TY - JOUR
T1 - Achilles tendoscopy for non insertional Achilles tendinopathy. A case series study
AU - Wagner, Pablo
AU - Wagner, Emilio
AU - Ortiz, Cristian
AU - Zanolli, Diego
AU - Keller, Andres
AU - Maffulli, Nicola
N1 - Publisher Copyright:
© 2019 European Foot and Ankle Society
PY - 2020/6
Y1 - 2020/6
N2 - Background: Achilles non-insertional tendinopathy is usually treated with conservative means. If resistant to a rehabilitation protocol surgical treatment could be proposed. The aim of this research is to report the mid-term clinical results of endoscopic assisted surgery for patients suffering from recalcitrant painful non-insertional Achilles tendinopathy. Methods: A consecutive series of 11 patients (6 men and 5 women), median age of 54 (range 40–67) years, with chronic recalcitrant painful non-insertional Achilles tendinopathy were included. All patients completed at least 20 physical therapy sessions and 6 months of no sports activities before surgery. All underwent Achilles tendoscopy, without tendon excision or transfer with a median follow-up of 87 (27–105) months. We report the preoperative symptoms duration, treatment before surgery, complications and satisfaction after surgery, return to previous sport level, and postoperative VISA-A score. Results: Mean preoperative symptoms duration was 1 year, having all performed at least 20 physical therapy sessions. No postoperative complications were reported, achieving a complete satisfaction in 10 of 11 patients. All patients returned to their preoperative sports level with a median postoperative VISA-A functional score of 100 (30–100) points. Conclusions: The mid-term results of Achilles tendoscopy in patients with chronic painful non-insertional Achilles tendinopathy are satisfactory with a rapid rehabilitation. This procedure is safe and has a low complication rate. Level of Evidence: IV. Retrospective case series.
AB - Background: Achilles non-insertional tendinopathy is usually treated with conservative means. If resistant to a rehabilitation protocol surgical treatment could be proposed. The aim of this research is to report the mid-term clinical results of endoscopic assisted surgery for patients suffering from recalcitrant painful non-insertional Achilles tendinopathy. Methods: A consecutive series of 11 patients (6 men and 5 women), median age of 54 (range 40–67) years, with chronic recalcitrant painful non-insertional Achilles tendinopathy were included. All patients completed at least 20 physical therapy sessions and 6 months of no sports activities before surgery. All underwent Achilles tendoscopy, without tendon excision or transfer with a median follow-up of 87 (27–105) months. We report the preoperative symptoms duration, treatment before surgery, complications and satisfaction after surgery, return to previous sport level, and postoperative VISA-A score. Results: Mean preoperative symptoms duration was 1 year, having all performed at least 20 physical therapy sessions. No postoperative complications were reported, achieving a complete satisfaction in 10 of 11 patients. All patients returned to their preoperative sports level with a median postoperative VISA-A functional score of 100 (30–100) points. Conclusions: The mid-term results of Achilles tendoscopy in patients with chronic painful non-insertional Achilles tendinopathy are satisfactory with a rapid rehabilitation. This procedure is safe and has a low complication rate. Level of Evidence: IV. Retrospective case series.
KW - Achilles tendinopathy
KW - Achlles tendon
KW - Endoscopic treatment
KW - Functional result
KW - Sports injury
UR - http://www.scopus.com/inward/record.url?scp=85066806715&partnerID=8YFLogxK
U2 - 10.1016/j.fas.2019.05.008
DO - 10.1016/j.fas.2019.05.008
M3 - Article
C2 - 31196696
AN - SCOPUS:85066806715
SN - 1268-7731
VL - 26
SP - 421
EP - 424
JO - Foot and Ankle Surgery
JF - Foot and Ankle Surgery
IS - 4
ER -