Arthroscopic, Single-Incision, and Double-Incision Approaches to Flexor Hallucis Longus Tendon Transfer Following Achilles Tendon Rupture: A Literature Review
| Autor: | Ashley V. Mosseri, Dominick J. Casciato, Phillip M. Calaj, Bibi N Singh |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Flexor hallucis longus tendon
medicine.medical_specialty medicine.medical_treatment Tendon Transfer Achilles Tendon 03 medical and health sciences 0302 clinical medicine Antalgic gait Tendon Injuries medicine Humans Reduction (orthopedic surgery) Rupture 030222 orthopedics medicine.diagnostic_test business.industry Significant difference Arthroscopy 030229 sport sciences General Medicine Plastic Surgery Procedures musculoskeletal system medicine.disease Tendon Surgery medicine.anatomical_structure Single incision Achilles tendon rupture medicine.symptom business |
| Zdroj: | Journal of the American Podiatric Medical Association. 111(3) |
| ISSN: | 1930-8264 |
| Popis: | Achilles tendon rupture is a common athletic injury that results in a painful and antalgic gait. Flexor hallucis longus tendon transfer through arthroscopic, single-incision, or double-incision techniques is used as a treatment approach to address this rupture; however, no studies have compared postoperative complications between these three techniques. A systematic search of published articles was conducted using keywords “Achilles rupture,” “flexor hallucis tendon,” “transfer,” and “recovery.” Articles were then selected based on their title, abstract, and content following full-text review. From each article's reported surgical outcomes, a comparison was made between arthroscopic and single- and double-incision postoperative complications using a χ2 test with significance set at a value of P < .05 followed by post hoc analysis. The arthroscopic approach maintained the lowest rate of postoperative complications, followed by the single- and double-incision techniques. A significant difference in the number of postoperative complications was found between all incisional approaches. The pairwise comparisons, however, could not identify which incisional approaches significantly differed between each other. A reduction in postoperative complications places arthroscopy and the single-incision techniques as the preferred approaches for flexor hallucis longus tendon transfer following an Achilles tendon rupture. Although current literature shows arthroscopy to be superior to single- and double-incision methods, this review demonstrates the need for a greater number of published cases using arthroscopy to establish significance regarding postoperative complications. |
| Databáze: | OpenAIRE |
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