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Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge

Background: This study aimed to compare the knotless internal brace technique and the knot-tying suture bridge technique via the medial approach in the treatment of calcific Achilles tendinopathy. Methods: The clinical data of 25 cases of calcific Achilles tendinopathy in which nonoperative treatmen...

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Autores principales: Zhao, Xiaodong, Yang, Xiaolei, Hao, Yifan, Yang, Fujun, Zhang, Zhenping, Qian, Qirong, Fu, Peiliang, Zhou, Qi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10059861/
https://www.ncbi.nlm.nih.gov/pubmed/36983586
http://dx.doi.org/10.3390/jpm13030404
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author Zhao, Xiaodong
Yang, Xiaolei
Hao, Yifan
Yang, Fujun
Zhang, Zhenping
Qian, Qirong
Fu, Peiliang
Zhou, Qi
author_facet Zhao, Xiaodong
Yang, Xiaolei
Hao, Yifan
Yang, Fujun
Zhang, Zhenping
Qian, Qirong
Fu, Peiliang
Zhou, Qi
author_sort Zhao, Xiaodong
collection PubMed
description Background: This study aimed to compare the knotless internal brace technique and the knot-tying suture bridge technique via the medial approach in the treatment of calcific Achilles tendinopathy. Methods: The clinical data of 25 cases of calcific Achilles tendinopathy in which nonoperative treatments had failed were retrospectively collected. All the patients received Achilles tendon debridement and Haglund deformity excision through a medial approach, followed by repair using the knotless internal brace technique or the knot-tying suture bridge technique. Pain was evaluated by using the visual analog scale (VAS). The American Orthopedic Foot and Ankle Score (AOFAS) questionnaire was administered preoperatively and postoperatively. Results: The mean follow-up time was 2.6 (range 2–3.5) years. There were no wound complications and no Achilles tendon ruptures. At 1 year postoperatively, the internal brace group was superior to the suture bridge group in terms of the VAS scores (p = 0.003). However, no differences were noticed between the two groups in either the VAS or the AOFAS scores at 2 years postoperatively. Conclusions: The medial approach in combination with the suture bridge technique was effective in treating calcific Achilles tendinopathy. The knotless internal brace technique involved less pain compared to the knot-tying suture bridge technique only at the early postoperative stage.
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spelling pubmed-100598612023-03-30 Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge Zhao, Xiaodong Yang, Xiaolei Hao, Yifan Yang, Fujun Zhang, Zhenping Qian, Qirong Fu, Peiliang Zhou, Qi J Pers Med Article Background: This study aimed to compare the knotless internal brace technique and the knot-tying suture bridge technique via the medial approach in the treatment of calcific Achilles tendinopathy. Methods: The clinical data of 25 cases of calcific Achilles tendinopathy in which nonoperative treatments had failed were retrospectively collected. All the patients received Achilles tendon debridement and Haglund deformity excision through a medial approach, followed by repair using the knotless internal brace technique or the knot-tying suture bridge technique. Pain was evaluated by using the visual analog scale (VAS). The American Orthopedic Foot and Ankle Score (AOFAS) questionnaire was administered preoperatively and postoperatively. Results: The mean follow-up time was 2.6 (range 2–3.5) years. There were no wound complications and no Achilles tendon ruptures. At 1 year postoperatively, the internal brace group was superior to the suture bridge group in terms of the VAS scores (p = 0.003). However, no differences were noticed between the two groups in either the VAS or the AOFAS scores at 2 years postoperatively. Conclusions: The medial approach in combination with the suture bridge technique was effective in treating calcific Achilles tendinopathy. The knotless internal brace technique involved less pain compared to the knot-tying suture bridge technique only at the early postoperative stage. MDPI 2023-02-24 /pmc/articles/PMC10059861/ /pubmed/36983586 http://dx.doi.org/10.3390/jpm13030404 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhao, Xiaodong
Yang, Xiaolei
Hao, Yifan
Yang, Fujun
Zhang, Zhenping
Qian, Qirong
Fu, Peiliang
Zhou, Qi
Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge
title Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge
title_full Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge
title_fullStr Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge
title_full_unstemmed Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge
title_short Treatment of Calcific Insertional Achilles Tendinopathy: Knotless Internal Brace versus Knot-Tying Suture Bridge
title_sort treatment of calcific insertional achilles tendinopathy: knotless internal brace versus knot-tying suture bridge
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10059861/
https://www.ncbi.nlm.nih.gov/pubmed/36983586
http://dx.doi.org/10.3390/jpm13030404
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