SUMMARY
Sixty patients were systematically reviewed from the authors prior studies specifically for outcomes using bioabsorbable suture anchors who underwent repair of their Achilles insertion, with minimum two years post-index procedure. Fifty-five were chronic cases with and without calcific tendinosis and 5 were acute avulsions. Average age of the cohort was 51.5 ± 12.7 years. There were 38 males and 22 females. Thirty patients had their right limb operated on: 30 their left. Average return to activity was 6.9 ± 1.7 months. Average post-op VISA-A score was 94.4 ± 12.8, post-op RM score 1.3 ± 0.6, and calf atrophy 0.7 ± 1.0 cm calculated at the last post-op appointment. The ability to single leg heel raise was achieved in 45 patients: equal to the other limb 27. 95% of patients were able to return to full activity including sports. Two were Olympians.
Complications were as follows: one DVT, one infection, three hypertrophic scars due to superficial suture and one subcutaneous suture reaction from a braided absorbable product. There were no re-ruptures, no suture granulomas/reactions from the Orthocord™ suture and no suture anchor failures. The repair typically involved one anchor superiorly at the Achilles insertion with a suture anchor and 2 partially absorbable suture with needles. Two additional anchors are placed inferiorly that were knotless.
A total of 180 Healix™ Advance BR anchors were used, 62 were 5.5 mm Healix™ Advance BR with Orthocord and needles, 104 Healix™ Advance Knotless BR 5.5 mm, and 14 Healix™ Advance Knotless BR 4.75 mm. Using this repair technique for Achilles insertion repair has good outcome with low complication rate.
Insertional Achilles Tendon Repair with Bioabsorbable Anchors and Suture
R. L. Conle (né Gaudin), A. Saxena
Original Article, 484-489
Keywords: Achilles, Bioabsorbable, Haglund’s deformity, soft tissue anchor, suture,
Table of Content: Vol. 12 (No.4) 2022 October/December
-
Orthobiologic Injectables in the Ankle Joint: a Narrative Review
E. Y. Roh, M. S. Rana, K. C. McInnis, D. R. Bakal, H. Borgstrom, J. Borg-SteinReview, 453-477 -
Achilles Tendon Rupture in Professional Football Player: an Epidemiological Study in European Championship With A Mid-Term Follow-Up
D. Mazza, A. Annibaldi, E. Monaco, A. Carrozzo, G. Princi, S. Fenucci, E. Viglietta, S. Porcino, G. Rossi, A. FerrettiOriginal Article, 478-483 -
Insertional Achilles Tendon Repair with Bioabsorbable Anchors and Suture
R. L. Conle (né Gaudin), A. SaxenaOriginal Article, 484-489 -
Inflammatory Response of Skeletal Muscles to a High-Fat Diet
I. V. Dimitrov, T. R. Stankova, P. A. Angelova, N. P. Boyadjiev, K. N. Georgieva, D. I. Popov, I. Dimov, A. V. Bivolarska, F. D. Gerginska, E. P. Daskalova, M. N. Draganova-Filipova, S. D. DelchevOriginal Article, 490-496 -
Association of Arthroscopically-Assisted Latissimus Dorsi Tendon Transfer with Implantation of a Subacromial Balloon Spacer for Patients with Irreparable Posterosuperior Rotator Cuff Tears
E. Gervasi, G. E. Vigni, P. S. Vezeridis, A. Tomasi, G. Sabbioni, F. Fazzari, L. CamardaOriginal Article, 497-510 -
Efficacy of Liposomal Bupivacaine in Arthroscopic Rotator Cuff Repair: a Systematic Review and Meta-Analysis of Randomized Controlled Trials
S. I. Alaqaili, M. F. Al-Saati, M. Y. Alyousef, M. A. Alzayer, A. S. Alsultan, M. M. Alzahrani, S. M. AlqahtaniReview, 511-521 -
The Effects of Neuromuscular Electric Stimulation on Pain, Function, Muscle Strength and Muscle Architecture in Patients with Rotator Cuff Tendinopathies
E. M. Ersever, N. A. Guzel, H. Genc, C. MulkogluOriginal Article, 522-529 -
The Upper Extremity Functional Index (UEFI): Cross-Cultural Adaptation, Reliability, and Validity of the Italian Version
M. D’Agostino, M. Panico, A. Marsocci, F. Angelini, F. Casile, A. Graffitti, F. MagnificaOriginal Article, 530-536 -
Evaluation of Serum Calcium, Phosphorus and Vitamin D Levels and History of Calcium and Vitamin D Supplementation in Patients with Calcified Shoulder Tendinopathy
H. Saremi, M. H. Bagheri, H. Naderifar, M. A. SeifrabieiOriginal Article, 537-541 -
Comparable Tibial Tunnel Widening despite Compound Differences of Bioabsorbable Interference Screws in Anterior Cruciate Ligament Reconstruction: a Retrospective Study
G. T. A. Krist, B. B. Koc, R. Borghans, M. G. M. Schotanus, E. J. P. JansenOriginal Article, 542-547 -
Morphological Study of the Transverse Ligament of Knee Joint in Embalmed Cadavers
V. S. Nayak, G. Ravishankar, B. V. Murlimanju, N. P. Bhat, S. S. Nayak, M. M. Pai, R. Vadgaonkar, L. V. PrabhuOriginal Article, 548-554 -
Effects of Ischemic Preconditioning on Functional and Neuromuscular Performance of Lower Limbs of Male Amateur Soccer Players: Protocol for a Randomized Trial
I. Martins de França, M. S. Cerqueira, S. Bezerra da Nobrega Neto, C. Augusto de Menezes Araújo, Y. M. Barros de Sousa Oliveira, W. H. de Brito VieiraOriginal Article, 555-561 -
Effect of Eight-Week Proprioceptive Neuromuscular Facilitation (PNF) Pattern-Based Exercises on Performance Scores and Postural Stability in Elite Men Basketball Players
A. Shamlou Kazemi, F. Babakhani, R. Sheikhhoseini, H. NaderifarOriginal Article, 562-569 -
Relation Between Components of Oral Health and Sarcopenia in Older Adults: a Narrative Review
P. Kumar, S. Varshney, N. GirishReview, 570-593 -
Fascicle Orientation of Superficial Back Muscles Attached to the Posterior Layer of the Thoracolumbar Fascia: a Morphometric Study Using Human Cadavers
S. Marpalli, M. K. G. Rao, P. Venkatesan, B. M. GeorgeOriginal Article, 594-599 -
Evaluation of Torque, Electromyographic Activity and Neuromuscular Efficiency of the Internal Oblique Muscle in Pilates Practitioners
A. C. Panhan, M. Gonçalves, C. Cirino, A. C. Cardozo, F. Bérzin (deceased)Original Article, 600-603 -
Stabilization Exercises versus Flexi-Bar Exercises in Chronic Non-Specific Low Back Pain: Pain, Disability, Back Muscles Endurance. A Randomized Controlled Trial
F. Amiri, M. Mohsen Roostayi, S. S. Naimi, A. Akbarzadeh BaghbanOriginal Article, 604-614 -
Ultrasound-Guided Injection of Low Molecular Weight Hyaluronic Acid versus Steroid for Inflammatory and Degenerative Sacroiliitis: a Single-Blinded Randomized Controlled Trial
M. Abdelkreem, K. Hussein, A. MoshrifOriginal Article, 615-620 -
The Effects of Lower Crossed Syndrome on Upper Body Posture during Sitting in Female Office Workers
P. Puagprakong, A. Kanjanasilanont, K. Sornkaew, W. S. BradyOriginal Article, 621-627