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A Regenerated Achil...
A Regenerated Achilles Tendon with Good Function One Year After Total Extirpation Due to Infection – A Case Report
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- Granath, Martin (författare)
- Orthopaedic Department, Hässleholm Hospital, Hässleholm, Sweden
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- Hedlund, Pär (författare)
- Orthopaedic Department, Hässleholm Hospital, Hässleholm, Sweden
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- Spang, Christoph (författare)
- Private Orthopaedic Spine Center, Würzburg, Germany
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- Alfredson, Håkan (författare)
- Umeå universitet,Avdelningen för idrottsmedicin,Institute of Sports Exercise and Health, University College Hospital London, London, United Kingdom
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(creator_code:org_t)
- Dove Medical Press, 2022
- 2022
- Engelska.
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Ingår i: International Medical Case Reports Journal. - : Dove Medical Press. - 1179-142X. ; 15, s. 219-223
- Relaterad länk:
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https://doi.org/10.2...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.2...
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Abstract
Ämnesord
Stäng
- Background: Delayed Achilles tendon ruptures leaving large defects are difficult to treat, and the potential for tendon regeneration is thought to be limited. Furthermore, post-operative wound healing problems, sometimes including infections, can be challenging to treat and negatively affect rehabilitation.Case Presentation: This 74-year-old lady suffered from insertional Achilles tendinopathy. After treatment with a local cortisone injection, she sustained a total insertional Achilles tendon rupture. This rupture was treated conservatively, and after treatment the Achilles re-ruptured in the insertional area. The rupture was then treated with re-insertion into the calcaneal insertion. Early in the post-operative period the patient sustained a deep surgical wound infection and sepsis. Because of poor effect of treatment with antibiotics, and total tendon destruction, the whole Achilles was extirpated. After extirpation there was immobilization in a cast followed by mobilization and gradually increased loading. At a one-year follow-up, the patient was walking without a limp, could do heel-raise halfway up standing on one leg, there was a palpable Achilles tendon and ultrasound scanning showed a structure very similar to a slightly thickened and tendinopathic Achilles tendon. There was an obvious regeneration of the whole Achilles tendon, and the tendon function was surprisingly good.Conclusion: This case study clearly shows the regeneration potential in the Achilles tendon and provides significant knowledge of importance for clinicians dealing with Achilles tendon injuries.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Idrottsvetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Sport and Fitness Sciences (hsv//eng)
Nyckelord
- Achilles rupture
- Achilles tendon
- infection
- regeneration
- tendinopathy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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