| Outcomes of chronic insertional Achilles tendinosis using FHL autograft through single incision. | |
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MedLine Citation:
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PMID: 19321095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The purpose of this study was to evaluate the clinical outcomes and objective isokinetic dynamometry on a cohort of patients with chronic insertional Achilles tendinosis, who underwent surgical reconstruction using an FHL tendon autograft transfer through a single incision. MATERIALS AND METHODS: Forty patients (16 male and 24 female; mean age, 57 years; age range, 39 to 76 years) with persistent chronic Achilles tendinosis were evaluated after surgical reconstruction at an average of 27 months after surgery. At the time of final followup, ankle strength and active range of motion (AROM) were evaluated using Biodex isokinetic dynamometry. Additionally, patients were assessed with AOFAS Ankle Hindfoot scores, pain on a Visual Analog Scale (VAS) and their self-reported level of satisfaction (Very Good, Good, Fair, Poor). RESULTS: We found no loss of plantarflexion strength or plantarflexion power in the operated ankles; an average of 4-degree loss of AROM was found. The study population scored an average of 96/100 for the total AOFAS-AH score post-repair. The average VAS decreased from 7.5 pre-op to 0.3 post-op. Thirty-eight of 40 patients (95%) were satisfied with their outcome (rated Very Good or Good), two patients rated their outcome as Fair and none as Poor. CONCLUSION: For individuals with chronic insertional Achilles tendinosis, operative repair using an FHL tendon with the single-incision technique achieved a high percentage of satisfactory results as well as excellent functional and clinical outcomes including significant pain reduction. |
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Authors:
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Ilan Elias; Steven M Raikin; Marcus P Besser; Levon N Nazarian |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society Volume: 30 ISSN: 1071-1007 ISO Abbreviation: Foot Ankle Int Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-03-26 Completed Date: 2009-06-17 Revised Date: 2013-02-25 |
Medline Journal Info:
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Nlm Unique ID: 9433869 Medline TA: Foot Ankle Int Country: United States |
Other Details:
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Languages: eng Pagination: 197-204 Citation Subset: IM |
Affiliation:
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Foot and Ankle Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Achilles Tendon* Adult Aged Ankle Joint / physiopathology Debridement Female Follow-Up Studies Humans Male Middle Aged Muscle Strength Dynamometer Patient Satisfaction Range of Motion, Articular / physiology Retrospective Studies Tendinopathy / physiopathology, surgery* Tendon Transfer* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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