ArticleJournal of orthopaedic surgery and research2022
Surgical treatment of chronic Achilles tendon rupture results in improved gait biomechanics.
Article in Journal of orthopaedic surgery and research, 2022. 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, 19 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
- All-Inside Endoscopic Zone 1 Flexor Hallucis Longus Transfer: A Cadaveric Feasibility Study.Foot & ankle orthopaedics · 2026Article
- [Treatment of chronic ruptures and defects of the Achilles tendon].Orthopadie (Heidelberg, Germany) · 2024Article
- Achilles tendon rupture primary repair technique: A comparative retrospective study between graft versus no-graft.Journal of clinical orthopaedics and trauma · 2024Article
- Modified gastro-soleus turn-down flap for chronic or neglected achilles tendon ruptures.Journal of orthopaedic surgery and research · 2024Article
- [Anatomical and biomechanical characteristics of plantaris tendon and its application in ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Endoscopic peroneus brevis tendon transfer for chronic ruptures of the Achilles tendon: surgical technique.Journal of orthopaedic surgery and research · 2024Article
- Greater heel-rise endurance is related to better gait biomechanics in patients surgically treated for chronic Achilles tendon rupture.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Retrospective Study from a Single Center in Poland of Postoperative Outcomes of Muscle Strength in Patients After Surgical Suturing of the Achilles Tendon Using a Kessler's Suture and 28 Weeks of Supervised Postoperative Physiotherapy.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Supervised Physiotherapy Improves Three-Dimensional (3D) Gait Parameters in Patients after Surgical Suturing of the Achilles Tendon Using an Open Method (SSATOM).Journal of clinical medicine · 2022Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic Achilles tendon rupture is associated with persistent weakness at push-off with the affected foot and poor balance, resulting in significant alterations to normal gait. Surgical repair is the most common treatment for improving gait in patients with a Chronic Achilles tendon rupture, but, to date, the outcomes have not been quantified in the literature.
methodsA total of 23 patients with a Chronic Achilles tendon rupture (mean age 61 ± 15 years) underwent three-dimensional gait analysis according to a standardized protocol using an optical tracking system. Data of spatiotemporal, kinematic and kinetic variables were collected preoperatively and one year postoperatively. In addition, the postoperative gait biomechanics were compared with the gait biomechanics of a control group consisting of 70 healthy individuals (mean age 49 ± 20 years). The prospectively collected data were analyzed by an independent t test.
resultsPostoperatively, increments were found in gait speed (mean difference - 0.12 m/s), stride length (- 0.12 m), peak ankle moment (- 0.64 Nm/kg), peak ankle power (- 1.38 W/kg), peak knee power (- 0.36 m) and reduced step width (0.01 m), compared with preoperative gait biomechanics (p < 0.014). Compared with the control group, patients with a Chronic Achilles tendon rupture exhibited slower postoperative gait speed (mean difference 0.24 m/s), wider step width (- 0.02 m), shorter stride length (0.16 m), longer relative stance phase (- 2.15%), lower peak knee flexion (17.03 degrees), greater peak knee extension (2.58 degrees), lower peak ankle moment (0.35 Nm/kg), peak ankle power (1.22 W/kg) and peak knee power (1.62 W/kg), (p < 0.010).
conclusionSurgical intervention and postoperative rehabilitation can be an effective treatment for alterations in gait after a Chronic rupture of the Achilles tendon. However, at one year postoperatively, patients still exhibit impairments in spatiotemporal variables and knee and ankle power compared with healthy controls.
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