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Int Orthop 2020 Jun 29. Epub 2020 Jun 29.

Department of Diagnostic and Interventional Radiology, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.

Purpose: It was demonstrated that about 6% of patients with a ruptured Achilles tendon experience the rupture of contralateral tendon in the future; the aim of this study was to estimate the risk for rupture of contralateral tendon in patients who underwent surgical reconstruction of ruptured Achilles tendon by using subjective questionnaires and shear-wave elastography.

Methods: Twenty-four patients who underwent surgical repair of the ruptured Achilles tendon and twelve age-matched healthy controls were examined with ultrasound SWE. Functional outcomes were assessed with American Orthopedic Foot and Ankle Society (AOFAS) scoring system and subjective rating system which we introduced and validated. Read More

Int J Environ Res Public Health 2020 Jun 28;17(13). Epub 2020 Jun 28.

Faculty of Sports Science, Ningbo University, Ningbo 315211, China.

The purpose of this study was to compare the inter-limb joint kinematics, joint moments, muscle forces, and joint reaction forces in patients after an Achilles tendon rupture (ATR) via subject-specific musculoskeletal modeling. Six patients recovering from a surgically repaired unilateral ATR were included in this study. The bilateral Achilles tendon (AT) lengths were evaluated using ultrasound imaging. Read More

Bone Joint J 2020 Jul;102-B(7):933-940

Royal Infirmary of Edinburgh, Edinburgh, UK.

Aims: The aim was to compare long-term patient-reported outcome measures (PROMs) after operative and nonoperative treatment of acute Achilles tendon rupture in the context of a randomized controlled trial.

Methods: PROMs including the Short Musculoskeletal Function Assessment (SMFA), Achilles Tendon Total Rupture Score (ATRS), EuroQol five-dimension (EQ-5D), satisfaction, net promoter score and data regarding re-rupture, and venous thromboembolic rates were collected for patients randomized to receive either operative or nonoperative treatment for acute Achilles tendon rupture in a previous study. Of the 80 patients originally randomized, 64 (33 treated surgically, 31 nonoperatively) patients were followed up at a mean of 15. Read More

J Bone Joint Surg Am 2020 Jun 23. Epub 2020 Jun 23.

Department of Orthopaedic Surgery, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

FASEB J 2020 Jun 19. Epub 2020 Jun 19.

Department of Structural and Functional Biology, Institute of Biology, University of Campinas-UNICAMP, São Paulo, Brazil.

Tendon injuries are common and have a high incidence of re-rupture that can cause loss of functionality. Therapies with adipose-derived stem cells (ASC) and the microcurrent (low-intensity electrical stimulation) application present promising effects on the tissue repair. We analyzed the expression of genes and the participation of some molecules potentially involved in the structural recovery of the Achilles tendon of rats, in response to the application of both therapies, isolated and combined. Read More

J Am Podiatr Med Assoc 2020 Mar;110(2)

Department of Orthopedics and Traumatology, Helsinki University Central Hospital, Helsinki, Finland.

Background: In the presence of a large gap where end-to-end repair of the torn Achilles tendon is difficult and V-Y advancement would likely be insufficient, augmentation is sometimes required. At our institute we have used primarily the hamstring autograft augmentation technique for the past two decades. The aim of this study was to analyze the complications after surgical treatment of Achilles tendon rupture with semitendinous tendon augmentation. Read More

Acta Biomed 2020 May 30;91(4-S):179-182. Epub 2020 May 30.

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Background And Aim Of The Work: subcutaneous Achilles tendon lesions are common degenerative tendon tears, often related to sport activities, multiple pharmacotherapies and internal medical comorbidities. Neglect an Achilles tendon lesion can affect walk ability, while neglect a bilateral lesion could really lead to a serious limitation of self-sufficiency in daily living. We report a case of chronic bilateral Achilles tendon lesion successful treated with LARS augmentation, along with some clinical considerations concerning the clinical outcome. Read More

Foot Ankle Surg 2020 Jun 7. Epub 2020 Jun 7.

Valley Hospital Medical Center, Department of Orthopedic Surgery, 620 Shadow Lane, Las Vegas, NV, 89106, United States.

Background: Minimally invasive techniques for Achilles tendon repair are increasing due to reports of similar rerupture rates using open and percutaneous techniques with fewer wound complications and quicker recovery with percutaneous methods. The goal of this study was to investigate quantitatively the relationship and risk of injury to the sural nerve during Achilles tendon repair when using the Percutaneous Achilles Repair System (PARS) (Arthrex®, Naples, FL), by recording the distance between the passed needles and the sural nerve as well identifying any direct violation of the nerve with needle passage or nerve entrapment within the suture after the jig was removed. The hypothesis of the study is that the PARS technique can be performed safely and without significant risk of injury to the sural nerve. Read More

Foot Ankle Int 2020 Jul 16;41(7):784-792. Epub 2020 Jun 16.

Department of Orthopedic Surgery, Inselspital, University of Bern, Bern, Switzerland.

Background: There is controversy whether nonoperative or operative treatment for Achilles tendon rupture is superior. It is unknown if patients with acute Achilles tendon rupture return to previous sports activity. The purpose of this study was to assess 5-year return to sport and subjective satisfaction, minimum 1-year functional outcomes, and complications in patients following nonoperative treatment of Achilles tendon rupture with early weightbearing rehabilitation. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jun;34(6):726-729

Department of Sports and Joint, the First Affiliated Hospital of Nanjing Medical University, Nanjing Jiangsu, 210006, P.R.China.

Objective: To investigate the effectiveness of autogenous tendon reconstruction under total arthroscopy in the treatment of chronic Achilles tendon rupture.

Methods: Between June 2015 and June 2018, 16 patients with chronic Achilles tendon ruptures were treated by autogenous tendon reconstruction under total arthroscopy. Of the 16 patients, 11 were males and 5 were females. Read More

J Foot Ankle Surg 2020 Jun 9. Epub 2020 Jun 9.

Orthopedic Surgeon, Orthopedic Department of Póvoa de Varzim, Ripoll y De Prado Sports Clinic, Murcia-Madrid, Spain; Orthopedic Surgeon, FIFA Medical Centre of Excellence; ICVS/3B's, PT Government Associate Laboratory, Porto, Portugal; Orthopedic Surgeon, ICVS/3B's, PT Government Associate Laboratory - Minho University, Braga, Portugal.

Acute Achilles tendon rupture can be treated either surgically or nonsurgically. The flexor hallucis longus (FHL) has been used successfully in patients with large chronic Achilles tendon defects. The aim of this study was to describe the clinical outcomes of isolated endoscopic FHL transfer in patients with acute Achilles tendon ruptures at a minimum follow-up of 18 months. Read More

Foot Ankle Spec 2020 Jun 12:1938640020929577. Epub 2020 Jun 12.

Translational Medicine, Parc Tauli University Hospital, Sabadell, Spain.

The rupture of the Achilles tendon (AT) usually occurs in high-caliber athletes, but low-demand patients are also are risk, mainly if they are under corticoids or quinolones. The diagnosis of the AT rupture is usually neglected, and this could result in a worse prognosis for the patient if not treated in an appropriate time. For these patients or for those with high surgical risk, an option of minimally invasive surgery remains attractive. Read More

BMC Musculoskelet Disord 2020 Jun 8;21(1):358. Epub 2020 Jun 8.

Department of Orthopedic Surgery, Karolinska University Hospital, Stockholm, Sweden.

Background: While numerous clinical studies have compared the surgical and non-surgical treatment of acute Achilles tendon rupture (ATR), there are no studies that have performed a non-inferiority analysis between treatments.

Methods: Data from patients who were included in five randomised controlled trials from two different centres in Sweden were used. Outcomes at 1 year after ATR consisted of the patient-reported Achilles tendon Total Rupture Score (ATRS) and the functional heel-rise tests reported as the limb symmetry index (LSI). Read More

Biomed Res Int 2020 18;2020:1753152. Epub 2020 May 18.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China.

Photochemical tissue bonding (PTB), based on photosensitizer rose bengal (RB) and green light, has been regarded as an effective alternative to surgical suture and has been reported to provide benefits for Achilles tendon repair. Limited to the poor penetration of green light, secondary damage still exists while applying PTB for closed Achilles tendon rupture. This study is aimed at exploring the effects of noninvasive photochemical sealing on Achilles tendon rupture by the combination of PTB and upconversion nanoparticles (UCNPs). Read More

Knee Surg Sports Traumatol Arthrosc 2020 Jun 5. Epub 2020 Jun 5.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.

Purpose: To assess the literature on indications, outcomes, and complications in pediatric patients undergoing all-epiphyseal (AE) anterior cruciate ligament reconstruction (ACLR).

Methods: PubMed, Medline, and Embase were searched for literature evaluating AE ACLR in pediatric patients. All included studies were assessed for quality using the Methodological Index for Non-Randomized Studies (MINORS). Read More

Orthop Clin North Am 2020 Jul;51(3):391-402

Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA.

Achilles tendon rupture is an increasingly common problem with an aging population participating in high-level physical activities. Appropriate treatment has been debated for decades, but good outcomes have been reported after conservative and surgical management. The development of minimally invasive surgical techniques for Achilles repair has reduced the incidence of complications and maintained the high level of function reported after open surgery. Read More

J Ultrasound 2020 Jun 1. Epub 2020 Jun 1.

Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, 84084, Baronissi, Italy.

The Achilles tendon is one of the most commonly ruptured tendons in the human body. Minimally invasive and open surgical repairs are commonly undertaken to manage acute Achilles ruptures. This article describes the postoperative imaging findings and their evolution after surgery. Read More

Am J Sports Med 2020 Jun 2:363546520922541. Epub 2020 Jun 2.

CopenRehab, Section of Social Medicine, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Background: An acute Achilles tendon rupture (ATR) is a long-lasting and devastating injury. Possible biological augmentation to promote and strengthen tendon healing after an ATR would be desirable.

Purpose: To determine whether the application of a platelet-rich plasma (PRP) injection in nonsurgically treated ATRs may promote healing and thereby improve functional outcomes. Read More

Transl Sports Med 2020 Jan 20;3(1):3-8. Epub 2019 Oct 20.

Department of Physical Therapy, University of Delaware, 540 S. College Ave, Newark, DE 19713, USA.

Heel-rises are commonly used in the rehabilitation of individuals following Achilles tendon rupture, however, the impact of tendon elongation on triceps surae activation in seated versus standing positions has not been investigated. The purpose of this study was to investigate changes in triceps surae activation during seated compared to standing heel-rises in individuals with Achilles tendon rupture and its relationship to tendon elongation. Ten individuals with a history of Achilles tendon rupture were included in this study. Read More

Orthop J Sports Med 2020 Apr 28;8(4):2325967120915909. Epub 2020 Apr 28.

Sports Orthopedic Research Center-Copenhagen, Arthroscopic Center, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.

Background: Immobilization of the ankle joint has been suggested as a key element in the pathogenesis leading to deep vein thrombosis (DVT).

Purpose: To investigate whether early controlled ankle motion (ECM) could reduce the incidence of DVT compared with immobilization (IM) in the treatment of acute Achilles tendon rupture.

Study Design: Randomized controlled trial; Level of evidence, 2. Read More

Int J Mol Sci 2020 May 12;21(10). Epub 2020 May 12.

Department of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany.

Therapy options for ruptured Achilles tendons need to take into account the right balance of timing, amount and intensity of loading to ensure a sufficient biomechanical resilience of the healing tendon on the one hand, and to enable an adequate tensile stimulus on the other hand. However, biomechanical data of human Achilles tendons after rupture during the separate healing stages are unknown. Shear wave elastography is an ultrasound technique that measures material elastic properties non-invasively, and was proven to have a very good correlation to biomechanical studies. Read More

J Clin Orthop Trauma 2020 May-Jun;11(3):471-473. Epub 2020 Mar 11.

Orthopaedics, University Hospitals of Leicester NHS Trust, UK.

Objective: There has recently been a paradigm shift in the management of Achilles tendon rupture and ankle fracture rehabilitation with emphasis on early mobilisation. There is, however, no consensus on post-operative rehabilitation for hind/mid-foot fusion and reconstructive surgery.The aim was to scope the post-operative rehabilitation practices of UK foot and ankle surgeons and allied health professionals (AHPs). Read More

Trials 2020 May 12;21(1):399. Epub 2020 May 12.

Sports Orthopedic Research Center - Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Kettegård Alle 30, 2650, Amager-Hvidovre, Denmark.

Background: An individualized treatment algorithm (Copenhagen Achilles Rupture Treatment Algorithm (CARTA)) based on the ultrasonographic appearance of an acute Achilles tendon rupture has been developed aiming to select the correct patients for operative and non-operative treatment. The objective of this study is to investigate if this individualized treatment algorithm gives a better functional outcome than treating all patients either operatively or non-operatively per default.

Methods/design: This study is conducted as a multicenter, three-armed randomized controlled trial. Read More

Knee Surg Sports Traumatol Arthrosc 2020 May 6. Epub 2020 May 6.

Integrative Orthopedic Laboratory, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Purpose: The primary aim of this study was to assess the relationship between the metabolites lactate and pyruvate in the healing tendon after Achilles tendon rupture (ATR) and patient-reported outcome at 6 and 12 months. A secondary aim was to evaluate which underlying factors regulate lactate and pyruvate concentrations.

Methods: Lactate and pyruvate concentrations were measured two weeks post-operatively in both the healing- and healthy Achilles tendon in 109 patients (90 men, 19 women; mean age 40 ± 7. Read More

Arthrosc Tech 2020 Apr 10;9(4):e469-e475. Epub 2020 Mar 10.

American Knee Institute, Westmont, Illinois, U.S.A.

Patellar tendon ruptures are the third most common injury to the extensor mechanism. These injuries are debilitating to the patient, and delays in treatment can present a challenge to the treating surgeon. Chronic patellar tendon injuries are rare and are more difficult to manage given proximal patellar retraction, scarring, and atrophy of surrounding tissues. Read More

Arch Orthop Trauma Surg 2020 May 4. Epub 2020 May 4.

Department for Trauma and Orthopaedic Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany.

Introduction: The acute Achilles tendon rupture (AATR) is a common injury of great importance in an increasingly active society. When early functional treatment is established, recent literature shows comparable rates of re-rupture in conservative and surgical treatments of AATR. However, there is no study comparing the outcome using a dynamometer. Read More

Knee Surg Sports Traumatol Arthrosc 2020 May 3. Epub 2020 May 3.

Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands.

Purpose: Rupture of the Achilles tendon (AT) is a common injury. Strength deficits may persist over the long term, possibly owing to elongation of the tendon or inferior mechanical properties. This study aimed to provide a systematic review of the literature on the prevalence and consequences of tendon elongation in patients after acute AT rupture treatment. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Apr 29. Epub 2020 Apr 29.

Sports Orthopedic Research Center-Copenhagen (SORC-C), Arthroscopic Center, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Kettegård Allé 30, 2650, Hvidovre, Denmark.

Purpose: Studies suggest that women have worse treatment outcome than men after acute Achilles tendon rupture (ATR). The aim of this study was to investigate if sex and age affect treatment outcome after ATR.

Methods: The study was performed as a registry study in the Danish Achilles tendon Database. Read More

Eur J Trauma Emerg Surg 2020 Apr 29. Epub 2020 Apr 29.

Department of Surgery, Haga Teaching Hospital and Juliana Children's Hospital, Els Borst Eijlersplein 275, 2545 AA, The Hague, The Netherlands.

Purpose: Conservative treatment of achilles tendon rupture (ATR) might be favoured in centres with an early weight-bearing protocol, but no consensus exists on the clear definition of an early weight-bearing protocol. The aim of this study is to evaluate the introduction of an early weight-bearing conservative treatment protocol in patients with ATR compared to patients without this protocol.

Methods: A single-centre retrospective study was performed. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Apr 20. Epub 2020 Apr 20.

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Purpose: Achilles tendon rupture (ATR) is a common injury. The knowledge of seasonal factors´ impact is incomplete, but may provide means for preventive approaches for Achilles tendon related morbidity. The aim of this study was to investigate seasonal variations in ATR incidence in relation to injury mechanism, adverse events including risk of re-rupture, and patient-reported outcome in adults in Stockholm, Sweden. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Apr 20. Epub 2020 Apr 20.

Integrative Orthopedic Laboratory, Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska Universitetssjukhuset, 171 76, Stockholm, Sweden.

Purpose: The aim of this study was to investigate whether patient subjective and functional outcomes after Achilles tendon rupture (ATR) are related to deep venous thrombosis (DVT) during leg immobilization.

Methods: A cohort study with prospectively collected randomized data was conducted between 2010 and 2017. Two-hundred and fifty-one Patients with an Achilles tendon rupture (mean age = 41 ± 8), treated with uniform surgical techniques, were retrospectively analyzed. Read More

Ann Transl Med 2020 Mar;8(5):217

Institute of Sports Medicine, Peking University Third Hospital, Beijing Key Laboratory of Sports Injuries, Beijing 100191, China.

Background: Achilles tendon rupture (ATR) can lead to significant disability of patients. However, whether serum lipid levels are associated with ATR is still unclear. This study aimed to examine the difference in lipid levels between patients with and those without ATR. Read More

J Orthop 2020 Nov-Dec;22:104-108. Epub 2020 Mar 28.

Department of Orthopaedic Surgery, Dankook University College of Medicine, Manghyangro 201, Dongnam-gu, Cheonan, Chungnam, 330-715, Republic of Korea.

Purpose: The purpose of our study was to assess effect of posteromedial corner(PMC) injury on clinical outcomes and second-look arthroscopic findings after posterior cruciate ligament(PCL) reconstruction using Achilles tendon allograft.

Methods: A total of 51 patients who underwent arthroscopic PCL reconstruction for PCL rupture and second-look arthroscopy were retrospectively enrolled in our study from 2009 to 2019. The subjects were divided into two groups: PMC intact group included 31 patients; and PMC injured group included 18 patients. Read More

Clin Orthop Relat Res 2020 Apr 14. Epub 2020 Apr 14.

M. Macchi, S. Elli, University of Milan, Milan, Italy M. Spezia, University of Padua, Padua, Italy G. Schiaffini, Università Roma "La Sapienza," Rome, Italy E. Chisari, University of Catania, Catania, Italy.

Background: Inflammation and mechanical demands play a role in the development of tendon conditions and the dysregulation of tendon healing. In patients with obesity, high levels of pro-inflammatory cytokines and a high mechanical demand promote chronic low-grade inflammation. Although controversial results have been reported, we aimed to summarize current evidence while highlighting the role of obesity in tendinopathy. Read More

Biomed Res Int 2020 20;2020:1834525. Epub 2020 Mar 20.

Department of Orthopedics and Traumatology, Yozgat Public Hospital, Turkey.

Objective: AB0 blood groups have shown to be associated with increased risk of several orthopedic disorders such as Achilles tendon rupture and hip osteoarthritis. The objective of this study was to investigate relationships between the AB0 blood system and hip fracture patterns, duration of hospitalization, and amount of blood transfusion.

Methods: Data of 308 patients treated due to hip fractures in our hospital between 2017 and 2019 were evaluated. Read More

Arch Orthop Trauma Surg 2020 Apr 7. Epub 2020 Apr 7.

Department of Orthopaedics, University Clinic Aachen, RWTH Aachen University Clinic, Pauwelsstraße 30, 52074, Aachen, Germany.

Introduction: Despite the presence of various different surgical procedures, the preferable technique for repair of acute Achilles tendon ruptures is unknown and, therefore, object of discussions. The purpose of this meta-analysis was to compare clinical outcomes and complication-rates between the minimally invasive and the standard open repair of acute Achilles tendon ruptures.

Materials And Methods: This meta-analysis was performed according to the PRISMA guidelines. Read More

Am J Sports Med 2020 May 7;48(6):1423-1429. Epub 2020 Apr 7.

Sports Orthopedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital Amager-Hvidovre, Hvidovre, Denmark.

Background: The Achilles tendon Total Rupture Score (ATRS) is a commonly used patient-reported outcome measure for patients with an acute Achilles tendon rupture. The score consists of 10 questions, the last 3 of which include activities that some patients cannot or do not do. No instruction manual has been developed for the ATRS. Read More

Orthop J Sports Med 2020 Mar 25;8(3):2325967120909556. Epub 2020 Mar 25.

Department of Physical Therapy, University of Delaware, Newark, Delaware, USA.

Background: Achilles tendon rupture leads to weakness of ankle plantarflexion. Treatment of Achilles tendon rupture should aim to restore function while minimizing weakness and complications of management.

Purpose: To determine the influence of factors (age, sex, body mass index [BMI], weight, time from injury to operative repair, and tightness of repair) in the initial surgical management of patients after an acute Achilles tendon rupture on 12-month functional outcome assessment after percutaneous and minimally invasive repair. Read More

Orthop J Sports Med 2020 Mar 16;8(3):2325967120906522. Epub 2020 Mar 16.

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Background: Functional deficits and health-related impairments are common after an Achilles tendon rupture (ATR). Rehabilitation protocols vary greatly, and few studies have allowed loading in combination with ankle motion immediately after surgery (ie, early functional mobilization [EFM]). It is unclear whether EFM may counteract the negative impact of ankle immobilization after an ATR. Read More

Am J Sports Med 2020 Jun 23;48(7):1720-1726. Epub 2020 Mar 23.

Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.

Background: Early weightbearing protocols after Achilles tendon repair promote mobilization, yet little is known about their effect on tendon lengthening.

Purpose: To evaluate tendon lengthening after Achilles tendon repair with accelerated rehabilitation.

Study Design: Randomized controlled trial; Level of evidence, 1. Read More

Stem Cell Res Ther 2020 Mar 20;11(1):131. Epub 2020 Mar 20.

Department of Orthopaedics, Nanfang Hospital, Southern Medical University, No. 1838 Guangzhou Avenue North, Guangzhou, 510515, China.

Background: Hypercholesterolemia increases the risk of tendon pain and tendon rupture. Tendon-derived stem cells (TDSCs) play a vital role in the development of tendinopathy. Our previous research found that high cholesterol inhibits tendon-related gene expression in TDSCs. Read More

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499020910274

Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Daejeon, Korea.

Purpose: There is no definitive consensus on the optimal treatment of Achilles tendon rupture. We comparatively analyzed the clinical outcomes of two types of repair surgeries in treating Achilles tendon rupture.

Methods: This retrospective study included 12 patients of Achilles tendon rupture (group A) treated with ultrasound-guided percutaneous repair and 18 patients (group B) treated with open repair. Read More

Am J Sports Med 2020 04 16;48(5):1181-1188. Epub 2020 Mar 16.

Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Baronissi, Italy.

Background: Minimally invasive repair of acute Achilles tendon ruptures has been performed for several years, resulting in reduced morbidity as compared with open repair.

Hypothesis: A minimally invasive technique can be used to manage Achilles tendon ruptures in patients presenting between 14 and 30 days from injury.

Study Design: Cohort study; Level of evidence, 3. Read More

Acta Orthop Traumatol Turc 2020 Jan;54(1):104-113

Department of Biostatistics and Medical Informatics, Kahramanmaraş Sütçü İmam University, School of Medicine, Kahramanmaraş, Turkey.

Objective: The aim of this study was to compare the biomechanical properties of modified Kessler, Bunnell and Tsuge techniques in sheep Achilles tendon tear repaired using polyester and polydioxanone sutures which are also compared.

Methods: Sixty sheep Achilles tendons were cut transversely as a substitute for rupture and repaired using modified Kessler, Bunnell and Tsuge techniques with No. 2 braided polyester and monofilament polydioxanone sutures. Read More

J Biomech 2020 May 2;104:109720. Epub 2020 Mar 2.

Division of Engineering, Saint Mary's University, Halifax, Canada; School of Biomedical Engineering, Dalhousie University, Halifax, Canada. Electronic address:

Despite many in vitro mechanical experiments of tendon being conducted at room temperature, few assessments have been made to determine how the structural response of tendon to mechanical overload may vary with ambient temperature. We explored whether damage to the collagen nanostructure of tendon resulting from tensile rupture varies with temperature. Use of bovine tail tendons in combination with NaBH crosslink stabilization treatment allowed us to probe the mechanisms underlying the observed changes. Read More

Eur J Orthop Surg Traumatol 2020 Jul 9;30(5):895-899. Epub 2020 Mar 9.

Unit of Orthopaedics, Department of Clinical Science and Education, Stockholm South General Hospital, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden.

Background: Most studies on acute Achilles tendon rupture (AATR) and its treatment contain only a small number of patients, and due to selection criteria, older patients and those with comorbidities are typically excluded. Therefore, little is known about true complication rates in an unselected population reflecting the situation in an ordinary orthopedic department.

Method: Patient files of 639 consecutive Achilles tendon repairs in 631 patients with AATR between February 1998 and December 2005 were reviewed, and all complications from the day of surgery until December 2011 were identified using the hospital's patient records and the Swedish national registry. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Mar 7. Epub 2020 Mar 7.

Department of Orthopaedic Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.

Purpose: Aim of this study was to evaluate the responsiveness of the Dutch version of the Achilles tendon Total Rupture Score (ATRS-NL).

Methods: Patients (N = 47) completed the ATRS-NL at 3 and 6 months after Achilles tendon rupture (ATR). Additionally, they filled out the Euroqol-5D-5L (EQ-5D-5L) and Global Rating of Change Score (GRoC). Read More

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499020908354

The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Purpose: To date, the best treatment of acute Achilles tendon rupture (AATR) is still inconclusive. Achillon seems to be a promising approach with satisfactory function and low complication rate. We hypothesize a modified minimally invasive repair (MMIR), which provides direct visualization of proximal tendon stump without specialized equipment that could provide comparable results. Read More

Clin Orthop Relat Res 2020 05;478(5):1109-1110

G. P. Guyton, MedStar Union Memorial Hospital, Department of Orthopaedics, Baltimore, MD, USA.

Clin Orthop Surg 2020 Mar 13;12(1):1-8. Epub 2020 Feb 13.

Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

There is no clear consensus on the optimal treatment of acute Achilles tendon rupture. Recently, studies have demonstrated the critical role of functional rehabilitation in the treatment of ruptured Achilles tendons. Hence, conservative treatment is preferred by a growing number of surgeons seeking to treat the condition without the risk of complications from surgery. Read More