Surgical Takedown Approaches to Insertional Achilles Tendinopathy: A Systematic Review
Category: Hindfoot Introduction/Purpose: Various techniques of surgical detachment for treatment of insertional Achilles tendinopathy have been described, including lateral release, medial release, central tendon splitting (CTS), and complete detachment. Methods: A systematic review of electronic da...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-01-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011421S00472 |
| _version_ | 1819279265112260608 |
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| author | John M. Thompson Antonio M. Malloy McCoy Kevin N. Nguyen Dominick Casciato DPM Eric So DPM Mark A. Prissel DPM Jaime A. Ahluwalia Tyler Tewilliager |
| author_facet | John M. Thompson Antonio M. Malloy McCoy Kevin N. Nguyen Dominick Casciato DPM Eric So DPM Mark A. Prissel DPM Jaime A. Ahluwalia Tyler Tewilliager |
| author_sort | John M. Thompson |
| collection | DOAJ |
| description | Category: Hindfoot Introduction/Purpose: Various techniques of surgical detachment for treatment of insertional Achilles tendinopathy have been described, including lateral release, medial release, central tendon splitting (CTS), and complete detachment. Methods: A systematic review of electronic databases was performed, encompassing 17 studies involving 703 patients and 746 feet, to compare outcomes associated with surgical takedown techniques. Results: Observed results include wound complication rates (CTS 2.8%; Lateral 0%; Medial 0.4%; Complete 1.3%), post-operative rupture rates (CTS 0.7%; Lateral 0.8%; Medial 0.7%; Complete 2.6%), rate of revision (CTS 0.4%; Lateral 0.9%; Medial 4.2%; Complete 2.6%), rate of infection (CTS 1.1%; Lateral 1.7%; Medial 3.7%; Complete 6.5%). Lateral takedown group was found to have a statistically significant lower rate of complications compared to the complete takedown group (p=0.0029). Conclusion: In light of these results, it is recommended that patient characteristics such as case specific tendon pathology and calcaneal morphology take precedent in determining the surgical approach to Achilles takedown. |
| first_indexed | 2024-12-24T00:25:09Z |
| format | Article |
| id | doaj.art-8a00e0febe1b4fa093a0b47311ce0886 |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-24T00:25:09Z |
| publishDate | 2022-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-8a00e0febe1b4fa093a0b47311ce08862022-12-21T17:24:29ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142022-01-01710.1177/2473011421S00472Surgical Takedown Approaches to Insertional Achilles Tendinopathy: A Systematic ReviewJohn M. ThompsonAntonio M. Malloy McCoyKevin N. NguyenDominick Casciato DPMEric So DPMMark A. Prissel DPMJaime A. AhluwaliaTyler TewilliagerCategory: Hindfoot Introduction/Purpose: Various techniques of surgical detachment for treatment of insertional Achilles tendinopathy have been described, including lateral release, medial release, central tendon splitting (CTS), and complete detachment. Methods: A systematic review of electronic databases was performed, encompassing 17 studies involving 703 patients and 746 feet, to compare outcomes associated with surgical takedown techniques. Results: Observed results include wound complication rates (CTS 2.8%; Lateral 0%; Medial 0.4%; Complete 1.3%), post-operative rupture rates (CTS 0.7%; Lateral 0.8%; Medial 0.7%; Complete 2.6%), rate of revision (CTS 0.4%; Lateral 0.9%; Medial 4.2%; Complete 2.6%), rate of infection (CTS 1.1%; Lateral 1.7%; Medial 3.7%; Complete 6.5%). Lateral takedown group was found to have a statistically significant lower rate of complications compared to the complete takedown group (p=0.0029). Conclusion: In light of these results, it is recommended that patient characteristics such as case specific tendon pathology and calcaneal morphology take precedent in determining the surgical approach to Achilles takedown.https://doi.org/10.1177/2473011421S00472 |
| spellingShingle | John M. Thompson Antonio M. Malloy McCoy Kevin N. Nguyen Dominick Casciato DPM Eric So DPM Mark A. Prissel DPM Jaime A. Ahluwalia Tyler Tewilliager Surgical Takedown Approaches to Insertional Achilles Tendinopathy: A Systematic Review Foot & Ankle Orthopaedics |
| title | Surgical Takedown Approaches to Insertional Achilles Tendinopathy: A Systematic Review |
| title_full | Surgical Takedown Approaches to Insertional Achilles Tendinopathy: A Systematic Review |
| title_fullStr | Surgical Takedown Approaches to Insertional Achilles Tendinopathy: A Systematic Review |
| title_full_unstemmed | Surgical Takedown Approaches to Insertional Achilles Tendinopathy: A Systematic Review |
| title_short | Surgical Takedown Approaches to Insertional Achilles Tendinopathy: A Systematic Review |
| title_sort | surgical takedown approaches to insertional achilles tendinopathy a systematic review |
| url | https://doi.org/10.1177/2473011421S00472 |
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