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The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report

RATIONALE: Ankle syndesmotic injuries occasionally require long-term therapy for recovery and can result in tendon injury. Posterior tibial tendon dysfunction (PTTD) is an acquired deformity that can cause flatfoot deformity. The current nonoperative management of PTTD includes nonsteroidal antiinfl...

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Autores principales: Lim, Tae-Ha, Cho, Hyung Rae, Kang, Keum Nae, Rhyu, Chang Joon, Chon, Sung Won, Lim, Young Su, Yoo, Jee In, Kim, Jung-Won, Kim, Young Uk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5181806/
https://www.ncbi.nlm.nih.gov/pubmed/28002322
http://dx.doi.org/10.1097/MD.0000000000005346
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author Lim, Tae-Ha
Cho, Hyung Rae
Kang, Keum Nae
Rhyu, Chang Joon
Chon, Sung Won
Lim, Young Su
Yoo, Jee In
Kim, Jung-Won
Kim, Young Uk
author_facet Lim, Tae-Ha
Cho, Hyung Rae
Kang, Keum Nae
Rhyu, Chang Joon
Chon, Sung Won
Lim, Young Su
Yoo, Jee In
Kim, Jung-Won
Kim, Young Uk
author_sort Lim, Tae-Ha
collection PubMed
description RATIONALE: Ankle syndesmotic injuries occasionally require long-term therapy for recovery and can result in tendon injury. Posterior tibial tendon dysfunction (PTTD) is an acquired deformity that can cause flatfoot deformity. The current nonoperative management of PTTD includes nonsteroidal antiinflammatory drugs (NSAIDs), orthopedic devices. Although various treatment options have been attempted, optimal treatments for each stage of the condition are debated. Polydeoxyribonucleotide (PDRN) is effective in healing of chronic wounds associated with tissue damage by attracting tissue growth factors. PATIENT CONCERNS: A 67-year-old woman who presented at our pain clinic with pain on the inside of ankle. She had a syndesmotic screw fixation 3 years prior. Her ankle pain had persisted after the removal of screws and edema for about 1 month resulting from long-term NSAIDs administration. DIAGNOSES: The origin of the pain was possibly tibialis posterior muscle and posterior tibial tendon and she was diagnosed as PTTD after syndesmosis surgery. INTERVENTIONS: Sono guided prolotherapy with PDRN was carried out. OUTCOMES: Patient showed improvement in the arch of the foot, experienced pain relief, and was able to wear regular shoes without any orthopedic device. LESSONS: This case report highlights that PDRN prolotherapy is a safe and efficient therapeutic option for the treatment of PTTD.
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spelling pubmed-51818062016-12-28 The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report Lim, Tae-Ha Cho, Hyung Rae Kang, Keum Nae Rhyu, Chang Joon Chon, Sung Won Lim, Young Su Yoo, Jee In Kim, Jung-Won Kim, Young Uk Medicine (Baltimore) 3300 RATIONALE: Ankle syndesmotic injuries occasionally require long-term therapy for recovery and can result in tendon injury. Posterior tibial tendon dysfunction (PTTD) is an acquired deformity that can cause flatfoot deformity. The current nonoperative management of PTTD includes nonsteroidal antiinflammatory drugs (NSAIDs), orthopedic devices. Although various treatment options have been attempted, optimal treatments for each stage of the condition are debated. Polydeoxyribonucleotide (PDRN) is effective in healing of chronic wounds associated with tissue damage by attracting tissue growth factors. PATIENT CONCERNS: A 67-year-old woman who presented at our pain clinic with pain on the inside of ankle. She had a syndesmotic screw fixation 3 years prior. Her ankle pain had persisted after the removal of screws and edema for about 1 month resulting from long-term NSAIDs administration. DIAGNOSES: The origin of the pain was possibly tibialis posterior muscle and posterior tibial tendon and she was diagnosed as PTTD after syndesmosis surgery. INTERVENTIONS: Sono guided prolotherapy with PDRN was carried out. OUTCOMES: Patient showed improvement in the arch of the foot, experienced pain relief, and was able to wear regular shoes without any orthopedic device. LESSONS: This case report highlights that PDRN prolotherapy is a safe and efficient therapeutic option for the treatment of PTTD. Wolters Kluwer Health 2016-12-23 /pmc/articles/PMC5181806/ /pubmed/28002322 http://dx.doi.org/10.1097/MD.0000000000005346 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-sa/4.0 This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0
spellingShingle 3300
Lim, Tae-Ha
Cho, Hyung Rae
Kang, Keum Nae
Rhyu, Chang Joon
Chon, Sung Won
Lim, Young Su
Yoo, Jee In
Kim, Jung-Won
Kim, Young Uk
The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report
title The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report
title_full The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report
title_fullStr The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report
title_full_unstemmed The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report
title_short The effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: A case report
title_sort effect of polydeoxyribonucleotide prolotherapy on posterior tibial tendon dysfunction after ankle syndesmotic surgery: a case report
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5181806/
https://www.ncbi.nlm.nih.gov/pubmed/28002322
http://dx.doi.org/10.1097/MD.0000000000005346
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