Repair of insertional achilles tendinosis with a bone-quadriceps tendon graft.

Détails

ID Serval
serval:BIB_2E10C15BCA85
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Repair of insertional achilles tendinosis with a bone-quadriceps tendon graft.
Périodique
Foot & ankle international
Auteur⸱e⸱s
Philippot R., Wegrzyn J., Grosclaude S., Besse J.L.
ISSN
1071-1007 (Print)
ISSN-L
1071-1007
Statut éditorial
Publié
Date de publication
09/2010
Peer-reviewed
Oui
Volume
31
Numéro
9
Pages
802-806
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
While conservative treatment may be successful in most cases, partial rupture at the calcaneal insertion point is a significant concern with insertional Achilles tendinopathy. We report on the outcomes of a surgical technique for Achilles tendon augmentation using a bone-tendon graft harvested from the knee extensor system.
Our retrospective case series includes 25 surgical procedures performed in 24 patients, 19 males and five females, with a mean age of 47 (range, 30 to 59) years, 18 of whom were athletes. The mean followup period was 52 (range, 12 to 156) months. All patients underwent MRI examination prior to surgery which showed partial Achilles tendon rupture. The Achilles tendon was debrided through a posterolateral approach. The bone-quadriceps tendon graft was harvested, then the bone plug of the graft was inserted into a blind tunnel drilled into the calcaneus and fixed with an interference screw. The fibers of the quadriceps tendon were sutured to the residual part of the Achilles tendon with the foot at an angle of 90 degrees.
Patients were able to resume their sporting activity after an average of 6.7 months. At last followup examination, physical activity was scored 5.2 on the 10-point Tegner Scale; the mean AOFAS score was 98.4. MRI examination showed good graft integration 1 year postoperatively.
The bone-quadriceps tendon grafting technique was a good alternative for the insertional Achilles lesions with partial detachment which we felt required augmentation.
Mots-clé
Achilles Tendon/pathology, Achilles Tendon/surgery, Adult, Bone Screws, Calcaneus/surgery, Female, Follow-Up Studies, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Patella/transplantation, Patient Satisfaction, Retrospective Studies, Tendinopathy/pathology, Tendinopathy/surgery, Tendons/transplantation, Treatment Outcome
Pubmed
Web of science
Création de la notice
17/01/2020 8:07
Dernière modification de la notice
18/01/2020 6:26
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