Open surgical treatment for chronic midportion Achilles tendinopathy: faster recovery with the soleus fibres transfer technique

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Abstract

Purpose: The study aimed to compare two methods of open surgical treatment for midportion Achilles tendinopathy in sportsmen. A novel technique consisting in transferring some soleus fibres into the degenerated tendon to improve its vascularization and longitudinal tenotomies are evaluated and compared. Methods: From 2006 to 2011, fifty-two competitive and noncompetitive athletes affected by midportion Achilles tendinopathy were surgically treated and prospectively evaluated at 6 months and at a final 4-year mean follow-up. Twenty patients had longitudinal tenotomies, and thirty-two had soleus fibres transfer. Clinical outcome was evaluated by the American Orthopaedic Foot and Ankle Society (AOFAS) score and the Victorian Institute of Sports Assessment-Achilles (VISA-A) score. Time to return to walk and to run and tendon thickening were also recorded. Results: Patients in the soleus transfer group had a higher increase in AOFAS and VISA-A score at 6 months and at the mean 4-year final follow-up (by 5.4 points, 95 % CI 2.9–7.9, p 

Original languageEnglish
Pages (from-to)1868-1876
Number of pages9
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume24
Issue number6
DOIs
Publication statusPublished - Jun 1 2016

Keywords

  • Achilles tendon
  • Sports traumatology
  • Surgical Technique
  • Tendinopathy
  • Tendon surgery
  • Tendon vascularization

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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