| Titre : | Failed Surgery for Achilles Tendinopathy (2022) |
| Auteurs : | Phinit Phisitkul ; Nacime Salomao Barbachan Mansur ; Cesar de Cesar Netto |
| Type de document : | Article |
| Dans : | Foot and Ankle Clinics (Vol. 27, n° 2, June 2022) |
| Article en page(s) : | p. 431-455 |
| Note générale : | https://doi.org/10.1016/j.fcl.2021.11.027 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Cicatrisation de plaie ; Complications ; Douleur ; Echec thérapeutique ; Infections ; Tendinopathie ; Tendon calcanéen |
| Résumé : |
Achilles tendinopathy is divided into insertional Achilles tendinopathy and noninsertional Achilles tendinopathy. Although they can coexist, the 2 conditions differ in pathomechanics and treatments.
Evidence is extremely limited to guide treatment of failed surgeries. Deep infection must be treated meticulously with a thorough débridement of devitalized tissue, foreign body removal, and soft tissue coverage. Flexor hallucis longus tendon transfer is an excellent option to restore plantarflexion force and tendinous augmentation. When it is not available, peroneus brevis or flexor digitorum longus may be chosen. Persistent pain after a surgery could be related to a multitude of conditions. An accurate diagnosis is paramount. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751521001698 |
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