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The Cincinnati incision is safe and effective for revision surgery for insertional tendinopathy of the Achilles tendon
The present study reports the outcomes of revision surgery using a Cincinnati incision with tendon debridement and calcaneoplasty for insertional Achilles tendinopathy (IAT) in a cohort of patients at 24-month follow-up. Patients undergoing revision surgery following failed previous surgery for IAT...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9033808/ https://www.ncbi.nlm.nih.gov/pubmed/35459801 http://dx.doi.org/10.1038/s41598-022-10730-x |
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author | Maffulli, Nicola Gougoulias, Nikolaos Maffulli, Gayle D. Oliva, Francesco Migliorini, Filippo |
author_facet | Maffulli, Nicola Gougoulias, Nikolaos Maffulli, Gayle D. Oliva, Francesco Migliorini, Filippo |
author_sort | Maffulli, Nicola |
collection | PubMed |
description | The present study reports the outcomes of revision surgery using a Cincinnati incision with tendon debridement and calcaneoplasty for insertional Achilles tendinopathy (IAT) in a cohort of patients at 24-month follow-up. Patients undergoing revision surgery following failed previous surgery for IAT were prospectively recruited. Patients were assessed pre-operatively and at 3, 6,12 and 24 months. The Victorian Institute of Sport Assessment Scale for Achilles Tendinopathy (VISA-A), the EQ5D questionnaire and the visual analogue scale (VAS) were used for evaluation. Data from 33 patients with a mean age of 43.9 years old are reported. 27% (9 of 33 patients) were female. The left side was involved in 58% (19/33) of patients. No clinically relevant complications were reported in any of the patients. Most of subscales of EQ5D improved at last follow-up: Usual Activities (P = 0.01), Mobility (P = 0.03), Pain/Discomfort (P = 0.001), Thermometer (P = 0.04). No statistically significant change for the subscales Self-Care (P = 0.08) and Anxiety-Depression (P = 0.1) was evidenced. The VISA-A score improved significantly at last follow-up (P < 0.0001), as did the VAS score (P < 0.0001). These results indicated that a Cincinnati incision followed by tendon debridement and calcaneoplasty for revision surgery for IAT is feasible and reliable, achieving clinically relevant improvement in the VISA-A, EQ5D and VAS at 24 months follow-up. |
format | Online Article Text |
id | pubmed-9033808 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-90338082022-04-25 The Cincinnati incision is safe and effective for revision surgery for insertional tendinopathy of the Achilles tendon Maffulli, Nicola Gougoulias, Nikolaos Maffulli, Gayle D. Oliva, Francesco Migliorini, Filippo Sci Rep Article The present study reports the outcomes of revision surgery using a Cincinnati incision with tendon debridement and calcaneoplasty for insertional Achilles tendinopathy (IAT) in a cohort of patients at 24-month follow-up. Patients undergoing revision surgery following failed previous surgery for IAT were prospectively recruited. Patients were assessed pre-operatively and at 3, 6,12 and 24 months. The Victorian Institute of Sport Assessment Scale for Achilles Tendinopathy (VISA-A), the EQ5D questionnaire and the visual analogue scale (VAS) were used for evaluation. Data from 33 patients with a mean age of 43.9 years old are reported. 27% (9 of 33 patients) were female. The left side was involved in 58% (19/33) of patients. No clinically relevant complications were reported in any of the patients. Most of subscales of EQ5D improved at last follow-up: Usual Activities (P = 0.01), Mobility (P = 0.03), Pain/Discomfort (P = 0.001), Thermometer (P = 0.04). No statistically significant change for the subscales Self-Care (P = 0.08) and Anxiety-Depression (P = 0.1) was evidenced. The VISA-A score improved significantly at last follow-up (P < 0.0001), as did the VAS score (P < 0.0001). These results indicated that a Cincinnati incision followed by tendon debridement and calcaneoplasty for revision surgery for IAT is feasible and reliable, achieving clinically relevant improvement in the VISA-A, EQ5D and VAS at 24 months follow-up. Nature Publishing Group UK 2022-04-22 /pmc/articles/PMC9033808/ /pubmed/35459801 http://dx.doi.org/10.1038/s41598-022-10730-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Maffulli, Nicola Gougoulias, Nikolaos Maffulli, Gayle D. Oliva, Francesco Migliorini, Filippo The Cincinnati incision is safe and effective for revision surgery for insertional tendinopathy of the Achilles tendon |
title | The Cincinnati incision is safe and effective for revision surgery for insertional tendinopathy of the Achilles tendon |
title_full | The Cincinnati incision is safe and effective for revision surgery for insertional tendinopathy of the Achilles tendon |
title_fullStr | The Cincinnati incision is safe and effective for revision surgery for insertional tendinopathy of the Achilles tendon |
title_full_unstemmed | The Cincinnati incision is safe and effective for revision surgery for insertional tendinopathy of the Achilles tendon |
title_short | The Cincinnati incision is safe and effective for revision surgery for insertional tendinopathy of the Achilles tendon |
title_sort | cincinnati incision is safe and effective for revision surgery for insertional tendinopathy of the achilles tendon |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9033808/ https://www.ncbi.nlm.nih.gov/pubmed/35459801 http://dx.doi.org/10.1038/s41598-022-10730-x |
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