Percutaneous repair of achilles tendon rupture: ultrasonographical and isokinetic evaluation

Chillemi, Claudio; Gigante, Antonio; Verdenelli, A.; Marinelli, Massimiliano; Ulisse, Serena; Morgantini, A.; Palma, Luigi de

doi:10.1046/j.1460-9584.2002.00336.x

Cited by 27 publications

(19 citation statements)

References 29 publications

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“…The present study demonstrates that percutaneous repair did not induce any of the complications reported in the literature, such as re-rupture and sural nerve lesion, which are among those most frequently described in this type of operation [7]. Insufficiency of the gastrocnemius-Achilles tendon complex was observed at 6 months in a single patient, due to imperfect stump juxtaposition that did not enable restoration of original tendon length.…”

Section: Discussionmentioning

confidence: 44%

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Open versus percutaneous repair in the treatment of acute Achilles tendon rupture: a randomized prospective study

Gigante

Moschini

Verdenelli

et al. 2007

Knee Surg Sports Traumatol Arthr

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151

129

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There is no agreement on the ideal type of surgical management for Achilles tendon rupture. The present randomized prospective study was performed to compare outcome data of open and percutaneous repair in the treatment of Achilles tendon rupture. Forty consecutive patients with acute rupture of Achilles tendon were recruited. Patients were randomized to receive open (group A) or percutaneous repair with Tenolig (group B). All patients followed the same rehabilitation protocol except for slight differences in the duration of immobilization. Follow-up included objective evaluation (at 4 and 12 months), subjective evaluation using the SF-12 questionnaire (at 24 months), and bilateral ultrasound scanning and isokinetic testing (at 12 months). The differences in the parameters evaluated clinically were not significant except for ankle circumference, which was significantly greater in group B. There were two minor complications in the open repair group and one case of failed repair in the percutaneous group. SF-12 questionnaire, ultrasound and isokinetic test data did not show significant differences between the groups. The present study demonstrates that the open and the percutaneous technique are both safe and effective in repairing the ruptured Achilles tendon and that both afford the same degree of restoration of clinical, ultrasound and isokinetic patterns. Medium-term results were substantially comparable. Percutaneous repair is performed on a day-surgery basis, it reduces cutaneous complications and operation times, and enables faster recovery, enhancing overall patient compliance. To us, these characteristics make it preferable to open repair in managing subcutaneous ruptures of Achilles tendon in non-professional sports practicing adults.

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Section: Discussionmentioning

confidence: 44%

“…The Tenolig 1 kit is composed of two Knee Surg Sports Traumatol Arthrosc (2008) 16:204-209 205 long needles threaded with non-absorbable wire, each ending with a metal anchor (for a detailed description see also 7,9). The patient lay face down with the foot on a gel cushion.…”

Section: Group Bmentioning

confidence: 99%

Open versus percutaneous repair in the treatment of acute Achilles tendon rupture: a randomized prospective study

Gigante

Moschini

Verdenelli

et al. 2007

Knee Surg Sports Traumatol Arthr

Self Cite

151

129

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“…Ultrasound may be used to confirm the diagnosis and to monitor tendon healing. 4,14,15 A large gap in the tendon leads to increased scar tissue, which is characterized by poor tensile strength. This may increase the risk of rerupture.…”

Section: Discussionmentioning

confidence: 99%

Dynamic Ultrasound as a Selection Tool for Reducing Achilles Tendon Reruptures

et al. 2006

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“…In this study, ultrasound scans were provided by the University Hospitals of Coventry and Warwickshire (UHCW) in order to measure the changes in length of the Achilles tendon in dorsiflexion and plantar flexion of the foot segment so as to design and validate the gastrocnemius muscle-Achilles tendon complex [34,35]. Ultrasound sessions were performed at the UHCW with volunteers from the University of Warwick.…”

Section: Imagingmentioning

confidence: 99%

A mathematical model characterising Achilles tendon dynamics in flexion

Chatzistefani

Chappell

Hutchinson

et al. 2017

Mathematical Biosciences

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Abstract:The purpose of this study is to acquire mechanistic knowledge of the gastrocnemius muscleAchilles tendon complex behaviour during specific movements in humans through mathematical modelling. Analysis of this muscle-tendon complex was performed to see if already existing muscle-tendon models of other parts of the body could be applied to the leg muscles, especially the gastrocnemius muscleAchilles tendon complex, and whether they could adequately characterise its behaviour. Five healthy volunteers were asked to take part in experiments where dorsiflexion and plantar flexion of the foot were studied. A model of the Achilles tendon-gastrocnemius muscle was developed, incorporating assumptions regarding the mechanical properties of the muscle fibres and the tendinous tissue in series. Ultrasound images of the volunteers, direct measurements and additional mathematical calculations were used to parameterise the model. Ground reaction forces, forces on specific joints and moments and angles for the ankle were obtained from a Vicon 3D motion capture system. Model validation was performed from the experimental data captured for each volunteer and from reconstruction of the movements of specific trajectories of the joints, muscles and tendons involved in those movements.

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Percutaneous repair of achilles tendon rupture: ultrasonographical and isokinetic evaluation

Cited by 27 publications

References 29 publications

Open versus percutaneous repair in the treatment of acute Achilles tendon rupture: a randomized prospective study

Open versus percutaneous repair in the treatment of acute Achilles tendon rupture: a randomized prospective study

Dynamic Ultrasound as a Selection Tool for Reducing Achilles Tendon Reruptures

A mathematical model characterising Achilles tendon dynamics in flexion

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