Search Our Scientific Publications & Authors

Ann Chir Plast Esthet 2019 Feb 8. Epub 2019 Feb 8.

Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest cedex, France.

Introduction: Management of the combined loss of Achilles tendon and skin is difficult. However, these are not exceptional situations after Achilles tendon surgery. Data from the literature are extensive and there is currently no consensus on the technique of tendon reconstruction. Read More

BMC Musculoskelet Disord 2019 Feb 11;20(1):69. Epub 2019 Feb 11.

Department of Surgery, Martini Hospital, Groningen, The Netherlands.

Background: Achilles tendon rupture (ATR) is a common sports injury, with a rising incidence and significant impairments. Due to the lack of treatment guidelines, there is no consensus about diagnostic methods, primary treatment (non-surgical or surgical) and rehabilitation. It is hypothesized that this lack of consensus and guidelines leads to sub-optimal recovery and higher societal costs. Read More

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

This paper presents two patients who sustained spontaneous closed Achilles tendon ruptures following minimally invasive ultrasonic energy therapy for non-insertional Achilles tendinopathy. In both cases, the patients underwent minimally invasive ultrasonic energy therapy using a commercially available device. In addition, the current evidence, through available literature, has been reviewed and presented. Read More

Am J Sports Med 2019 Feb 11:363546518824326. Epub 2019 Feb 11.

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

Background:: Mechanical loading is essential for tendon healing and may explain variability in patient outcomes after Achilles tendon rupture (ATR) repair. However, there is no consensus regarding the optimal postoperative regimen, and the actual amount of loading during orthosis immobilization is unknown.

Purpose:: The primary aim of this study was to assess the number of steps and the amount of loading in a weightbearing orthosis during the first 6 weeks after surgical ATR repair. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):61-66

Pre-Medical Student, at Washington University in St. Louis, Missouri, U.S.A.

Introduction: Rupture of the distal biceps brachii results in significant weakness and limitation of function in those affected. Acute ruptures of the biceps tendon are generally best treated with early repair, ideally within 3weeks of injury. The preferred treatment of chronic ruptures is still uncertain. Read More

J Orthop 2019 Jan-Feb;16(1):11-13. Epub 2018 Dec 6.

Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, 60611, USA.

Purpose: The overall benefits of ACL reconstructive surgery in young athletes has been previously established. Graft selection for ACL reconstruction, specifically in this population however, remains controversial. The literature is limited and long-term survival rate of allograft ACL reconstruction in the adolescent population remains poorly defined. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Feb 6. Epub 2019 Feb 6.

Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.

J Biomech 2019 Jan 29. Epub 2019 Jan 29.

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.

Achilles tendon ruptures have been linked with detrimental changes in muscle-tendon structure, which may help explain long-term functional deficits. However, the causal effects of muscle-tendon structure on joint function have not been tested in a controlled setting. Therefore, the purpose of this study was to test the implications of muscle-tendon unit parameters on simulated single-leg heel raise height. Read More

Stem Cells 2019 Feb 5. Epub 2019 Feb 5.

Department of Orthopedics and Rehabilitation, University of Wisconsin, Madison, Wisconsin.

Tendon healing follows a complex series of coordinated events that ultimately produces a mechanically inferior tissue more scar-like than native tendon. More regenerative healing occurs when anti-inflammatory M2 macrophages play a more dominant role. Mesenchymal stromal/stem cells (MSCs) are able to polarize macrophages to an M2 immunophenotype via paracrine mechanisms. Read More

J Orthop Res 2019 Feb 5. Epub 2019 Feb 5.

McKay Orthopaedic Laboratory, University of Pennsylvania, Philadelphia, PA, USA.

Conservative (non-operative) treatment of Achilles tendon ruptures is a common alternative to operative treatment. Following rupture, ankle immobilization in plantarflexion is thought to aid healing by restoring tendon end-to-end apposition. However, early activity may improve limb function, challenging the role of immobilization position on tendon healing, as it may affect loading across the injury site. Read More

J Musculoskelet Disord Treat 2018 21;4(2). Epub 2018 May 21.

Department of Orthopaedic Surgery, Rush University Medical Center, USA.

Background: The attempted healing of tendon after acute injury (overloading, partial tear or complete rupture) proceeds via the normal wound healing cascade involving hemostasis, inflammation, matrix synthesis and matrix remodeling. Depending on the degree of trauma and the nature of the post-injury milieu, a variable degree of healing and recovery of function occurs. Post-injury analgesia is often achieved with NSAIDs such as Ibuprofen, however there is increasing evidence that NSAID usage may interfere with the healing process. Read More

Foot Ankle Surg 2018 Nov 10. Epub 2018 Nov 10.

Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, United Kingdom.

Background: Traditional fracture clinics are some of the busiest clinics in a hospital, often with significant patient waiting times and delays. The use of virtual fracture clinic (VFC) for the management of certain injuries to reduce the workload on the traditional fracture clinic, in addition to reducing costs is growing in popularity. The tendoachilles is the most frequently ruptured tendon in the body but despite this, management remains a keenly debated topic. Read More

Injury 2019 Jan 14. Epub 2019 Jan 14.

Orthopaedics Department, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, China.

Background: The purpose of this article was to introduce calcaneal lengthening for partial traumatic loss of the calcaneus. Effectiveness with the use of the technique was also assessed.

Methods: From January 2013 to May 2016, calcaneal lengthening was performed in 15 patients who sustained a partial traumatic loss of the tuberosity portion of calcaneus. Read More

J Foot Ankle Surg 2019 Jan 23. Epub 2019 Jan 23.

Current Chief of Surgery and Clinical Director, Department of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland.

Achilles tendon ruptures can be counted as the most common traumatic ankle injuries. As such, there is a comparatively large set of treatment options including surgical and nonsurgical approaches. The purpose of this case report is to demonstrate a new technique for a specific subgroup of Achilles tendon ruptures that present with a large tendinous gap. Read More

Br J Clin Pharmacol 2019 Jan 25. Epub 2019 Jan 25.

Boston Collaborative Drug Surveillance Program, 11 Muzzey Street, Lexington, MA, USA.

Aims: To estimate the relative, absolute, and attributable risk of non-traumatic tendon rupture, at various sites, associated with use of fluoroquinolones, with and without concomitant corticosteroids.

Methods: We conducted cohort and nested case-control studies among fluoroquinolone users in the United Kingdom Clinical Practice Research Datalink Gold. We estimated the excess risk (cohort analysis) and odds ratios (ORs) (case control) of tendon rupture by fluoroquinolone (current, recent and past use verses unexposed) and corticosteroid (current versus unexposed) use. Read More

Exp Ther Med 2019 Feb 7;17(2):1426-1434. Epub 2018 Dec 7.

Department of Orthopaedics, Chinese People's Liberation Army General Hospital, Beijing 100853, P.R. China.

The present study aimed to investigate the biomechanical comparison of channel-assisted minimally invasive restoration and three common Achilles tendon restoration techniques in an model via a progressive rehabilitation program. The 42 porcine tendons were randomly assigned to the following six groups of tendons (n=7/group): Achillon, percutaneous Achilles repair system (PARS), Krackow, channel-assisted minimally invasive repair (CAMIR), CAMIR augmentation (CAMIR), CAMIR-5 (repair with No. 5 Ethibond suture). Read More

Knee Surg Sports Traumatol Arthrosc 2019 Jan 20. Epub 2019 Jan 20.

Foot and Ankle Injury Research [F.A.I.R.] group, Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, 3471 Fifth Ave., Pittsburgh, PA, 15213, USA.

Purpose: To assess the effects of medical comorbidities on the incidence of surgical site infection following primary Achilles tendon repair. A secondary aim was to assess the effects of specific medical comorbidities on the cost and extent of healthcare utilization related to surgical site infection following primary Achilles tendon repair.

Methods: 24,269 patients undergoing primary Achilles tendon repair between 2005 and 2012 were examined. Read More

J Am Acad Orthop Surg Glob Res Rev 2018 Aug 22;2(8):e043. Epub 2018 Aug 22.

Department of Orthopedic Surgery, New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.

Background: Achilles tendon rupture (ATR) is a common injury with increasing incidence. Several risk factors have been identified; however, little is known about seasonal variations in injury prevalence. Previous reports have generated mixed results, with no clear consensus in the literature. Read More

Orthop J Sports Med 2018 Dec 26;6(12):2325967118813904. Epub 2018 Dec 26.

Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, Sweden.

Background: There is limited evidence regarding the patient-related factors that influence treatment outcomes after an acute Achilles tendon rupture.

Purpose/hypothesis: The purpose of this study was to determine the predictors of functional and patient-reported outcomes 1 year after an acute Achilles tendon rupture using a multicenter cohort and to determine patient characteristics for reporting within the top and bottom 10% of the Achilles tendon Total Rupture Score (ATRS) and heel-rise height outcomes. The hypothesis was that older age, greater body mass index (BMI), and female sex would lead to inferior outcomes. Read More

Biomed Res Int 2018 6;2018:2367615. Epub 2018 Dec 6.

Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.

Purpose: To evaluate differences of Achilles tendon (AT) hardness and morphology between asymptomatic tendons in patients with acute AT ruptures on the contralateral side and asymptomatic tendons in healthy people by using computer-assisted quantification on axial-strain sonoelastography (ASE).

Methods: The study consisted of 33 asymptomatic tendons in 33 patients (study group) and 34 tendons in 19 healthy volunteers (control group). All the tendons were examined by both ASE and conventional ultrasound. Read More

BMJ 2019 Jan 7;364:k5344. Epub 2019 Jan 7.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

BMJ 2019 Jan 7;364:k5120. Epub 2019 Jan 7.

Department of Surgery, University Medical Center Utrecht, 3508 GA Utrecht, Netherlands.

Objectives: To compare re-rupture rate, complication rate, and functional outcome after operative versus nonoperative treatment of Achilles tendon ruptures; to compare re-rupture rate after early and late full weight bearing; to evaluate re-rupture rate after functional rehabilitation with early range of motion; and to compare effect estimates from randomised controlled trials and observational studies.

Design: Systematic review and meta-analysis.

Data Sources: PubMed/Medline, Embase, CENTRAL, and CINAHL databases were last searched on 25 April 2018 for studies comparing operative versus nonoperative treatment of Achilles tendon ruptures. Read More

J Foot Ankle Surg 2019 Jan 3. Epub 2019 Jan 3.

Director of Residency Training, Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Calcific insertional Achilles tendinopathy (CIAT) is a relatively common musculoskeletal entity that results in significant pain and disability, as well as posterior muscle group weakness. There is a lack of evidence criteria to support the timing of operative intervention, choice of procedures, or whether equinus requires treatment. The purpose of this study was to retrospectively review 45 patients (48 feet) who have undergone surgical management of CIAT with concomitant posterior muscle group weakness with the single heel rise testing. Read More

Stem Cell Res Ther 2019 Jan 3;10(1). Epub 2019 Jan 3.

Department of Medical Research, Mackay Memorial Hospital, No. 45, Minsheng Rd., Tamsui District, New Taipei City, 25160, Taiwan.

Background: Tendon stem/progenitor cells (TSPC) exhibit a low proliferative response to heal tendon injury, leading to limited regeneration outcomes. Exogenous growth factors that activate TSPC proliferation have emerged as a promising approach for treatment. Here, we evaluated the pigment epithelial-derived factor (PEDF)-derived short peptide (PSP; 29-mer) for treating acute tendon injury and to determine the timing and anatomical features of CD146- and necleostemin-positive TSPC in the tendon healing process. Read More

Knee Surg Sports Traumatol Arthrosc 2018 Dec 29. Epub 2018 Dec 29.

Department of Orthopaedic Surgery, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.

Purpose: This retrospective study aimed to determine the patient-reported and functional outcome of patients with delayed presentation, who had received no treatment until 14 days following injury of Achilles tendon rupture repaired with minimally invasive surgery and were compared with a group of sex- and age-matched patients presenting acutely. Based on the outcomes following delayed presentation reported in the literature, it was hypothesized that outcomes would be inferior for self-reported outcome, tendon elongation, heel-rise performance, ability to return to play, and complication rates than for acutely managed patients.

Methods: Repair was performed through an incision large enough to permit mobilisation of the tendon ends, core suture repair consisting of a modified Bunnell suture proximally and a Kessler suture distally and circumferential running suture augmentation. Read More

Syst Rev 2018 Dec 23;7(1):247. Epub 2018 Dec 23.

School of Epidemiology and Public Health; Clinical Epidemiology Program, Centre for Practice-Changing, The Ottawa Hospital Research Institute Research, University of Ottawa, Ottawa, Canada.

Background: Achilles tendon ruptures are a common injury and are increasing in incidence. Several management strategies exist for both non-operative and operative care, with each strategy offering unique risks and benefits. Traditional pairwise meta-analyses have been performed to compare management strategies; however, all treatment options have never been integrated in a single analysis. Read More

Khirurgiia (Mosk) 2018 (12):91-95

Samara State Medical University of Healthcare Ministry of the Russia, Samara, Russia.

Aim: To improve the outcomes in patients with chronic ruptures of the Achilles tendon followed by advanced diastase and reduced function of the gastrocnemius muscle by using of new surgical method.

Material And Methods: The authors proposed a new method of Achilles tendon repair for diastase over 10 cm. It imposes transposition of the tendons of short fibular muscle and posterior tibial muscle. Read More

Foot Ankle Spec 2018 Dec 17:1938640018819779. Epub 2018 Dec 17.

Department of Orthopedic Surgery, New York Presbyterian/Columbia University Medical Center, New York, NY.

The goal of treatment after Achilles tendon rupture (ATR) is to restore appropriate tension to the tendon, so that normal baseline strength and functional soft-tissue length can be achieved. The assessment of plantarflexion strength has shown widespread variability. The purpose of this study is to document variations in strength assessment after the treatment of ATR in the literature. Read More

Tech Orthop 2018 Dec 25;33(4):251-253. Epub 2017 Dec 25.

University of Alabama at Birmingham, Birmingham, AL.

Surgical repair of the Achilles tendon is a common procedure for acute Achilles tendon ruptures. Variations in surgical technique and patient positioning exist, with the ultimate goal of achieving a durable repair while minimizing complications. Recently the use of a mini-open approach has been demonstrated to provide a durable repair that is comparable to using a larger traditional open approach. Read More

Orthop J Sports Med 2018 Nov 28;6(11):2325967118810772. Epub 2018 Nov 28.

Department of Orthopaedics, New York Presbyterian, Columbia University Medical Center, New York, New York, USA.

Background: The majority of Achilles tendon ruptures are sports related; however, no investigation has examined the impact of surgical repair for complete ruptures on professional soccer players.

Purpose: To examine the return to play, playing time, and performance of professional soccer players following Achilles tendon repair.

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

Orthop J Sports Med 2018 Nov 26;6(11):2325967118808238. Epub 2018 Nov 26.

Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.

Background: Achilles tendon (AT) ruptures are one of the most common tendon ruptures, but there have been no studies investigating these injuries in the United States (US) using data representative of the entire US population.

Purpose/hypothesis: The purpose of this study was to determine the incidence and risk factors for AT ruptures in the US. We hypothesized that male sex, older age, and sport participation would increase the risk for AT ruptures. Read More

Foot Ankle Spec 2018 Dec 5:1938640018816376. Epub 2018 Dec 5.

Department of Orthopaedics, Miller School of Medicine, University of Miami, Miami, Florida.

Introduction: Obesity is an increasingly common comorbidity that may negatively affect outcomes following orthopaedic surgery. It is valuable to determine whether obese patients are vulnerable for postoperative complications. The purpose of this study was to analyze data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) to determine the effect of obesity on surgical treatment of Achilles tendon ruptures. Read More

J Bone Joint Surg Am 2018 Nov;100(22):1969-1981

Dipartimento di Scienze Biomediche e Neuromotorie (DIBINEM), University of Bologna, Bologna, Italy.

Background: There is no consensus on the optimal technique for repairing an acute Achilles tendon rupture. The purpose of this meta-analysis was to compare the complications, subjective outcomes, and functional results between minimally invasive surgery and open repair of an Achilles tendon rupture.

Methods: A systematic literature search of MEDLINE/PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), EBSCOhost, and ClinicalTrials. Read More

Clin Drug Investig 2019 Feb;39(2):205-213

Pharmacovigilance and Epidemiology Department, European Medicines Agency, London, UK.

Background And Objective: Tendon rupture can result from fluoroquinolone exposure. The objective of this study was to quantify relative and absolute risk and determine how risk is affected by timing of exposure.

Methods: The UK Health Improvement Network primary care database was used to perform a nested case-control study measuring the association between fluoroquinolone exposure and tendon rupture. Read More

Bone Joint Res 2018 Oct 3;7(10):561-569. Epub 2018 Nov 3.

Department of Orthopedic Surgery, Key Laboratory of Musculoskeletal Trauma & War Injuries PLA, Beijing Key Lab of Regenerative Medicine in Orthopedics, Chinese PLA General Hospital, Beijing, China.

Objectives: The incidence of acute Achilles tendon rupture appears to be increasing. The aim of this study was to summarize various therapies for acute Achilles tendon rupture and discuss their relative merits.

Methods: A PubMed search about the management of acute Achilles tendon rupture was performed. Read More

Knee Surg Sports Traumatol Arthrosc 2018 Nov 10. Epub 2018 Nov 10.

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

Purpose: Optimizing tendon structural recovery during the first 12 weeks after Achilles tendon rupture is a prime target to improve patient outcomes, but a comprehensive understanding of biomarkers is needed to track early healing. The purpose of this study was to observe healing of tendon structure over time using ultrasound-based, tendon-specific measures and to identify relationships between tendon structural characteristics and clinical measures of gait and strength.

Methods: Twenty-seven participants (21 males, mean (SD) age 39 (11) years) were assessed at 4, 8, 12, and 24 weeks after injury or surgery using ultrasound imaging techniques. Read More

Exp Clin Transplant 2018 Nov 6. Epub 2018 Nov 6.

From the Department of Radiology, Baskent University Faculty of Medicine, Ankara, Turkey.

Objectives: The Achilles tendon, which is composed of tendinous parts of gastrocnemius and soleus muscles, is the strongest and the largest tendon in the human body. Chronic renal disease can lead to reduced physical activity and exercise capacity. Spontaneous rupture of the Achilles tendon can occur in patients with chronic renal failure, with recurrent microtraumas, hypoxia, and chronic acidosis as predisposing factors. Read More

Wounds 2019 01 26;31(1):19-25. Epub 2018 Oct 26.

Organogenesis Inc, Research and Development, Birmingham, AL.

Introduction: Healing of tendon injuries is often plagued by significant scar formation and compromised biomechanical function. For those with diabetes, these injuries are further complicated by alterations to the extracellular matrix of the tendon, poor circulation, and delayed wound healing; consequently, complications and re-rupture rates for patients with diabetes are reported higher than the typical patient population. Placental derived membranes, specifically dehydrated human amnion/chorion membranes (dACMs), have been utilized clinically as an adhesion barrier, and these membranes have been shown to reduce scarring and aid in tissue repair. Read More

J Foot Ankle Surg 2018 Nov - Dec;57(6):1191-1199

Professor, Department of Orthopaedic Center, Affiliated Hospital of Logistics University of Chinese People's Armed Police Force, Tianjin, China. Electronic address:

We performed a meta-analysis to (1) compare surgical and non-surgical treatment methods for repair of acute rupture of the Achilles tendon, in terms of the re-rupture rate, incidence of complications other than re-rupture, functional outcomes, and proportion of patients returning to previous levels of sporting activities, and (2) explore the difference in the re-rupture rate if proven early functional rehabilitation protocols were followed. PubMed, EMBASE, Medline, and Cochrane Central Register of Controlled Trials databases were searched to identify randomized clinical trials. The quality of included studies was assessed by the Cochrane risk-of-bias tool. Read More

J Sport Health Sci 2017 Dec 17;6(4):498-502. Epub 2016 May 17.

Department of Human Movement Studies, Human Motion Diagnostic Center, University of Ostrava, Ostrava 70200, Czech Republic.

Purpose: This study aims to compare the load and the length of previously ruptured and healthy Achilles tendon (AT) of a recreational runner who used different footfall patterns on each limb during running.

Methods: A 41-year-old recreational athlete with a ruptured AT participated in this report. Two force plates and a high-speed motion capture system were used to collect ground reaction force and kinematic data in shod and barefoot running conditions. Read More

J Orthop Res 2018 Oct 22. Epub 2018 Oct 22.

McKay Orthopaedic Research Laboratory University of Pennsylvania, 3450 Hamilton Walk, 110 Stemmler Hall, Philadelphia, Pennsylvania, 19104-6081.

Nicotine is harmful to many bodily systems; however, the effects of nicotine on intra-substance tendon healing remain largely unexplored. The purpose of this study was to examine the functional, structural, and biomechanical effects of nicotine on the healing of Achilles tendons in rats after an acute full-thickness injury. Sixty Sprague-Dawley rats were enrolled in this study. Read More

Foot Ankle Surg 2018 Feb 10. Epub 2018 Feb 10.

Department of Sports Medicine, Huashan Hospital, Fudan University, No. 12 Urumqi Middle Rd., Shanghai 200040, China. Electronic address:

Background: To summarize available evidence and determine if tendon allograft is an effective treatment for chronic Achilles tendon rupture.

Methods: A search was performed in the PubMed, Web of Science, Embase and Cochrane Database from 1960 to April 2017 to identify relevant articles. Predefined inclusion and exclusion criteria were applied to identify all eligible articles. Read More

Foot Ankle Surg 2018 Mar 17. Epub 2018 Mar 17.

Università degli Studi di Salerno, Italy. Electronic address:

Background: Rupture of the Achilles tendon (AT) is frequent in young recreational athletes. Conservative management, open surgery and percutaneous/minimally invasive approaches are all advocated, and conflicting data are available. This study compared functional and anthropometric outcomes of patients who underwent open or percutaneous repair. Read More

Foot Ankle Surg 2018 Apr 14. Epub 2018 Apr 14.

Berlin-Brandenburg Center for Regenerative Therapies/BSRT, Charité - University Medicine Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Background: Functional deficits after Achilles tendon (AT) ruptures are observed. The relationship between musculotendinous structural alterations and functional outcome is not clear.

Methods: Kinematic analyses (level walking, stair climbing), patient-reported outcome measures (PROMs), calf atrophy (maximum calf circumference (MCC)), and AT length were evaluated in patients after percutaneous AT repair with the Dresden instrument (n=20min. Read More

Foot Ankle Surg 2018 Jul 18. Epub 2018 Jul 18.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Background: The transfer of Flexor Hallucis Longus Tendon (FHL) is an established method for the treatment of chronic Achilles tendon ruptures. An extensive examination of power, strength, endurance and complications related to this procedure is presented.

Methods: 21 patients treated with open FHL transfer for chronic Achilles tendon rupture were studied retrospectively. Read More

Foot (Edinb) 2018 Dec 12;37:1-4. Epub 2018 Oct 12.

Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, UK.

Acute Achilles tendon rupture is frequently treated conservatively using functional rehabilitation protocols in which the ankle is held in equinus. Equinus is achieved using a variety of means including equinus casts and rigid boots with heel wedges. Concerns have been raised that rigid boots with heel wedges do not achieve adequate equinus. Read More

J Foot Ankle Surg 2019 Jan 9;58(1):161-164. Epub 2018 Oct 9.

Orthopedic Surgeon, Tripler Army Medical Center, Honolulu, HI.

The purpose of this study was to determine if clinical palpation and ultrasound determination of apposition compares with magnetic resonance imaging (MRI) findings in patients with an acute Achilles tendon rupture. A review of 18 consecutive patients presenting with an acute Achilles tendon tear was performed. All tears were diagnosed by clinical exam and confirmed by ultrasound. Read More

Biochem Biophys Res Commun 2018 Nov 9;505(4):1063-1069. Epub 2018 Oct 9.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, PR China. Electronic address:

Enthesis is the region where a tendon attaches to a bone. It is a relatively vulnerable position, and in most cases surgical treatment is required upon rupture. The reconstructed enthesis is usually weaker compared to the original, and is prone to rupture again. Read More

Trauma Case Rep 2018 Oct 1;17:33-38. Epub 2018 Oct 1.

Consultant Orthopaedic Surgeon, King Faisal Hospital, Taif, Saudi Arabia.

A 49 year old professional fitness instructor sustained a high velocity rotational injury to his right ankle while waterski-ing. The ski bindings did not release, exacerbating the injury. This resulted in a trimalleolar fracture and a rupture of his Achilles tendon. Read More

J Biomed Mater Res B Appl Biomater 2018 Oct 11. Epub 2018 Oct 11.

College of Horticulture and Forestry Sciences, Huazhong Agricultural University, Key Laboratory of Horticultural Plant Biology, Ministry of Education, Wuhan, 430070, China.

Two types of silk fibroin (SF) membranes were developed for tendon repair: porous and nonporous SF membranes. The objective of this study was to compare the efficiency of these two films according to the ability of tendon regeneration using a rat Achilles tendon (AT) rupture suture wrapping model. The in vitro tests were conducted, and theSF membranes were proved to be with ultimate-biodegradability, good-biocompatibility and without toxicity. Read More