Achilles tendoscopy for non insertional Achilles tendinopathy. A case series study

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dc.coverageDOI: 10.1016/j.fas.2019.05.008
dc.creatorWagner, Pablo
dc.creatorWagner, Emilio
dc.creatorOrtiz, Cristian
dc.creatorZanolli, Diego
dc.creatorKeller, Andres
dc.creatorMaffulli, Nicola
dc.date2020
dc.date.accessioned2025-11-18T19:40:44Z
dc.date.available2025-11-18T19:40:44Z
dc.description<p>Background: Achilles non-insertional tendinopathy is usually treated with conservative means. If resistant to a rehabilitation protocol surgical treatment could be proposed. The aim of this research is to report the mid-term clinical results of endoscopic assisted surgery for patients suffering from recalcitrant painful non-insertional Achilles tendinopathy. Methods: A consecutive series of 11 patients (6 men and 5 women), median age of 54 (range 40–67) years, with chronic recalcitrant painful non-insertional Achilles tendinopathy were included. All patients completed at least 20 physical therapy sessions and 6 months of no sports activities before surgery. All underwent Achilles tendoscopy, without tendon excision or transfer with a median follow-up of 87 (27–105) months. We report the preoperative symptoms duration, treatment before surgery, complications and satisfaction after surgery, return to previous sport level, and postoperative VISA-A score. Results: Mean preoperative symptoms duration was 1 year, having all performed at least 20 physical therapy sessions. No postoperative complications were reported, achieving a complete satisfaction in 10 of 11 patients. All patients returned to their preoperative sports level with a median postoperative VISA-A functional score of 100 (30–100) points. Conclusions: The mid-term results of Achilles tendoscopy in patients with chronic painful non-insertional Achilles tendinopathy are satisfactory with a rapid rehabilitation. This procedure is safe and has a low complication rate. Level of Evidence: IV. Retrospective case series.</p>eng
dc.descriptionBackground: Achilles non-insertional tendinopathy is usually treated with conservative means. If resistant to a rehabilitation protocol surgical treatment could be proposed. The aim of this research is to report the mid-term clinical results of endoscopic assisted surgery for patients suffering from recalcitrant painful non-insertional Achilles tendinopathy. Methods: A consecutive series of 11 patients (6 men and 5 women), median age of 54 (range 40–67) years, with chronic recalcitrant painful non-insertional Achilles tendinopathy were included. All patients completed at least 20 physical therapy sessions and 6 months of no sports activities before surgery. All underwent Achilles tendoscopy, without tendon excision or transfer with a median follow-up of 87 (27–105) months. We report the preoperative symptoms duration, treatment before surgery, complications and satisfaction after surgery, return to previous sport level, and postoperative VISA-A score. Results: Mean preoperative symptoms duration was 1 year, having all performed at least 20 physical therapy sessions. No postoperative complications were reported, achieving a complete satisfaction in 10 of 11 patients. All patients returned to their preoperative sports level with a median postoperative VISA-A functional score of 100 (30–100) points. Conclusions: The mid-term results of Achilles tendoscopy in patients with chronic painful non-insertional Achilles tendinopathy are satisfactory with a rapid rehabilitation. This procedure is safe and has a low complication rate. Level of Evidence: IV. Retrospective case series. © 2019 European Foot and Ankle Societyspa
dc.identifierhttps://investigadores.uandes.cl/en/publications/d7c80dd6-ee3d-4b58-9f87-f548606dd9ab
dc.identifier.urihttps://repositorio.uandes.cl/handle/uandes/51444
dc.languageeng
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.sourcevol.26 (2020) nr.4 p.421-424
dc.subjectAchilles tendinopathy
dc.subjectAchlles tendon
dc.subjectEndoscopic treatment
dc.subjectFunctional result
dc.subjectSports injury
dc.titleAchilles tendoscopy for non insertional Achilles tendinopathy. A case series studyeng
dc.typeArticleeng
dc.typeArtículospa
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