ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Minimally invasive reconstruction technique for chronic Achilles tendon tears allows rapid return to walking and leads to good functional recovery.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Surgical management of chronic Achilles tendon rupture: evidence-based guidelines.Journal of orthopaedic surgery and research · 2024Pooled it
- Both gastrocnemius aponeurosis flaps and semitendinosus tendon grafts are effective in the treatment of chronic Achilles tendon ruptures - a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Minimum 5-Year Outcomes After Minimally Invasive Achilles Tendon Reconstruction Using Autologous Hamstring Grafts.Foot & ankle orthopaedics · 2025Article
- Achilles Tendon Flaps in Lower Extremity Reconstructive Surgery: Versatility, Utility, and Patient-Centered Outcomes.Journal of orthopaedics and sports medicine · 2025Article
- One Step Double Augmentation with Human Dermis Allograft and Homologous PRP in Misdiagnosed and or Chronic Achilles Tendon Ruptures.Orthopaedic surgery · 2023Article
- Early satisfactory results of percutaneous repair in neglected achilles tendon rupture.BMC musculoskeletal disorders · 2023Article
- Allograft and Autologous Reconstruction Techniques for Neglected Achilles Tendon Rupture: A Mid-Long-Term Follow-Up Analysis.Journal of clinical medicine · 2023Article
- Response letter concerning "Endoscopically assisted reconstruction of chronic Achilles tendon ruptures and re-ruptures using a semitendinosus autograft is a viable alternative to pre-existing techniques" by Niklas Nilsson, Baldvin Gunnarsson, Michael R. Carmont, Annelie Brorsson, Jón Karlsson and Katarina Nilsson Helander (doi.org/10.1007/s00167-022-06943-2).Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Letter to the editor.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- A Comprehensive Evaluation of Minimally Invasive Achilles Tendon Reconstruction with Hamstring Graft Indicates Satisfactory Long-Term Outcomes.Medicina (Kaunas, Lithuania) · 2022Article
- [43/m-sudden "blow" in the heel area : Preparation for the medical specialist examination-Part 26].Der Unfallchirurg · 2021Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeChronic Achilles tendon tears, including chronic ruptures with end gap over 6 cm making end-to-end suturing impossible, can be treated with autologous hamstring graft reconstruction. The primary goal of this study was to present the biomechanical and long-term clinical results of recently developed minimally invasive Achilles tendon reconstruction technique.
methodsMinimally invasive Achilles tendon reconstruction was applied to 8 foot and ankle cadaveric specimens as well as 18 patients with chronic Achilles tendon tears. Repaired cadavers were subjected to the biomechanical testing using a cyclic loading protocol. Patients with reconstructed Achilles tendon were subjected to the clinical, functional and isokinetic tests at 12 months after the treatment.
resultsAll of tested Achilles cadaveric specimens survived 2 loading blocks (250 cycles of 10-100 N load followed by additional 250 cycles of 10-200 N load). With three specimens, it was possible to perform the third cyclic loading block with 20-300 N load and two specimens survived the fourth block with 20-400 N load. Therefore, a mean number of 838 cycles (±178) within the range of 509-1000 was recorded. Two specimens which survived all 1000 cycles were pulled to failure at 25 mm/s rate. The results obtained in the load to failure testing were as follows: 398 N and 608 N of maximum load. The results of functional heel rise endurance test and single leg hop for distance test indicated a decrease in the endurance and strength of the injured limb. However, the results of the weight-bearing lunge tests indicated no tendency for elongation of the Achilles tendon. A comparative analysis of the isokinetic test results for the non-injured and injured limb was revealed no statistically significant differences for every isokinetic test (n. s.), with significant difference for isometric strength parameters (p = 0.0006).
conclusionsThe results of the biomechanical tests as well as 1-year extensive functional, clinical and isokinetic results of the minimally invasive technique for chronic Achilles tendon tears are encouraging. Patients returned to their normal physical activity, including sport pre-injury level in most cases. LEVEL OF EVIDENCE: III.
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