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Low recurrence rate after mini surgery outside the tendon combined with short rehabilitation in patients with midportion Achilles tendinopathy
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering. 2Institute of Sport, Exercise and Health, University College London Hospitals, London, UK.
2016 (Engelska)Ingår i: Open Access Journal of Sports Medicine, ISSN 1179-1543, E-ISSN 1179-1543, Vol. 7, s. 51-54Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: 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.

Ort, förlag, år, upplaga, sidor
2016. Vol. 7, s. 51-54
Nyckelord [en]
Achilles midportion, ultrasound, Doppler, mini-surgical scraping technique
Nationell ämneskategori
Idrottsvetenskap
Identifikatorer
URN: urn:nbn:se:umu:diva-135305DOI: 10.2147/OAJSM.S102692ISI: 000399933300004PubMedID: 27274323OAI: oai:DiVA.org:umu-135305DiVA, id: diva2:1098341
Tillgänglig från: 2017-05-24 Skapad: 2017-05-24 Senast uppdaterad: 2018-06-09Bibliografiskt granskad

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