Novel Technique of Achilles Tendon Reconstruction Using Semitendinosus and Gracilis Tendon. Preliminary Report

Piontek, Tomasz; Bąkowski, Paweł; Ciemniewska-Gorzela, Kinga; Naczk, Jakub

doi:10.5604/15093492.1193034

Cited by 7 publications

(5 citation statements)

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“…Most of these studies have focused on lateral ankle ligament reconstruction* and Achilles tendon reconstruction. [8][9][10]19,25,33 One case report described use of a gracilis autograft for tibialis anterior tendon reconstruction. 36 The largest cohort of patients in the literature was reported by Xu et al, 35 who compared patients who received either semitendinosus autograft (n = 32) or allograft (n = 36) for lateral ankle ligament reconstruction.…”

Section: Discussionmentioning

confidence: 99%

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Hamstring Autograft for Foot and Ankle Applications

et al. 2017

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Section: Discussionmentioning

confidence: 99%

“…Most of these studies have focused on lateral ankle ligament reconstruction* and Achilles tendon reconstruction. 8-10,19,25,33 One case report described use of a gracilis autograft for tibialis anterior tendon reconstruction. 36…”

Section: Discussionmentioning

confidence: 99%

Hamstring Autograft for Foot and Ankle Applications

et al. 2017

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“…Despite this fact, the Achilles tendon is considered the most commonly injured tendon in the lower extremity [ 1 ]. Current estimates show an incidence of about 5–10 ruptures (range 8.3–24) per 100,000 population [ 12 , 13 , 16 , 22 , 24 ]. The impact of Achilles tendon ruptures can be deeply felt across many aspects of patients’ lives.…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the Polish version of the Achilles tendon Total Rupture Score

Bąkowski

Rubczak

Wolff-Stefaniak

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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PurposeThe aim of this study was to perform the translation and cross-cultural adaptation of the Achilles tendon Total Rupture Score (ATRS) into Polish version, and to evaluate its reliability and validity.MethodsThe ATRS was translated into Polish language according to the Beaton recommendations. A total number of 71 patients previously treated surgically (from 2011 to 2015), due to the Achilles tendon rupture, were enrolled in this study. ATRS-Polish was performed twice within a period of 5–10 days. To evaluate test–retest reliability, intra-rater coefficient (ICC) was calculated. Construct validity was determined by the Spearman’s rank coefficient correlation between the ATRS-Polish and a Polish version of EQ-5D-5L questionnaire.ResultsTest–retest reliability was found to be excellent (ICC 0.9). The mean and standard deviation of the first and second assessment amounted 87.4 ± 14.0 and 88.4 ± 13.2, respectively. Construct validity analysis showed a strong correlation between the ATRS and the EQ-5D-5L score (r = − 0.69.) and moderate correlation between ATRS and actual comfort (r = 0.47).Conclusions and perspectivesPolish version of the Achilles tendon Total Rupture Score was found to be reliable and valid.Level of evidenceLevel II.Electronic supplementary materialThe online version of this article (doi:10.1007/s00167-017-4764-7) contains supplementary material, which is available to authorized users.

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“…Reconstruction was performed by use of autologous hamstring grafts, which technique is successfully used in our clinic for the last 5 years. The main indication for the use of this method was neglected Achilles ruptures with end gap more than 6 cm and neglected partial damage (including over 50% of tendon fibers) with dysfunctional Achilles tendon (Piontek et al, 2015).…”

Section: Sebtmentioning

confidence: 99%

The Bilateral Achilles Tendon Ossification Successfully Treated With Reconstruction Using Autologous Semitendinosus and Gracilis Tendon Graft. A a Case Report of Patient With Chronic Renal Failure.

Bąkowski¹,

Karzyński²,

Wolf³

et al. 2019

IRONS

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IntroductionThe issue and problem of Achilles tendon ossification is rarely seen in scientific literature, and there is no consensus in the treatment. AimThe aim of this study is to present a case of heterotopic ossification with a bilateral location within the Achilles tendon together with its method of surgical treatment. Material and methodsA 28-year-old woman had presented heterotopic ossification located within the Achilles tendon. Ossification had occurred after a prolonged use of steroids resulting in severe pain, dysfunction and chronic oedema. In the presented case we had performed bilateral Achilles tendon reconstruction using semitendinosus and gracilis tendon with Endobutton stabilization. A 2-year follow up of the presented patient has proven this method successful. ConclusionOur novel procedure may be a good option of treatment for patients with large ossifications or large Achilles tendon defects. It's main principles are reconstruction of the Achilles tendon's continuity and function as well as the use of autologous tendons of the semitendious and gracilis muscles, what does not weaken the foot.

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Novel Technique of Achilles Tendon Reconstruction Using Semitendinosus and Gracilis Tendon. Preliminary Report

Abstract: The use of a hamstring autograft is safe and does not further affect the injured foot or induce an autoimmune reaction.

Cited by 7 publications

References 10 publications

Hamstring Autograft for Foot and Ankle Applications

Hamstring Autograft for Foot and Ankle Applications

Reliability and validity of the Polish version of the Achilles tendon Total Rupture Score

The Bilateral Achilles Tendon Ossification Successfully Treated With Reconstruction Using Autologous Semitendinosus and Gracilis Tendon Graft. A a Case Report of Patient With Chronic Renal Failure.

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