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Low recurrence rate after mini surgery outside the tendon combined with short rehabilitation in patients with midportion Achilles tendinopathy
- Source :
- Open Access Journal of Sports Medicine
- Publication Year :
- 2016
- Publisher :
- Informa UK Limited, 2016.
-
Abstract
- Håkan Alfredson1,2 1Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden; 2Institute of Sport, Exercise and Health, University College London Hospitals, London, UKBackground: There is a general opinion that a structured and specific rehabilitation is needed after treatment of midportion Achilles tendinopathy to minimize recurrence of the condition. There is sparse knowledge about the recurrence rates in large patient materials after specific treatments for midportion Achilles tendinopathy.Aim: This study aimed to investigate the recurrence rates in a large number of patients with chronic painful midportion Achilles tendinopathy that had been surgically treated with the ultrasound (US) and Doppler (DP)-guided mini-surgical scraping technique. Postoperatively, a relatively simple rehabilitation protocol, including a range of movement exercises and gradually increased walking and biking before allowing free activity, was used.Materials and methods: From a database, information about the recurrence rates after US + DP-guided mini-surgical scraping, performed by a single surgeon on 519 tendons with US + DP-verified chronic painful midportion Achilles tendinopathy, was obtained.Results: Recurrence of painful midportion Achilles tendinopathy was found in 26 of 519 (5%) operated tendons, 13 from women and 13 from men. In 13 tendons, a close by located plantaris tendon was extirpated during the reoperation.Conclusion: In this large material on patients treated with US + DP-guided mini-surgical scraping for midportion Achilles tendinopathy, there were few recurrences, although only a simple and nonspecific rehabilitation protocol was used.Keywords: Achilles midportion, ultrasound, Doppler, mini-surgical scraping technique
- Subjects :
- medicine.medical_specialty
Achilles midportion
medicine.medical_treatment
03 medical and health sciences
0302 clinical medicine
Medicine
In patient
030212 general & internal medicine
mini-surgical scraping technique
Open Access Journal of Sports Medicine
Sport and Fitness Sciences
Original Research
Rehabilitation
ultrasound
Idrottsvetenskap
business.industry
Doppler
030229 sport sciences
medicine.disease
Tendon
Surgery
medicine.anatomical_structure
Physical therapy
Tendinopathy
business
After treatment
Subjects
Details
- ISSN :
- 11791543
- Database :
- OpenAIRE
- Journal :
- Open Access Journal of Sports Medicine
- Accession number :
- edsair.doi.dedup.....c1d4b637ccfb0d4fa94be0b83bbbbd0e