Anatomic Evaluation of Percutaneous Achilles Tendon Lengthening

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorPHILLIPS, Sierra
dc.contributor.authorSHAH, Ashish
dc.contributor.authorSTAGGERS, Jackson Rucker
dc.contributor.authorPINTO, Martim
dc.contributor.authorGODOY-SANTOS, Alexandre Leme
dc.contributor.authorNARANJE, Sameer
dc.contributor.authorNETTO, Cesar de Cesar
dc.date.accessioned2018-07-05T18:08:31Z
dc.date.available2018-07-05T18:08:31Z
dc.date.issued2018
dc.description.abstractBackground: The objective of the study was to evaluate the accuracy of percutaneous Achilles tendon lengthening (TAL) using a triple hemisection technique and the improvement in ankle dorsiflexion. Methods: Ten fresh-frozen above-knee cadaveric specimens were used. A percutaneous triple hemisection of the Achilles tendon (proximal, intermediate, and distal) was performed. Maximum ankle dorsiflexion was evaluated pre- and postprocedure with a digital goniometer. After proper dissection, the relative width of the cuts was noted. Following forced ankle dorsiflexion, displacement in the tensile gaps was measured in all 3 cuts with a precision digital caliper. Results: The overall relative width of the percutaneous cut was 51.3% 16.3% of the Achilles tendon diameter, 44.3% 13.6% for the proximal cut, 50.3% +/- 15.6% for the intermediate cut, and 59.3% +/- 18.4% for the distal cut. Tendon excursion averaged 13.0 +/- 3.8 mm for the proximal cuts, 12.5 +/- 4.7 mm for the intermediate cuts, and 8.2 +/- 3.7 mm for the distal cuts. One cadaver had a complete rupture of the Achilles tendon and was excluded from the excursion data analysis. The mean range of motion for ankle dorsiflexion was 8.1 +/- 3.9 degrees preprocedure and 27.6 +/- 5.3 degrees postprocedure. The dorsiflexion angle significantly increased (P < .0001) at an average of 19.5 +/- 5.0 degrees following TAL. Conclusion: Our cadaveric study demonstrated that the percutaneous triple hemisection of the Achilles was an accurate technique that provided successful lengthening of the tendon and increased ankle dorsiflexion. Complete ruptures are possible complications. Clinical Relevance: Our cadaveric study showed that in a clinical situation, triple hemisections of the Achilles tendon can be performed reliably, with significant improvement of the ankle dorsiflexion, mainly through increased tendon excursion at the proximal and intermediate cuts, and with low risk of complete ruptures.
dc.description.indexMEDLINE
dc.description.sponsorshipStryker
dc.identifier.citationFOOT & ANKLE INTERNATIONAL, v.39, n.4, p.500-505, 2018
dc.identifier.doi10.1177/1071100717745559
dc.identifier.eissn1944-7876
dc.identifier.issn1071-1007
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/27177
dc.language.isoeng
dc.publisherSAGE PUBLICATIONS INC
dc.relation.ispartofFoot & Ankle International
dc.rightsrestrictedAccess
dc.rights.holderCopyright SAGE PUBLICATIONS INC
dc.subjectanatomic study
dc.subjectAchilles tendon
dc.subjecttendon lengthening
dc.subjectequinus deformity
dc.subjecttriple hemisection
dc.subject.othertriple hemisection
dc.subject.otherequinus deformity
dc.subject.othertenotomy
dc.subject.otherankle
dc.subject.otheradult
dc.subject.otherfoot
dc.subject.wosOrthopedics
dc.titleAnatomic Evaluation of Percutaneous Achilles Tendon Lengthening
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalPHILLIPS, Sierra:Univ Alabama Birmingham, Dept Orthopaed Surg, Birmingham, AL USA
hcfmusp.author.externalSHAH, Ashish:Univ Alabama Birmingham, Dept Orthopaed Surg, Birmingham, AL USA
hcfmusp.author.externalSTAGGERS, Jackson Rucker:Univ Alabama Birmingham, Dept Orthopaed Surg, Birmingham, AL USA
hcfmusp.author.externalPINTO, Martim:Univ Alabama Birmingham, Dept Orthopaed Surg, Birmingham, AL USA
hcfmusp.author.externalNARANJE, Sameer:Univ Alabama Birmingham, Dept Orthopaed Surg, Birmingham, AL USA
hcfmusp.author.externalNETTO, Cesar de Cesar:Univ Alabama Birmingham, Dept Orthopaed Surg, Birmingham, AL USA
hcfmusp.citation.scopus11
hcfmusp.contributor.author-fmusphcALEXANDRE LEME GODOY DOS SANTOS
hcfmusp.description.beginpage500
hcfmusp.description.endpage505
hcfmusp.description.issue4
hcfmusp.description.volume39
hcfmusp.origemWOS
hcfmusp.origem.pubmed29254448
hcfmusp.origem.scopus2-s2.0-85044083730
hcfmusp.origem.wosWOS:000429804300014
hcfmusp.publisher.cityTHOUSAND OAKS
hcfmusp.publisher.countryUSA
hcfmusp.relation.referenceBANKS HH, 1958, J BONE JOINT SURG AM, V40, P1359, DOI 10.2106/00004623-195840060-00013
hcfmusp.relation.referenceChen L, 2017, J FOOT ANKLE SURG, V56, P271, DOI 10.1053/j.jfas.2016.11.007
hcfmusp.relation.referenceCosta ML, 2006, FOOT ANKLE INT, V27, P672, DOI 10.1177/107110070602700903
hcfmusp.relation.referenceDavids Jon R, 2004, Instr Course Lect, V53, P511
hcfmusp.relation.referenceEdama M, 2015, SCAND J MED SCI SPOR, V25, pE497, DOI 10.1111/sms.12342
hcfmusp.relation.referenceFirth GB, 2013, J BONE JOINT SURG AM, V95A, P1489, DOI 10.2106/JBJS.K.01638
hcfmusp.relation.referenceHATT RN, 1947, NEW ENGL J MED, V236, P166, DOI 10.1056/NEJM194701302360502
hcfmusp.relation.referenceHiller L, 2003, FOOT ANKLE INT, V24, P701, DOI 10.1177/107110070302400909
hcfmusp.relation.referenceHoefnagels EM, 2007, ACTA ORTHOP, V78, P808, DOI 10.1080/17453670710014590
hcfmusp.relation.referenceHoffman B, 2006, FOOT ANKLE INT, V27, P960, DOI 10.1177/107110070602701116
hcfmusp.relation.referenceHoke M, 1931, J BONE JOINT SURG, V13, P773
hcfmusp.relation.referenceLee WC, 2005, FOOT ANKLE INT, V26, P1017, DOI 10.1177/107110070502601203
hcfmusp.relation.referenceLin SS, 1996, ORTHOPEDICS, V19, P465
hcfmusp.relation.referenceMCCLUSKEY WP, 1989, CLIN ORTHOP RELAT R, P27
hcfmusp.relation.referencePiriou P, 2000, REV CHIR ORTHOP, V86, P38
hcfmusp.relation.referenceRedfern JC, 2008, FOOT ANKLE INT, V29, P325, DOI 10.3113/FAI.2008.0325
hcfmusp.relation.referenceSalamon ML, 2006, FOOT ANKLE INT, V27, P411, DOI 10.1177/107110070602700604
hcfmusp.relation.referenceSingh D, 2013, FOOT ANKLE SURG, V19, P135, DOI 10.1016/j.fas.2012.12.002
hcfmusp.relation.referenceStauff Michael P, 2011, Foot Ankle Surg, V17, P29, DOI 10.1016/j.fas.2009.12.003
hcfmusp.relation.referenceSTRAYER LM, 1950, J BONE JOINT SURG AM, V32-A, P671, DOI 10.2106/00004623-195032030-00022
hcfmusp.relation.referenceSymeonidis P, 2014, FOOT ANKLE INT, V35, P838, DOI 10.1177/1071100714535202
hcfmusp.relation.referenceTRACY HW, 1976, J BONE JOINT SURG AM, V58, P1142, DOI 10.2106/00004623-197658080-00019
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