Suture anchor tenodesis in repair of distal Achilles tendon injuries

Kılıçoğlu, Önder; Türker, Mehmet; Yıldız, Fatih; Akalan, Ekin; Temelli, Yener

doi:10.1007/s00590-012-1129-2

Cited by 16 publications

(16 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They describe a total of 12 patients with distal Achilles tendon ruptures and their therapy. The authors performed the reinsertions using a titanium anchor [3,5] or using a cortical bone screw with a spiked washer [4]. Double-row bone anchors have already been used for years for knotless reattachment of major rotator cuff ruptures.…”

Section: Results Of Reinsertion Of the Distal Achilles Tendonmentioning

confidence: 99%

Results of Reinsertion of the Distal Achilles Tendon

Lohrer¹

2018

Z Orthop Unfall

View full text Add to dashboard Cite

Background Reattachment of the distal Achilles tendon to the posterior calcaneus following distal Achilles tendon tears/avulsions or after excision of large posterior heel spurs is a challenging task for the orthopaedic surgeon. Patients/Material and Methods Between 2005 and the end of 2015, 22 patients who underwent repair/reconstruction of a lesion of the distal Achilles tendon were identified from our electronic records. Calcaneal reinsertions were performed following distal Achilles tendon tears/avulsions (n = 15) or following excision of a large symptomatic posterior heel spur (n = 7). The respective outcome was evaluated comparatively using the VISA-A – G (Victorian Institute of Sports Assessment-Achilles tendon, German version) questionnaire (100 = maximum). Data were collected preoperatively (n = 11/22), and prospectively at three, six, and 12 months postoperatively (n = 5 – 11/22). Two further retrospective follow-ups were performed 12 – 114 and 21 – 149 months postoperatively (n = 17/22 and 22/22, respectively). All data were analysed retrospectively. Complications were searched from the electronic files. Results Transosseous sutures and different anchor techniques (Panalok®, Corkscrew®, SpeedBridge®) were generally performed. Preoperatively, the VISA-A – G score was 27.3 ± 13.5 (6 – 45) following distal Achilles tendon reinsertions for avulsions and 45.3 ± 49.0 (0 – 100) when reattachment was performed after resection of a large posterior heel spur (p = 0.831). At the final follow-up, VISA-A – G values were 89.4 ± 13.9 (54 – 100) following distal Achilles tendon tear/avulsion and 82.5 ± 24.5 (51 – 100), when Achilles tendons were reattached after posterior heel spur excisions (p = 0.969). There were no complications in the “heel spur group”. In the Achilles tendon tear/avulsion group, four out of seven patients with Panalok® repairs developed a fistula. One patient suffered a thromboembolism. None of these complications affected the long-term outcome. Conclusions This study demonstrates good long-term outcomes after distal Achilles tendon reinsertion. Knotless double row anchor repair provides a greater area of compression, simplifies and standardises the repair/reconstruction, and provides safety against fistula. These implants are therefore recommended for safe and effective reattachment of the distal Achilles tendon.

show abstract

Section: Results Of Reinsertion Of the Distal Achilles Tendonmentioning

confidence: 99%

Results of Reinsertion of the Distal Achilles Tendon

Lohrer¹

2018

Z Orthop Unfall

View full text Add to dashboard Cite

show abstract

“…With increased postoperative stress, the degree of creep is exponentially declining [ 41 ], and extension of the Achilles tendon and contraction of weakness often happens after surgery. Therefore, some authors advocate that a certain amount of compressive stress should be ensured at the load of the torn sites when they are repaired [ 42 ]. We used an anchor tail suture and circuit suture to repair the torn sites to connect the proximal end of Achilles tendon to the muscle and maintain a good ductility, and as far as possible to ensure the Achilles tendon near the distal end, effectively avoiding Achilles tendon extension.…”

Section: Discussionmentioning

confidence: 99%

A new less invasive surgical technique in the management of acute Achilles tendon rupture through limited-open procedure combined with a single-anchor and “circuit” suture technique

Zhang¹,

Liu²,

Zhang³

et al. 2018

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundTraditional incision repair and minimally invasive repair for acute Achilles tendon repair have limitations. This study aimed to present our series of 23 patients with acute Achilles tendon rupture that was repaired using two small incisions to assist the anchor repair of the tear and a new “circuit” suture technique.MethodsThis was a retrospective study of 23 patients with acute Achilles tendon rupture treated with the new technique at Changhai Hospital between January 2015 and December 2016 and followed up for 14–33 months. Clinical outcome was assessed using the AOFAS, Leppilahti, and Arner-Lindholm scores. Complications, range of motion (ROM), and time to return to work and light sport activity were assessed.ResultsThe AOFAS score was 85–96 at 3 months and 92–100 at 12 months. The 3-month ROM was 27°–37°, and the 12-month ROM was 36°–48°. The Leppilahti score was 85–95 at 3 months and 90–100 at 12 months. The recovery time of the patients was 10–18 weeks. The postoperative recovery time to exercise was 16–24 weeks. There was only one case of deep venous thrombosis. According to the Arner-Lindholm assessment criteria, patient outcomes were rated as excellent in 20 (87.0%) cases, good in three (13.0%) cases, and poor in 0 cases. The excellent-to-good rate was 100%.ConclusionThe limited-open procedure combined with a single-anchor and “circuit” suture technique could be used to repair torn Achilles sites, with a low occurrence of complications. This new and minimally invasive technique could be an alternative in the management of acute Achilles tendon rupture.

show abstract

“…Chen et al [7] Hanna et al [8] Manisculco et al [5] Lui et al [1] and Kilicoglu et al [9] have proposed the use of the Mitek anchor system for the treatment of distal Achilles tendon ruptures, with favorable results. Those authors suggest that this technique offers the advantage of reducing the operative time, of having easy access to the implantation site and of enabling earlier physical therapy.…”

Section: Discussionmentioning

confidence: 99%

Acute Distal Achilles Tendon Rupture Reconstruction with the Ipsilateral Semitendinosus Tendon and Review of the Literature

Tsailas

2017

MOJOR

View full text Add to dashboard Cite

Acute distal Achilles tendon ruptures are uncommon, at the same time these is no standard method of treatment. We propose reconstructing the tendon with the ipsilateral semitendinosus tendon, passed through a transverse tunnel just distal to the region of the Achilles insertion, and weaved through the Achilles tendon, along with 1 or 2 strong sutures. This technique offers a strong fixation, early weightbearing and reduced risk of recurrence by augmenting this degenerated tendon area.

show abstract

Suture anchor tenodesis in repair of distal Achilles tendon injuries

Abstract: There were no visually altered gait or problems in daily life. Suture anchor tenodesis technique of distal Achilles tendon avulsions was successful in achieving durable osteotendinous repairs.

Cited by 16 publications

References 16 publications

Results of Reinsertion of the Distal Achilles Tendon

Results of Reinsertion of the Distal Achilles Tendon

A new less invasive surgical technique in the management of acute Achilles tendon rupture through limited-open procedure combined with a single-anchor and “circuit” suture technique

Acute Distal Achilles Tendon Rupture Reconstruction with the Ipsilateral Semitendinosus Tendon and Review of the Literature

Contact Info

Product

Resources

About