Plantarflexion Torque Following Reconstruction of Achilles Tendinosis or Rupture with Flexor Hallucis Longus Augmentation
| Autor: | Timothy C. Beals, Michael T. Monroe, Arthur Manoli, David L. Crowley, David J. Dixon, Gregory C. Pomeroy |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Employment Male Metatarsophalangeal Joint medicine.medical_specialty medicine.medical_treatment Tendinosis Pain Achilles Tendon Tendons 03 medical and health sciences Primary repair 0302 clinical medicine Muscular Diseases medicine Humans Orthopedics and Sports Medicine Muscle Skeletal Aged 030203 arthritis & rheumatology Debridement Rupture Spontaneous Foot business.industry 030229 sport sciences Middle Aged medicine.disease Surgery Treatment Outcome Torque Patient Satisfaction Flexor hallucis longus Hallux Recreation Female Heel Achilles tendon rupture medicine.symptom business Ankle Joint Follow-Up Studies Muscle Contraction |
| Zdroj: | Foot & Ankle International. 21:324-329 |
| ISSN: | 1944-7876 1071-1007 |
| DOI: | 10.1177/107110070002100409 |
| Popis: | Nine patients treated surgically for Achilles tendon rupture (7 patients) or tendinosis (2 patients) with primary repair or debridement and augmentation with the flexor hallucis longus muscle-tendon unit were evaluated at a mean of 19 months postoperative. Subjective evaluation revealed a high level of satisfaction. All patients returned to work and only two patients reported limitation in their recreational activities. The mean post-operative AOFAS Ankle-Hindfoot Score was 90 points. Four patients reported mild occasional pain and one patient complained of moderate daily pain. Motion assessment showed a 20% increase in the hallux MTP dorsiflexion compared to the non-operative side (p = 0.045). No difference in ankle motion was noted. Cybex II+ dynamic evaluation of plantarflexion peak torque was complete on both extremities. The torque deficit on the reconstructed extremity was 20% (p = 0.01) at 120 degrees per second and 26% (p = 0.003) at 30 degrees per second. There is no significant difference between the torque deficit recorded for patients with Achilles rupture and those with Achilles tendinosis. A trend toward improved torque production with longer follow up was observed. |
| Databáze: | OpenAIRE |
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