Percutaneous repair of achilles tendon rupture: ultrasonographical and isokinetic evaluation

Autor: A. Verdenelli, A. Morgantini, A. Gigante, C. Chillemi, L. de Palma, M. Marinelli, S. Ulisse
Rok vydání: 2002
Předmět:
Zdroj: Foot and Ankle Surgery. 8:267-276
ISSN: 1268-7731
DOI: 10.1046/j.1460-9584.2002.00336.x
Popis: Summary The authors report the ultrasonographic evolution of the Achilles tendon healing process following a percutaneous tenorraphy technique. Thirty-eight patients affected with subcutaneous ruptures of the Achilles tendon underwent percutaneous tenorraphy and were followed-up with clinical examination and submitted to ultrasound study 5, 24 and 48 weeks after surgery. Ultrasound aids the clinical diagnosis especially when the diagnosis is doubtful (i.e. in presence of partial tears, observed in three cases) and in assessing the level of the rupture. Soon after surgery an increase of the diameter of the ruptured tendon was observed in comparison with uninjured tendon. One year post-operatively, the repaired tendon gradually decreased in thickness, even if the orientation of tendon fascicles was still not properly organized. In conclusion, ultrasonography confirmed its value as a diagnostic and prognostic instrument indicating the severity of the lesion and to evaluate the opposition of the tendon stumps and the tendon healing process also in this percutaneous tenorraphy.
Databáze: OpenAIRE