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Achilles tendon rupture

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Nov 29, 2007.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    This clinical trial was just registered:
    Endoscopic Transfer of Flexor Hallucis Longus Tendon for Chronic Achilles Tendon Rupture
     
  2. efuller

    efuller MVP

    "The transfer of Flexor Hallucis Longus (FHL) in the management of chronic Achilles tendon ruptures has demonstrated good functional outcome, but an extensive surgical field at a vulnerable location may lead to increased risk for soft tissue problems. The arthroscopic FHL transfer may reduce the risk for soft tissue problems. Functional outcome parameters are investigated, wound/soft tissue complications registered."


    Seems pretty ambitious to think the FHL tendon and muscle that has considerably less physciologic cross sectional area compared to the gastroc or soleus could create anywhere near the plantar flexion power of the gastroc and soleus. Additionally if they transfer the FHL to the Achlles insertion, it will have a smaller lever arm than the Gastroc and soleus. One more thing, the FHL tendon is a bipennaate muscle and does not have the ability to shorten for a significant length. They might be transferring the tendon to a location where the muscle doesn't have excursion (max stretched length - max contraction length) to move the ankle joint through its full range of motion. Knowing that, I would not consent to having that procedure done on me. I also would advise anyone considering the procedure against doing it. It does not seem that what you would gain, would be worth what you would lose. (That is if the surgery went perfectly as intended.) We can only hope they publish the research even it doesn't come out as good as the authors hoped.

    Eric
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    FROM ACUTE ACHILLES TENDON RUPTURE TO RETURN TO PLAY - A CASE REPORT EVALUATING RECOVERY OF TENDON STRUCTURE, MECHANICAL PROPERTIES, CLINICAL AND FUNCTIONAL OUTCOMES.
    Zellers JA et al
    Int J Sports Phys Ther. 2016 Dec;11(7):1150-1159.
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Altered patterns of displacement within the Achilles tendon following surgical repair
    Fröberg, Å., Cissé, AS., Larsson, M. et al.
    Knee Surg Sports Traumatol Arthrosc (2016). doi:10.1007/s00167-016-4394-5
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Outcome after operative treatment for chronic versus acute Achilles tendon rupture — A comparative analysis
    C. Becher, S. Donner, J. Brucker, K. Daniilidis, H. Thermann
    Foot and Ankle Surgery; Article in Press
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Division Tenorrhaphy.
    Doty J, Katsuura Y, Richardson N.
    Foot Ankle Spec. 2017 Jan 1:1938640016685145.
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The epidemiology and trends in management of acute Achilles tendon ruptures in Ontario, Canada
    a population-based study of 27 607 patients

    U. Sheth, D. Wasserstein, R. Jenkinson, R. Moineddin, H. Kreder, S. B. Jaglal
    Bone Joint J 2017;99-B:78–86.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Functional outcomes of conservatively managed acute ruptures of the Achilles tendon
    J. E. Lawrence, P. Nasr, D. M. Fountain, L. Berman, A. H. N. Robinson
    Bone Joint J 2017;99-B:87–93.
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Press Release:
    Nonsurgical and surgical treatments provide successful outcomes for an Achilles tear
    Surgery may be optimal for high-performance athletes

     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Early functional rehabilitation versus traditional immobilization for surgical Achilles tendon repair after acute rupture: a systematic review of overlapping meta-analyses
    Jia-Guo Zhao, Xiao-Hui Meng, Lin Liu, Xian-Tie Zeng & Shi-Lian Kan
    Scientific Reports 7, Article number: 39871 (2017)
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    How early must an acute Achilles tendon rupture be repaired?
    Young Hwan Park, Seong Min Jeong, Gi Won Choi, Hak Jun Kim,
    Injury; 9 January 2017
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Rehabilitation of Achilles tendon ruptures: is early functional rehabilitation daily routine?
    Frankewycz B et al
    Arch Orthop Trauma Surg. 2017 Jan 17. doi: 10.1007/s00402-017-2627-9
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    ACHILLES TENDON LENGTH, ATRS AND FUNCTIONAL OUTCOMES FIVE YEARS AFTER ACUTE ACHILLES TENDON RUPTURE TREATED CONSERVATIVELY
    R. Kastoft, J. Bencke, M. Speedtsberg, R.M. Søndergaard, K. Barfod, J. Ø. Penny
    12 January 2017
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Closing the gap on Achilles tendon rupture: A cadaveric study quantifying the tendon apposition achieved with commonly used immobilisation practices
    Ruaraidh Collins et al
    Foot and Ankle Surgery; 23 January 2017
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Efficacy of repair techniques of the Achilles tendon. A meta-analysis of human cadaveric biomechanical studies.
    Kaissar Yammine et al
    The Foot: January 27, 2017
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Primary surgical repair of acute Achilles tendon rupture: comparative results of three surgical techniques.
    Lonzarić D et al
    Wien Klin Wochenschr. 2017 Jan 26. doi: 10.1007/s00508-016-1158-7
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Elevated Knee Joint Kinetics and Reduced Ankle Kinetics Are Present During Jogging and Hopping After Achilles Tendon Ruptures
    Richard W. Willy, PT, PhD, Annelie Brorsson, PT, MSc, Hayley C. Powell, ATC, John D. Willson, PT, PhD, Roy Tranberg, CPO, PhD, Karin Grävare Silbernagel, PT, PhD, ATC
    The American Journal of Sports Medicine February 10, 2017 research-article
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Morphomechanical alterations in the medial gastrocnemius muscle in patients with a repaired Achilles tendon: Associations with outcome measures
    Wei-Chen Penga, Yi-Ping Changa, Yuan-Hung Chaoa, SN Fub, Christer Rolfc, Tiffany TF Shihd, Sheng-Chu Sue, Hsing-Kuo Wanga, ,
    Clinical Biomechanics; Volume 43, March 2017, Pages 50–57
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Severe Functional Debilitations After Complications Associated With Acute Achilles Tendon Rupture With 9 Years of Follow-Up
    Kristoffer Weisskirchner Barfod et al
    JFAS; Article in Press
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Surgical management of chronic Achilles tendon ruptures using less invasive techniques
    Nicola Maffulli et al
    Foot and Ankle Surgery; 16 February 2017
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Suture-Only Repair Versus Suture Anchor-Augmented Repair for Achilles Tendon Ruptures With a Short Distal Stump: A Biomechanical Comparison.
    Boin MA et al
    Orthop J Sports Med. 2017 Jan 4;5(1):2325967116678722. doi: 10.1177/2325967116678722. eCollection 2017.
     
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