跟腱清创术、跟骨整形术和双排腱足印重建术可改善插入性跟腱病患者的踝关节功能和运动表现

IF 1.9 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2024-12-01 DOI:10.1016/j.fas.2024.05.014

Thomas Stumpner , Simon Recheis , Michael S. Gruber , Harald Kindermann , Dietmar Mattausch , Peter Bock , Paul Pöchgraber , Reinhold Ortmaier , Martin Bischofreiter

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引用次数: 0

摘要

背景：连续性跟腱病是体力活动者的常见病。广泛的肌腱内病变可能需要部分肌腱脱离，清创和重建肌腱足迹。手术后有积极的功能结果报道，但关于术后运动功能的文献有限。方法对25例行跟腱清创和双排足迹重建的患者进行术前和术后运动能力和踝关节功能的评估。结果运动疼痛VAS评分由7.4 （SD, 2.5）降至1.2 (SD, 2.0)，差异有统计学意义(p <；0.001)。运动能力和主观健康水平分别从3.6 （SD 3.0）和3.5（2.2）显著增加到8.8（2.4）和8.8 (2.2)(p <；0.001)。术后观察到从高冲击运动到低冲击运动的趋势。96%的患者主观手术效果良好或优异。结论跟腱插入清创和双排跟腱足迹重建术后运动能力提高，患者满意度高。证据等级IV级：回顾性病例系列。

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Achilles tendon debridement, calcaneoplasty and double-row tendon footprint reconstruction improve ankle function and athletic performance in patients with insertional Achilles tendinopathy

Background

Insertional Achilles tendinopathy is a frequent condition among physically active individuals. Extensive intratendinous pathologies may require partial tendon detachment, debridement and reconstruction of the tendon footprint. Positive functional outcomes are reported after the procedure, but literature on postoperative sport function is limited.

Methods

Pre- and postoperative sports capability and ankle function were assessed in 25 patients undergoing Achilles tendon debridement and double-row footprint reconstruction.

Results

The mean VAS score for pain during sport decreased significantly from 7.4 (SD, 2.5) to 1.2 (SD, 2.0) postoperatively (p < 0.001). Sports ability and subjective fitness levels increased significantly from 3.6 (SD 3.0) and 3.5 (2.2) to 8.8 (2.4) and 8.8 (2.2), respectively (p < 0.001). A trend from high-impact sports to low-impact sports was observed postoperatively. The subjective surgical outcome was good or excellent in 96 %.

Conclusion

Our study shows improvement in postoperative sports ability and high patient satisfaction after insertional Achilles tendon debridement, and double-row tendon footprint reconstruction.

Level of Evidence

Level IV – retrospective case series.

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.