SUMMARY
Background. Woman and men practice medicine differently. One recent study showed that patients operated on by female surgeons exhibited better outcome. We hypothesized that the sex of the surgeon would not affect patient outcome, adverse events and the biological processes of healing after surgical repair of Achilles tendon rupture (ATR).
Methods. A total of 111 patients with acute ATR were surgically repaired by the surgeon on duty. A specific surgeon could not be decided by the patient. At two-weeks, levels of healing biomarkers collagen I and III were quantified in microdialysates from the operated tendons. At 12-months post-surgery, patient-reported outcome was assessed using the validated Achilles tendon Total Rupture Score (ATRS), and adverse events were measured.
Results. Patients treated by female versus male surgeons exhibited higher levels of collagen I (p=0.034) and reported better ATRS (88±8.2 vs. 81±14, p=0.011). Moreover, patients reported less limitations in daily living activity, more strength and less stiffness in the ankle when treated on by female as compared to male surgeons (all p<0.05). No significant difference in the incidence of adverse events was observed between male and female surgeons.
Conclusions. The present findings suggest further exploration of the determinating factors including care and communication related to surgeons to improve outcome.
Patient-Reported Outcome and Healing Biomarkers in Patients Treated by Female versus Male Surgeons – A cohort study on Achilles tendon ruptures
J. Flodin, R. Juthberg, G. Edman, P. Ackermann
Original Article, 531-538
Keywords: Achilles tendon, patient reported outcome measures, postoperative complications, rupture, sex of the surgeon,
Table of Content: Vol.9 (No.4) 2019 October/December
-
The Effect of Different Suture Materials on Achilles Tendon Metabolism: A Preliminary in vivo Study of mRNA levels in Rabbits
S. Ergün, A. Alakbarov, A. Mine Yılmaz, B. Karademir, U. AkgünOriginal Article, 470-477 -
Electrospun Scaffolds in Tendons Regeneration: a review
R. Di Gesù, G. Amato, R. GottardiOriginal Article, 478-493 -
Histological and Biomechanical Evaluation of Biologic Adjuvants in a Murine Tendon-Bone Healing Model
J. Johnson, C. Kia, D. Morikawa, J. Mehl, F.B. Imhoff, A. Otto, L.N. Muench, M.Wolf, J.B. Baldino, X. Xin, M. B. McCarthy, A.D. MazzoccaOriginal Article, 494-505 -
Return to Sport After Patellar Tendon Rupture: a Systematic Review
J. Grondin, P. Menu, T. Garraud, O. Mesland, M. Dauty, A. Fouasson-ChaillouxOriginal Article, 517-524 -
Anti-inflammatory effects of two platelet-rich gel supernatants in an in vitro system of ligament desmitis
C. Castillo-Franz, C. López, M.E. Álvarez, C.E. Giraldo, J.U. CarmonaOriginal Article, 506-516 -
The Effect of Addition of Buffered Dextrose 5% Solution on Pain Occurring During Local Steroid Injection for Treatment of Plantar Fasciitis: A Randomized Controlled Trial
A. Moshrif, M. ElwanOriginal Article, 525-530 -
Patient-Reported Outcome and Healing Biomarkers in Patients Treated by Female versus Male Surgeons – A cohort study on Achilles tendon ruptures
J. Flodin, R. Juthberg, G. Edman, P. AckermannOriginal Article, 531-538 -
Motor imagery training decreases pain on loading in people with moderate Achilles tendinopathy: A preliminary randomised cross-over experiment
J. Debenham, S. Krummenacher, I. Skinner, D. Hince, M. Travers, B. WandOriginal Article, 539-543 -
Quantifying the Dimensions of Achilles Tendon Insertional Area Using Ultrasound Imaging A Validity and Reliability Study
N.H. Alghamdi, M. Killian, B. Aitha, R.T. Pohlig, K. Grävare SilbernagelOriginal Article, 544-551 -
Combined ESWT & RSW Therapy for Achilles Tendinopathy: A Prospective Study
A. Saxena, L. Shou, S. AshrafOriginal Article, 552-561 -
Dynamic Lisfranc Joint Repair Concept: Surgical Technique for a Synthetic Neoligamentplasty
C. Nery, E. Giza, E. Wagner, M. A. Percope de Andrade, T. Soares Baumfeld, M. Pires Prado, D. BaumfeldOriginal Article, 562-570 -
Superior Capsule Reconstruction for Irreparable Rotator Cuff Tear with a Porcine Dermal Graft: Preliminary Results at 2 Years Minimum Follow-up
R. Dukan, A. Bommier, M. A. Rousseau, P. BoyerOriginal Article, 571-578 -
Intermuscular Connections in Anterior Brachium: its Implications in Radial Nerve Entrapment Neuropathy
M. Tonse, M. M. Pai, L.V. Prabhu, B.V. Murlimanju, R. Vadgaonkar, Y.L. RaoOriginal Article, 579-583 -
Treatment of Lateral Epicondylitis with Collagen Injections: a Pilot Study
B. Corrado, G. Mazzuoccolo, L. Liguori, V. A. Chirico, M. Costanzo, I. Bonini, G. Bove, L. CurciOriginal Article, 584-589 -
Short-Term Efficacy and Safety of Betamethasone Valerate 2.25 mg Medicated Plaster in Patients with Chronic Lateral Epicondylitis: Results of a Randomised, Double Blind, Placebo-controlled Study
S. Bernasconi, A. Causero, G. Giaffreda, R. Papalia, G. Caruso, G. Bonanno, F. Sadile, G. Fraschini, M. Fortina, A. Frizziero, N. Chiarelli, V. Salini, U. Tarantino, N. Voglino, A. Castagna, F. A. Grassi, S. Rovati, V. FrangioneOriginal Article, 590-599 -
A diagnostic Approach to Deltoid Muscle Masses
A. Iqbal, E. McLoughlin, A. Patel, A.M. Davies, S.L. James, R. BotchuOriginal Article, 600-605 -
Efficacy of a Treatment for Gonarthrosis Based on the Sequential Intra-Articular Injection of Linear and Cross-Linked Hyaluronic Acids
E. Barbieri, I. Capparucci, F. Mannello, G. Annibalini, S. Contarelli, L. Vallorani, A. M. Gioacchini, D. Ligi, R. Maniscalco, M. Gervasi, T. Tran Dang Xuan, C. Bartolucci, V. Stocchi, P. SestiliOriginal Article, 606-614 -
The Effect of Segmental Stabilization Exercises on Pain, Disability and Static Postural Stability in Patients with Spondylolisthesis: A Double Blinded Pilot Randomized Controlled Trial
R. Choopani, F. Ghaderi, Z. Salahzadeh, H. Adigozali, H.N. Sivaki, E.M. Majd, M.R. Azghani, A. Soltani, M.A. JafarabadiOriginal Article, 615-626 -
Matside Medical Aid during Judo Competition in Japan
A. Ikumi, N. Sakuyama, N. Takatori, T. Kamitani, S. Miyazaki, Y. Nimura, N. Maffulli, N. G. Malliaropoulos, S. NagahiroOriginal Article, 627-634 -
Synergistic Effect of Physical Therapy Plus Pharmacological Therapy with Eperisone in Tension-Type Cervicalgia
C. Asaro, D. Scaturro, S. Tomasello, L.G. Tumminelli, G. Letizia MauroOriginal Article, 635-641