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Titre : | Surgical Strategies for the Treatment of Insertional Achilles Tendinopathy (2019) |
Auteurs : | Alexej Barg ; Todd Ludwig |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 24, n° 3, 2019) |
Article en page(s) : | p. 533-559 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Tendinopathie ; Tendon calcanéen |
Résumé : |
Insertional Achilles tendinopathy is a common Achilles tendon disorder that often is associated with increasing age, repetitive microtrauma from constant overuse of the Achilles tendon, and/or increased vascularity.
Most available studies suggest that patients with insertional Achilles tendinopathy should first be presented with nonsurgical treatment options, including eccentric calf-muscle training, high-energy extracorporeal shock wave therapy, and dry needling. Patients who have failed exhaustive conservative treatment for a period of 3 months to 6 months should be counseled about surgical treatment options unless contraindicated by general or procedure-specific complications. Surgical treatment includes débridement of insertional calcifications with a partial detachment of the distal Achilles tendon, débridement of intratendinous degenerative tissue, resection of any Haglund deformity, and reattachment of the distal Achilles tendon. Postoperative complications are not rare, and wound healing issues are the most common complication. Surgical treatment of insertional Achilles tendinopathy frequently results in substantial pain relief and functional improvement; however, complete rehabilitation, including return to sports activities, often is delayed up to 1 year postoperatively. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751519300427 |