Outcome of Single Incision Flexor Hallucis Longus Transfer for Chronic Achilles Tendinopathy

Will, Ryan; Galey, Stephanie M.

doi:10.3113/fai.2009.0315

Cited by 39 publications

(36 citation statements)

References 7 publications

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“…Previous studies have shown comparable results [4][5][6][7][8][9][13][14][15][16]. In the study of Wegrzyn et al [8] the postoperative deficit in plantar flexion torque averaged 28%, and 41% in the study of Wapner et al [4].…”

Section: Discussionmentioning

confidence: 78%

“…No failure of the FHLT transfer occurred during the follow-up period. Also all previous studies with FHLT transfer, despite the single or double incision technique, preserving or not the scar tissue, have shown very low failure rates [5,6,8,9,12,[16][17][18].…”

Section: Discussionmentioning

confidence: 97%

“…Some authors propose the complete excision of the degenerative Achilles due to better pain relief [4]. In recent series, however, preservation of the fibrous scar tissue has been suggested to make the tendon length assessment easier and the scar tissue is thought to work as a scaffold for the transferred FHLT [5,6,8].In fact, this scar tissue has been shown to have the capacity to form a tendon like repair tissue [16][17][18]. In our study, the tendon stumps were preserved, and possible deficits were bridged with single strand of FHL tendon only.…”

Section: Discussionmentioning

confidence: 99%

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Hypertrophy of the flexor hallucis longus muscle after tendon transfer in patients with chronic Achilles tendon rupture

Oksanen

Haapasalo

Elo

et al. 2014

Foot and Ankle Surgery

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Hypertrophy of the flexor hallucis longus muscle after tendon transfer in patients with chronic Achilles tendon rupture

Oksanen

Haapasalo

Elo

et al. 2014

Foot and Ankle Surgery

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“…20,21 However, as active range of movement of the interphalangeal joint of the hallux and the peak torque of plantar flexion are significantly decreased compared with the contralateral side following this procedure, impaired strength of push-off may be troublesome for athletes and young patients. 22,23 It has been reported that, in two series of 19 24 and 44 21 patients respectively, between 50% and 86% of patients were able to perform a single-heel rise test on the operated side after transfer of the FHL, with poorer results in patients with chronic ruptures. 24 A reasonable explanation for the loss of strength is that the lengthtension relationship of the fibres of the gastrocsoleus complex could change over time, especially in chronic ruptures.…”

Section: Discussionmentioning

confidence: 99%

The management of chronic rupture of the Achilles tendon

Maffulli

Oliva

Costa

et al. 2015

The Bone & Joint Journal

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We hypothesised that a minimally invasive peroneus brevis tendon transfer would be effective for the management of a chronic rupture of the Achilles tendon. In 17 patients (three women, 14 men) who underwent minimally invasive transfer and tenodesis of the peroneus brevis to the calcaneum, at a mean follow-up of 4.6 years (2 to 7) the modified Achilles tendon total rupture score (ATRS) was recorded and the maximum circumference of the calf of the operated and contralateral limbs was measured. The strength of isometric plantar flexion of the gastrocsoleus complex and of eversion of the ankle were measured bilaterally. Functional outcomes were classified according to the four-point Boyden scale. At the latest review, the mean maximum circumference of the calf of the operated limb was not significantly different from the pre-operative mean value, (41.4 cm, 32 to 50 vs 40.6 cm, 33 to 46; p = 0.45), and not significantly less than that of the contralateral limb (43.1 cm, 35 to 52; p = 0.16). The mean peak torque (244.6 N, 125 to 367) and the strength of eversion of the operated ankle (149.1 N, 65 to 240) were significantly lower (p < 0.01) than those of the contralateral limb (mean peak torque 289, 145 to 419; strength of eversion: 175.2, 71 to 280). The mean ATRS significantly improved from 58 pre-operatively (35 to 68) to 91 (75 to 97; 95% confidence interval 85.3 to 93.2) at the time of final review. Of 13 patients who practised sport at the time of injury, ten still undertook recreational activities. This procedure may be safely performed, is minimally invasive, and allows most patients to return to pre-injury sport and daily activities.

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“…As opções cirúrgicas geralmente ocorrem após fracasso no tratamento conservador ou condições de maior disfunção 1,14,15 .…”

Section: Resumo | Introduçãounclassified

Fortalecimento Muscular Excêntrico No Tratamento Da Tendinopatia De Aquiles: Uma Revisão Sistemática

Silva¹,

Rocha²,

Filho³

et al. 2017

Rev Pesq Fisio

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INTRODUÇÃO: A Fisioterapia, no manejo da tendinopatia de Aquiles, utiliza-se de recursos físicos moduladores da inflamação e analgésicos. Como parte do tratamento fisioterapêutico a literatura tem sugerido o exercício de fortalecimento excêntrico com eficaz na resolução de tendinopatias. OBJETIVO: O presente estudo teve como objetivo a busca de evidências científicas sobre o uso do exercício de fortalecimento excêntrico no manejo da Tendinopatia de Aquiles. MÉTODOS: Para a composição da revisão foi realizada busca por estudos nas base de dados virtuais Pubmed e PEDro. Os descritores utilizados foram as seguintes: Eccentric, tendinopathy, Achilles Tendonitis. Para compor o estudo os artigos deveriam obedecer os seguintes critérios de elegibilidade: artigos publicados na língua inglesa, intervalo de publicação entre 2013 a 2017, ensaios clínicos randomizados, com pontuação superior a 6 na escala de qualidade PEDro. RESULTADOS: Foram localizados um total de 87 artigos, dos quais apenas 21 referiam-se a temática em questão. Dos 21 artigos 14 foram excluídos pelos seguintes motivos: 3 por consistirem em relatos de caso, 1 classificado como revisão de literatura, 1 caracterizava-se como comentário clinico, 1 envolvia um estudo com modelo animal, 1 era um projeto de pesquisa, 5 não classificavam-se com ensaios clínicos randomizados, 1 obteve nota inferior a 6 na escala de qualidade PEDro e 1 deles proporcionava descrição incompleta dos resultados. CONCLUSÃO: O fortalecimento muscular excêntrico caracteriza-se como uma modelo terapêutico de escolha para o manejo da tendinopatia de aquiles, a combinação com outras modalidades potencializa seus efeitos fisiológicos.

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Outcome of Single Incision Flexor Hallucis Longus Transfer for Chronic Achilles Tendinopathy

Abstract: Excellent clinical outcomes with significant decrease in pain are possible with single incision technique for FHL transfer for chronic Achilles tendinopathy.

Cited by 39 publications

References 7 publications

Hypertrophy of the flexor hallucis longus muscle after tendon transfer in patients with chronic Achilles tendon rupture

Hypertrophy of the flexor hallucis longus muscle after tendon transfer in patients with chronic Achilles tendon rupture

The management of chronic rupture of the Achilles tendon

Fortalecimento Muscular Excêntrico No Tratamento Da Tendinopatia De Aquiles: Uma Revisão Sistemática

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