Achilles Tendon Rupture

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Jeong Seok Moon - One of the best experts on this subject based on the ideXlab platform.

Bengt I Eriksson - One of the best experts on this subject based on the ideXlab platform.

  • sex differences in outcome after an acute Achilles Tendon Rupture
    Orthopaedic Journal of Sports Medicine, 2014
    Co-Authors: Karin Grävare Silbernagel, Katarin Nilssonhelander, Nicklas Olsson, Annelie Brorsson, Bengt I Eriksson, Jon Karlsson
    Abstract:

    Background:Tendon healing differs between the sexes. Comparisons in outcome between the sexes after an Achilles Tendon Rupture are often not possible because of the small cohort (<20%) of women.Pur...

  • major functional deficits persist 2 years after acute Achilles Tendon Rupture
    Knee Surgery Sports Traumatology Arthroscopy, 2011
    Co-Authors: Nicklas Olsson, Jon Karlsson, Katarin Nilssonhelander, Bengt I Eriksson, Roland Thomee, Eva Faxen, Karin Grävare Silbernagel
    Abstract:

    Purpose The purpose of this prospective randomized controlled study was to evaluate the long-term results after an acute Achilles Tendon Rupture in patients treated surgically or non-surgically. The focus was to evaluate whether any improvements occurred between the one and 2-year evaluation.

  • acute Achilles Tendon Rupture a randomized controlled study comparing surgical and nonsurgical treatments using validated outcome measures
    American Journal of Sports Medicine, 2010
    Co-Authors: Katarin Nilssonhelander, Karin Grävare Silbernagel, Nicklas Olsson, Bengt I Eriksson, Roland Thomee, Eva Faxen, Jon Karlsson
    Abstract:

    BackgroundThere is no consensus regarding the optimal treatment for patients with acute Achilles Tendon Rupture. Few randomized controlled studies have compared outcomes after surgical or nonsurgical treatment with both groups receiving early mobilization.PurposeThis study was undertaken to compare outcomes of patients with acute Achilles Tendon Rupture treated with or without surgery using early mobilization and identical rehabilitation protocols.Study DesignRandomized, controlled trial; Level of evidence, 1.MethodsNinety-seven patients (79 men, 18 women; mean age, 41 years) with acute Achilles Tendon Rupture were treated and followed for 1 year. The primary end point was rerupturing. Patients were evaluated using the Achilles Tendon Total Rupture Score (ATRS), functional tests, and clinical examination at 6 and 12 months after injury.ResultsThere were 6 (12%) reRuptures in the nonsurgical group and 2 (4%) in the surgical group (P = .377). The mean 6- and 12-month ATRS were 72 and 88 points in the surgic...

  • high incidence of deep venous thrombosis after Achilles Tendon Rupture a prospective study
    Knee Surgery Sports Traumatology Arthroscopy, 2009
    Co-Authors: Katarin Nilssonhelander, Jon Karlsson, Anders Thurin, Bengt I Eriksson
    Abstract:

    Deep venous thrombosis (DVT) is common after lower limb injury, but the effect of prophylactic treatment has not been documented in large randomised trials or meta-analyses. As a result, evidence-based recommendations have not been established. The purpose of this study was to evaluate the incidence of venous thromboembolism in patients with Achilles Tendon Rupture. A total of 100 consecutive patients with an acute Achilles Tendon Rupture were included in a prospective study and randomised to either surgical or non-surgical treatment. At 8 weeks after the initiation of treatment, 95/100 patients were screened for DVT using colour duplex sonography (CDS) with blinded interpretation by two experienced examiners and adjudication in cases of disagreement by a third person. A total of 95 patients (79 male and 16 female) with a median (range) age of 41 (24–63) years were screened for CDS at 8 weeks. Of the 95 patients, 32 had a CDS-verified thrombosis, 5 proximal and 27 distal, whereas 3 had non-fatal pulmonary embolism. Surgical treatment was performed in 49 patients, non-surgical in 46. There were no significant differences in DVT frequency between the two treatment groups. The incidence of asymptomatic and symptomatic deep venous thrombosis is high after Achilles Tendon Rupture and there is a need to define the possible benefit of thromboprophylaxis.

Stefano Zaffagnini - One of the best experts on this subject based on the ideXlab platform.

Nicola Maffulli - One of the best experts on this subject based on the ideXlab platform.

  • endoscopic flexor hallucis longus Tendon transfer for chronic Achilles Tendon Rupture
    Sports Medicine and Arthroscopy Review, 2016
    Co-Authors: Wai Chung Chan, Nicola Maffulli
    Abstract:

    Chronic Achilles Tendon Rupture posed significant disability to the patients. Flexor hallucis longus (FHL) transfer can be used to restore the plantarflexion power of the ankle. Traditionally, a long medial incision with extensive soft tissue dissection is needed for FHL transfer. With the advance in flexor hallucis tendoscopy, endoscopic FHL Tendon transfer can be performed without extensive soft tissue dissection.

  • changing incidence of Achilles Tendon Rupture in scotland a 15 year study
    Clinical Journal of Sport Medicine, 1999
    Co-Authors: Nicola Maffulli, Stuart W Waterston, J Squair, Jacqueline Reaper, A S Douglas
    Abstract:

    ObjectiveTo determine the incidence of Achilles Tendon Rupture in Scotland from 1980 to 1995.Design:Retrospective analysis of prospectively collected data.Setting:Data were obtained from the National Health Service Information and Statistics Division and analyzed in terms of age- and gender-specific

  • Achilles Tendon Rupture and sciatica: a possible correlation.
    British Journal of Sports Medicine, 1998
    Co-Authors: Nicola Maffulli, A. S. Irwin, Michael G. Kenward, Fjd Smith, Robert Porter
    Abstract:

    The association between Achilles Tendon Rupture and sciatica was investigated by questionnaire in 138 patients who underwent repair of an Achilles Tendon Rupture, and in a group of individuals nominated by the patients, matched for age, sex, and occupation. A total of 102 patients (74%) and 128 peer nominated controls (71%) replied to the questionnaire. Of the 102 respondent patients, 18 had an officebased job, 47 were involved in skilled nonmanual work, and 16 were retired. Back pain had been experienced by 63 of the patients who replied to the questionnaire, and by 91 (75%) of the individuals in the control group (difference not significant). In about 30% of both groups, the pain confined them to bed for at least two days, and resulted in absence from work. Thirteen of the patients and 16 of the controls had undergone thoracic, lumbar, or sacral radiography. One individual in each group had received surgery for back pain. However, 35 of 102 patients had experienced sciatic pain before Achilles Tendon Rupture. Pain of a similar nature had been experienced by only 15 individuals in the control group (12%) (p < 0.001). Using this study design, we found a highly significant association between Achilles Tendon Rupture and sciatica. We propose that this association could be due to impaired afferent signals from the lower leg, or to similar collagen or vascular anomalies of the vertebral disc and the Achilles Tendon.

Christiaan Van Der Werken - One of the best experts on this subject based on the ideXlab platform.

  • acute Achilles Tendon Rupture minimally invasive surgery versus nonoperative treatment with immediate full weightbearing a randomized controlled trial
    American Journal of Sports Medicine, 2008
    Co-Authors: Roderick Metz, E J M M Verleisdonk, Geert J M G Van Der Heijden, G J Clevers, Erik R Hammacher, Michiel H J Verhofstad, Christiaan Van Der Werken
    Abstract:

    BackgroundSurgical repair of acute Achilles Tendon Ruptures is considered superior to nonoperative treatment, but complications other than reRupture range up to 34%. Nonoperative treatment by functional bracing seems a promising alternative.HypothesisNonoperative treatment of acute Achilles Tendon Rupture with functional bracing reduces the number of complications compared with surgical treatment with a minimally invasive technique.Study DesignRandomized controlled clinical trial; Level of evidence, 2.MethodUsing concealed random allocation, 83 patients with acute Achilles Tendon Rupture were assigned to nonoperative treatment by functional bracing or minimally invasive surgical treatment followed by tape bandage. Patients were allowed full weightbearing, and follow-up was 1 year.ResultsComplications risk other than reRupture by intention-to-treat basis was 9 in 42 patients (21 %) for surgical treatment and 15 in 41 patients (36%) for nonoperative treatment (risk ratio, 0.59; 95% confidence interval, 0.29...