Abstract:
BACKGROUND:There is scant literature regarding the treatment of myotendinous Achilles ruptures. The purpose of this study was to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. METHODS:Between November 2005 and May 2011, 30 patients presented with an acute, complete myotendinous Achilles rupture. The location of the Achilles injury was confirmed on magnetic resonance imaging (MRI) for all patients. All patients were treated nonsurgically, which involved 3 weeks of non-weight-bearing and then 3 weeks of progressive to full weight-bearing in an Achilles boot. Physical therapy was provided for 4 to 6 weeks after this period of immobilization. 21 patients were male and 9 were female. The patients had a mean age of 40.8 years (range, 24-54). Patients were followed an average of 40.5 months (range, 23-81). RESULTS:Full healing of the Achilles myotendinous junction was achieved clinically in all 30 patients . All patients experienced improved function and less pain at their latest follow-up. Mean Foot and Ankle Ability Measure-Sports (FAAM-Sports) increased from 20.2% at the time of initial presentation to 95.2% at the latest follow-up (P < .05). Mean Visual Analog Scores (VAS) of pain decreased from 8.2 at the time of initial presentation to 1.3 at latest follow-up (P < .01). In all, 23 (76.7%), 6 (20%), and 1 (3.3%) patients rated their satisfaction as excellent, good, and fair, respectively. No patients have developed recurrent myotendinous Achilles ruptures to date. CONCLUSION:Nonsurgical treatment of myotendinous Achilles ruptures results in a high rate of myotendinous healing with improved patient function and pain relief. LEVEL OF EVIDENCE:Level IV, retrospective case series.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Ahmad J,Repka M,Raikin SMdoi
10.1177/1071100713483115subject
Has Abstractpub_date
2013-08-01 00:00:00pages
1074-8issue
8eissn
1071-1007issn
1944-7876pii
1071100713483115journal_volume
34pub_type
杂志文章abstract:BACKGROUND:This study was performed to investigate anterior ankle impingement after tendo-Achilles lengthening for long-standing equinus deformity in patients with residual poliomyelitis and to investigate whether the severity of preoperative equinus deformity affected the occurrence of symptomatic anterior impingement...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100713488092
更新日期:2013-09-01 00:00:00
abstract::In triple arthrodesis performed for severe deformity and neuroarthropathy in poorly compliant patients with osteoporotic bone, fixation of the arthrodesis is critical. We biomechanically tested an alternative means of stabilization for calcaneocuboid fusions. In seven matched pairs of fresh-frozen cadaver feet, we rem...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000107
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Obesity is a growing problem in Europe and the United States. While obesity has been linked to poor outcomes after total knee or hip replacement, there are no data addressing outcomes in obese patients who underwent total ankle replacement (TAR). METHODS:This retrospective chart review included 118 patients...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0925
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Coronal plane deformity is common in patients who undergo total ankle arthroplasty. The correction of this deformity is paramount to the long-term survival of the implant. Coronal plane correction is achieved with soft tissue balancing and, in some part, is maintained through articular geometry constraint. T...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719862744
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abstract:BACKGROUND:The reported fusion rates of revision arthrodesis for hindfoot nonunions are relatively low compared to primary procedures. Exogenous ultrasound has been shown to accelerate the healing process of acute fractures and fracture nonunions but has not been previously evaluated for the treatment of hindfoot pseud...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700401
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:A previous study has shown an increased radiographic prevalence and severity of hallux valgus interphalangeus (HVIP) after surgical correction of hallux valgus (HV) due to correction of pronation deformity. The purpose of this study was to evaluate the change in pre- and postoperative HVIP deformity with cor...
journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
abstract::Autologous iliac crest graft has been a standard source of supplementary bone for treating bony defects, fractures and arthrodeses. Bone graft substitutes have recently become widely available. This paper reports on the use of bone graft substitute in 28 patients that otherwise would have required an iliac crest graft...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300802
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:The aim of this study was to examine the influence of age, body mass index (BMI) and leg dominance on the PRT, balance control and foot position sense. MATERIALS AND METHODS:The proprioception of the ankle was investigated in 210 participants. All participants completed a questionnaire. The PRT was measured...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0423
更新日期:2010-05-01 00:00:00
abstract::Isolated dislocations of the middle cuneiform are uncommon. There have been four reported previously. Significant force is required to produce these injuries, and they can have serious neurovascular consequences. In this case report and review of the literature, we present an isolated middle cuneiform dislocation in a...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079701801110
更新日期:1997-11-01 00:00:00
abstract::The purpose of this study was to compare the compression effect of the 7.0-AO screw and the 6.5 mm Ideal Compression Screw (I.CO.S.) screw in an in vitro subtalar arthodesis model. Six fresh-frozen, human cadaver foot specimens were obtained for analysis. The subtalar joint was opened laterally without affecting the a...
journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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abstract:BACKGROUND:Osteonecrosis and nonunions of the tarsal navicular remain a challenging clinical problem. This article presents a series of patients treated with local vascularized pedicle bone grafting to the navicular. The purpose of this study was to determine the early clinical and radiographic outcomes of this techniq...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0734
更新日期:2012-09-01 00:00:00
abstract::A unique case of subsustentacular dislocation of the navicular is presented. The authors propose that such a severe displacement cannot occur until there is complete instability across the whole midfoot. The mechanism of injury and the treatment options are discussed. In the present case, there was late collapse of th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000311
更新日期:1999-03-01 00:00:00
abstract::We report a very rare case of anterior dislocation of the subtalar joint. Forceful supination of the foot and dorsiflexion of the ankle was considered the cause of the injury in this case. Closed reduction was successful for the talocalcaneal component of subtalar joint, although surgery was subsequently performed bec...
journal_title:Foot & ankle international
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doi:10.1177/107110070102200715
更新日期:2001-07-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章,评审
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更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Although cross-sectional biomechanical studies have reported that wearing high-heeled shoes can change the musculoskeletal system of the lower extremities, the long-term effects of wearing such shoes on the ankle remain unknown. The aim of this study was to reveal changes in ankle range of motion and muscle ...
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更新日期:2013-03-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:The prevalence of obesity in the United States is staggering. Currently, the effect of obesity on third-generation total ankle replacement (TAR) is unknown. METHODS:We prospectively identified a consecutive series of 455 primary TARs operated between May 2007 and September 2013 who had a minimum follow-up o...
journal_title:Foot & ankle international
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abstract:BACKGROUND:Subtalar instability, which may cause persistent symptoms after severe inversion ankle sprains, often involves failure of the interosseous talocalcaneal ligament (ITCL). While several clinicians have reported surgical treatment for this pathology, nonsurgical management policy has not been well considered. P...
journal_title:Foot & ankle international
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doi:10.1177/107110070302400811
更新日期:2003-08-01 00:00:00
abstract::Traumatic injuries to the midtarsal joint are quite uncommon and usually involve fractures of adjacent bones. Pure dislocations without fracture are very rare. A patient sustained a pure dislocation that was treated with a nonweight-bearing cast for six weeks, but she went on to present with chronic subluxation at the...
journal_title:Foot & ankle international
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更新日期:2010-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
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更新日期:2011-09-01 00:00:00
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journal_title:Foot & ankle international
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更新日期:1995-02-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:1997-06-01 00:00:00