Surgical interventions for treating acute Achilles tendon ruptures

Khan, RJK; Fick, Daniel; Brammar, TJ; Crawford, John R.; Parker, MJ

doi:10.1002/14651858.cd003674.pub2

Cited by 140 publications

(167 citation statements)

References 39 publications

Supporting

Mentioning

144

Contrasting

Unclassified

Order By: Relevance

“…These findings suggest that, in asymptomatic individuals, TS muscle activity quantified by surface EMG is not likely to identify middle-aged individuals during repeated heel raises despite the high prevalence of injuries reported in this population (23). The results do not support the use of EMG for this purpose in clinical practice.…”

Section: Discussionmentioning

confidence: 63%

“…Some musculoskeletal injuries are more frequent in youngeraged adults, but the prevalence of TS and AT injuries is reported to increase significantly after the mid-20s (31) and is highest in the fourth and fifth decades of life (23). Increase in age and muscle imbalances or weakness are recognized as predisposing factor to TS and AT pathogenesis (5), and it is important to identify risk factors or abnormal musculoskeletal functions to decrease the prevalence of injury.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of Knee Flexion Angle and Age on Triceps Surae Muscle Fatigue During Heel Raises

Hébert‐Losier

Schneiders²,

García³

et al. 2012

Journal of Strength and Conditioning Research

View full text Add to dashboard Cite

Hébert-Losier, K, Schneiders, AG, García, JA, Sullivan, SJ, and Simoneau, GG. Influence of knee flexion angle and age on triceps surae muscle activity during heel raises. J Strength Cond Res 26(11): 3124-3133, 2012-Triceps surae and Achilles tendon injuries are frequent in sports medicine, particularly in middle-aged adults. Muscle imbalances and weakness are suggested to be involved in the etiology of these conditions, NOT THE PUBLISHED VERSION; this is the author's final, peer-reviewed manuscript. The published version may be accessed by following the link in the citation at the bottom of the page. Strength and Conditioning Research, Vol. 26, No. 11 (November 2012 2 with heel-raise testing often used to assess and treat triceps surae (TS) injuries. Although heel raises are recommended with the knee straight for gastrocnemius and bent for soleus (SOL), the extent of muscle selectivity in these positions is not clear. This study aimed to determine the influence of knee angle and age on TS muscle activity during heel raises. Forty-eight healthy men and women were recruited from a younger-aged (18-25 years) and middle-aged (35-45 years) population. All the subjects performed unilateral heel raises in 0° and 45° knee flexion (KF). Soleus, gastrocnemius medialis (GM) and gastrocnemius lateralis (GL) surface electromyography signals were processed to compute root-mean-square amplitudes, and data were analyzed using mixed-effects models and stepwise regression. The mean TS activity during heel raises was 23% of maximum voluntary isometric contraction when performed in 0° KF and 21% when in 45°. Amplitudes were significantly different between TS muscles (p < 0.001) and KF angles (p < 0.001), with a significant interaction (p < 0.001). However, the age of the population did not influence the results (p = 0.193). The findings demonstrate that SOL activity was 4% greater when tested in 45° compared with 0° KF and 5% lower in the GM and GL. The results are consistent with the recommended use of heel raises in select knee positions for assessing, training, and rehabilitating the SOL and gastrocnemius muscles; however, the 4-5% documented change in activity might not be enough to significantly influence clinical outcome measures or muscle-specific benefits. Contrary to expectations, TS activity did not distinguish between middle-aged and younger-aged adults, despite the higher injury prevalence in middle age. Journal of

show abstract

Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Influence of Knee Flexion Angle and Age on Triceps Surae Muscle Fatigue During Heel Raises

Hébert‐Losier

Schneiders²,

García³

et al. 2012

Journal of Strength and Conditioning Research

View full text Add to dashboard Cite

show abstract

“…11 21.91) or percutaneous repair (RR=9.32; 95% CI, 1.77-49.16). 12 Nonetheless, other randomised controlled trials report no significant difference in the re-rupture rate between conservative and surgical treatment. [13][14][15] Conservative treatment followed by early functional rehabilitation achieves a similar re-rupture rate but a lower complication rate, compared with surgical repair (risk difference=1.7%, p=0.45).…”

Section: Discussionmentioning

confidence: 97%

Percutaneous Repair Followed by Accelerated Rehabilitation for Acute Achilles Tendon Ruptures

Al-Mouazzen

Rajakulendran

Najefi

et al. 2015

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Purpose. To evaluate the outcome after percutaneous repair followed by accelerated rehabilitation for acute Achilles tendon ruptures. Methods. 21 men and 9 women (mean age, 41 years) underwent percutaneous repair by a single senior surgeon for acute Achilles tendon ruptures, followed by early weight bearing and accelerated rehabilitation. Outcome measures included the Achilles tendon rerupture rate, the Achilles tendon total rupture score (ATRS) at 3 and 6 months, the incidence of sural nerve injury, wound infection, wound dehiscence, patient satisfaction, and the time to return to prerupture activity. Results. The mean follow-up period was 12.5 months. The mean ATRS score improved from 57.65 at 3 months to 86.95 at 6 months (p<0.001). No patient had intra-operative complications, tendon re-rupture, sural nerve injury, wound dehiscence, or deep infection. Two patients developed a superficial wound infection, which was resolved with oral Percutaneous repair followed by accelerated rehabilitation for acute Achilles tendon ruptures

show abstract

“…8,10 Recent meta-analyses reported rerupture rates for surgically treated patients varying from 3.1 to 5.0% vs 8.8 to 13% for nonsurgically treated patients. 6,17 Some authors reported favorably toward the percutaneous approaches in terms of complication rates, but a higher rate of sural nerve injury was noted. 6,18 Klein et al 15 showed an incidence of 13% of sural nerve injuries.…”

Section: Discussionmentioning

confidence: 99%

Novel Semi-open Technique for Repair of Acute Rupture of Achilles Tendon

Sobti¹,

Mohrir²,

Agarwala³

2015

Journal of Foot and Ankle Surgery (Asia Pacific)

View full text Add to dashboard Cite

Background:The most common complication of open repair of Achilles tendon is skin necrosis and wound problems, especially in the distal part, where the blood supply to the skin is precarious. Minimally invasive and percutaneous techniques have become popular as they overcome this problem but these techniques put the sural nerve at risk and have high incidence of rerupture. We have devised a semi-open technique, which incorporates the advantages of both techniques and at the same time avoids their complications. The aim of this study was to evaluate the outcome of this technique.

show abstract

Surgical interventions for treating acute Achilles tendon ruptures

Cited by 140 publications

References 39 publications

Influence of Knee Flexion Angle and Age on Triceps Surae Muscle Fatigue During Heel Raises

Influence of Knee Flexion Angle and Age on Triceps Surae Muscle Fatigue During Heel Raises

Percutaneous Repair Followed by Accelerated Rehabilitation for Acute Achilles Tendon Ruptures

Novel Semi-open Technique for Repair of Acute Rupture of Achilles Tendon

Contact Info

Product

Resources

About