“Double-Row” Suture for Achilles’ Tendon Insercional Tendinopathy Reattachment and Two Types of Rehabilitation Protocol: A Retrospective Comparative Study
Category: Hindfoot Introduction/Purpose: The purpose of this Study is to evaluate the results of knotless double-row sutures for Achilles insercional tendinopathy reattachment and compare two types of post-operative rehabilitation protocols. Methods: This is a retrospective comparative study of coll...
Saved in:
Published in | Foot & ankle orthopaedics Vol. 7; no. 4 |
---|---|
Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Los Angeles, CA
SAGE Publications
01.11.2022
Sage Publications Ltd SAGE Publishing |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Category:
Hindfoot
Introduction/Purpose:
The purpose of this Study is to evaluate the results of knotless double-row sutures for Achilles insercional tendinopathy reattachment and compare two types of post-operative rehabilitation protocols.
Methods:
This is a retrospective comparative study of collected data from patients who were treated in two different hospital by two different surgeons. Sixty-three (63) patients (66 feet) were included and separated in two different groups. All of them were submitted to the same technique for knotless double-row suture for Achilles insercional tendinopathy reattachment. Group 1 was treated with a functional rehabilitation at the end of a 4 weeks NWB period and group 2 with early and aggressive functional post- operative management.
Results:
We found that both types of post-operative regimen generate significant improvement in pain and functional scores. Regarding pain, both rehabilitation protocols generated similar results, with no statistically significant differences. However, the FAAM-AVD score, on average, of patients in Group 1 was slightly higher than that of patients in the Group 2. This means that more than 50% of patients in the group 1 had a higher FAAM-AVD than all patients in the group 2. Regarding the comparison of the postoperative rehabilitation of the groups, a more accentuated improvement was observed in the group where functional rehabilitation was postponed to the 5th post-operative week, and the patients having remained immobilized for 4 (four) weeks in a NWB suropodalic orthosis on the operated limb.
Conclusion:
The double-row suture system for Achilles' reattachment is an excellent option for the surgical treatment of insertional Achilles' tendinopathy. The functional outcome of patients who were submitted to a 4-week delayed functional rehabilitation program is slightly better than those submitted to an early and aggressive functional rehabilitation program. |
---|---|
ISSN: | 2473-0114 2473-0114 |
DOI: | 10.1177/2473011421S00843 |