Achilles tendoscopy for non insertional achilles tendinopathy. A preliminary study
Date
2019
Type:
Article
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12 p.
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Abstract
Background: To report the mid-term clinical results of endoscopic assisted surgery for patients suffering from chronic recalcitrant painful mid-portion Achilles tendinopathy who failed conservative management for at least 6 months. Methods: Descriptive and retrospective case series. Consecutive series of 11 patients, 6 men and 5 women, with a median age of 54 (range 40 – 67) years; 13 Achilles tendons with chronic recalcitrant painful mid-portion tendinopathy treated with tendinoscopy were included. Median follow-up of 87 (27-105) months. We report the symptoms duration, regular sports activity, treatment before surgery, complications and satisfaction after surgery, return to previous sport level, and postoperative VISA-A score. No tendon excision or transfer was performed at the time of surgery. All patients completed at least 20 sessions of supervised
physical therapy and did not undertake impact sport activities for 6 months before surgery.
Results: No postoperative complications were reported. Complete satisfaction was obtained in 10 out of 11 patients. The median postoperative VISA-A score was 100 (30-100) points. Conclusions: The mid-term results in patients with chronic painful mid-portion
Achilles tendinopathy undergoing endoscopic debridement are satisfactory. Level of Evidence: IV.
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Citation
Foot Ankle Surgery. 2019 May 18
Keywords
Achilles tendinopathy, Endoscopic treatment, Functional result