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      Safety and outcome of surgical debridement of insertional Achilles tendinopathy using a transverse (Cincinnati) incision

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      Journal of Bone and Joint Surgery - British Volume
      British Editorial Society of Bone & Joint Surgery

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          Abstract

          This is a prospective analysis on 30 physically active individuals with a mean age of 48.9 years (35 to 64) with chronic insertional tendinopathy of the tendo Achillis. Using a transverse incision, the tendon was debrided and an osteotomy of the posterosuperior corner of the calcaneus was performed in all patients. At a minimum post-operative follow-up of three years, the Victorian Institute of Sports Assessment scale-Achilles tendon scores were significantly improved compared to the baseline status. In two patients a superficial infection of the wound developed which resolved on antibiotics. There were no other wound complications, no nerve related complications, and no secondary avulsions of the tendo Achillis. In all, 26 patients had returned to their pre-injury level of activity and the remaining four modified their sporting activity. At the last appointment, the mean pain threshold and the mean post-operative tenderness were also significantly improved from the baseline (p < 0.001). In patients with insertional tendo Achillis a transverse incision allows a wide exposure and adequate debridement of the tendo Achillis insertion, less soft-tissue injury from aggressive retraction and a safe osteotomy of the posterosuperior corner of the calcaneum.

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          Author and article information

          Journal
          Journal of Bone and Joint Surgery - British Volume
          Journal of Bone and Joint Surgery - British Volume
          British Editorial Society of Bone & Joint Surgery
          0301-620X
          November 04 2011
          November 01 2011
          November 04 2011
          November 01 2011
          : 93-B
          : 11
          : 1503-1507
          Article
          10.1302/0301-620X.93B10.27379
          22058302
          518b260f-6286-48bf-9952-3357eb3ef995
          © 2011
          History

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