Evidence map›Paper›PMID 36769784›Full record

ArticleJournal of clinical medicine2023

Allograft and Autologous Reconstruction Techniques for Neglected Achilles Tendon Rupture: A Mid-Long-Term Follow-Up Analysis.

Cristina Jiménez-Carrasco, Fadi Ammari-Sánchez-Villanueva, Estefanía Prada-Chamorro, Antonio Jesús García-Guirao, Sergio Tejero

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Free tendon grafts for surgical management of chronic tears of the main body of the Achilles tendon: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cristina Jiménez-CarrascoOrthopedic Surgery and Traumatology Service, Hospital San Juan de Dios del Aljarafe, 41930 Bormujos, Spain.ORCID 0000-0003-2193-8762
Fadi Ammari-Sánchez-VillanuevaOrthopedic Surgery and Traumatology Service, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.ORCID 0000-0001-7238-0530
Estefanía Prada-ChamorroOrthopedic Surgery and Traumatology Service, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Antonio Jesús García-GuiraoOrthopedic Surgery and Traumatology Service, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Sergio TejeroOrthopedic Surgery and Traumatology Service, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.ORCID 0000-0003-1621-9499

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Achilles tendon ruptures that are not immediately recognized and treated are sometimes diagnosed as delayed injuries and may require different surgical repair options based on gap size. The potential complications associated with using an allograft for reconstruction may lead some surgeons to prefer the use of autologous techniques. However, allografts are often considered a salvagement option when large defects are present. In this study, we examined the long-term clinical outcomes and complications of 17 patients who underwent surgical repair for chronic ruptures with large gaps using both autologous and allograft techniques. During an 11-year period, nine patients were treated with autologous techniques (mean gap of 4.33 ± 1.32 cm) and Achilles allograft reconstruction was performed in eight patients (47.1%) (mean gap of 7.75 ± 0.89 cm). At a mean of 82 ± 36.61 months of follow-up, all 17 patients (100%) were able to perform a single heel rise and improved AOFAS (American Orthopaedic Foot and Ankle Society) and ATRS (Achilles Tendon Total Rupture Score) scores. No infections, complications, or re-ruptures were recorded at the end of the follow-up. No significant differences were found in the AOFAS and ATRS scales between both techniques. When an extensive defect is present, the reconstruction with an Achilles tendon allograft can be considered a proper treatment option, as it does not show a higher rate of complications than autologous techniques achieving similar functional outcomes.

Indexed as

Achilles allograftAchilles chronic ruptureAchilles reconstructionAchilles tendonneglected Achilles rupture

Identifiers

PMID36769784
PMCPMC9917888

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.