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Operative treatment of chronic Achilles tendinopathy

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Abstract

Seventy-six patients with Achilles tendinopathies (n=86) operated between 1980 and 1995 were retrospectively evaluated at an average follow-up of 13 (5–21) years. Total or gross partial ruptures were excluded. Patients' average age at surgery was 38 (18–58) years. The majority of patients were active in competitive or recreational sports. Tendinopathies were classified in peritendinitis, tendinosis, insertional tendinopathies, and mixed forms. The surgical technique depended entirely on the pathology encountered. For 32 cases of peritendinitis, results were excellent in 26, good in four, and poor in two. For eight cases of tendinosis, results were excellent in four and good in four. For 34 cases of insertional tendinopathy, results were excellent in 22, good in four, fair in four, and poor in four. For 12 cases of mixed tendinopathies, results were excellent in ten and good in two. Forty-nine patients (52 cases) were able to return to sport at the desired level.

Résumé

Soixante-seize malades avec une tendinopathie d'Achille (n=86) ont été opérés entre 1980 et 1995 et évalués rétrospectivement à un délai moyen de 13 (5–21) années. Les ruptures totales ou partielles importantes ont été exclues. L'âge moyen des malades à la chirurgie était 38 (18–58) années. La majorité des malades était des sportifs soit de loisir soit de compétition. Les tendinopathies ont été classés en: péritendinites, tendinites, tendinopathies d'insertion de et formes mixtes. La technique chirurgicale dépendait de la pathologie. Sur 32 péritendinites, les résultats étaient excellents pour 26, bon pour quatre et mauvais pour deux . Sur huit tendinites, il y avait quatre excellents et 4 bons résultats. Sur 34 tendinopathies d'insertion, les résultats étaient excellents pour 22, bon pour quatre, juste pour quatre, et mauvais quatre. Sur 12 tendinopathies mixtes, les résultats étaient excellents pour dix et bon pour deux. Cinquante-deux malades étaient capables de revenir au sport au niveau désiré.

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Authors and Affiliations

  1. Kirk Kilgour Sport Injury Center, Unit of Orthopaedics, Sant' Andrea Hospital, University La Sapienza, Rome, Italy

    Maria Chiara Vulpiani, Matteo Guzzini & Andrea Ferretti

  2. Via Vincenzo Renieri 14, 00142, Rome, Italy

    Maria Chiara Vulpiani

Authors
  1. Maria Chiara Vulpiani
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  2. Matteo Guzzini
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  3. Andrea Ferretti
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Correspondence to Maria Chiara Vulpiani.

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Chiara Vulpiani, M., Guzzini, M. & Ferretti, A. Operative treatment of chronic Achilles tendinopathy. International Orthopaedics (SICOT) 27, 307–310 (2003). https://doi.org/10.1007/s00264-003-0472-7

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  • DOI: https://doi.org/10.1007/s00264-003-0472-7

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