles tendon ruptures (CATR) often require surgical intervention to restore function. Despite numerous treatment modalities available, the optimal management strategy remains controversial given the limited high-quality evidence available. This article aims to provide evidence-based guidelines for the surgical management of CATR through a comprehensive systematic review of the available data. The consensus reached by synthesizing the findings will assist clinicians in making informed decisions and improving patient outcomes. Methods A group of 9 foot surgeons in three continents was consulted to gather their expertise on guidelines regarding the surgical management of CATR. Following the proposal of 9 clinical topics, a thorough and comprehensive search of relevant literature published since 1980 was conducted for each topic using electronic databases, including PubMed, MEDLINE, and Cochrane Library, to identify relevant studies published until 1 October 2023. All authors collaborated in drafting, discussing, and finalizing the recommendations and statements. The recommendations were then categorized into two grades: grade a (strong) and grade b (weak), following the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) concept. Additionally, feedback from 21 external specialists, who were independent from the authors, was taken into account to further refine and finalize the clinical guidelines. Results Nine statements and guidelines were completed regarding surgical indications, surgical strategies, and postoperative rehabilitation protocol. Conclusion Based on the findings of the systematic review, this guideline provides recommendations for the surgical management of CATR. We are confident that this guideline will serve as a valuable resource for physicians when making decisions regarding the surgical treatment of patients with CATR.

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Therapie chronischer Rupturen und Defekte der Achillessehne

Walther,

Szeimies,

Gottschalk

et al. 2024

Orthopädie

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Long-Term Outcomes of Gastrocnemius V–Y Plasty Gastrosoleus Fascial Turndown Flap for Chronic Tendo-achilles Injuries with Complex Gap (Kuwada Type IV Injuries)

Cited by 7 publications

References 24 publications

Observation on the Effect of Shoulder Pain Caused by Volleyball Training Injury Based on MRI Image Scanning

Observation on the Effect of Shoulder Pain Caused by Volleyball Training Injury Based on MRI Image Scanning

Surgical management of chronic Achilles tendon rupture: evidence-based guidelines

Therapie chronischer Rupturen und Defekte der Achillessehne

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