Free tendon grafts for surgical management of chronic tears of the main body of the Achilles tendon: a systematic review

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Maffulli, N. (författare)

Free tendon grafts for surgical management of chronic tears of the main body of the Achilles tendon: a systematic review

Artikel/kapitelEngelska2023

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2023

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LIBRIS-ID:oai:gup.ub.gu.se/327277
https://gup.ub.gu.se/publication/327277URI
https://doi.org/10.1007/s00167-023-07446-4DOI

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Språk:engelska

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PurposeAfter four weeks from injury, tears of the Achilles tendon are considered chronic. Their management is challenging, and the use of a graft is suggested when the gap between proximal and distal stumps is greater than 6 cm. The present study systematically reviews the outcome of free tendon grafts in chronic ruptures of the Achilles tendon, evaluating clinical outcomes, complications and return to sport.MethodsThe present study was conducted according to the PRISMA 2020 guidelines. PubMed, Google Scholar, Embase, and Web of Science databases were accessed in February 2023. All the published clinical studies reporting clinical outcome, return to sport and complications of free tendon grafts used the treatment of chronic rupture of the midportion of the Achilles Tendon were accessed. The mean CMS (Coleman Methodology Score) of 65.7 suggested an overall good quality of the available published articles, attesting to the low risk of bias.ResultsData from 22 articles (368 patients with a mean age of 47 years) were retrieved. The average time from rupture to surgery was 25.1 week. At last follow-up, the AOFAS (American Orthopaedic Foot and Ankle Surgery) and ATRS (Achilles Tendon Total Rupture Score) scores improved of 33.8 (P = 0.0004), and 45.1 points (P = 0.0001) respectively. Return to activity was reported in 105 patients, and 82 (78.1%) had no activity limitations, while 19 (18.1%) had limited recreational but not daily activity limitations, and 4 (3.8%) reported limitations in daily activities. Return to sport data was reported in six studies, and 45 of 93 (48.4%) patients returned to sport at an average of 22.6 weeks.ConclusionIn chronic tears of the Achilles tendon, with a gap of at least 6 cm, free tendon grafts allow predictable return to sport and acceptable recovery function.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
Graft
Achilles tendon
Midportion
Chronic rupture
Rupture
Augmentation
Neglected
total rupture score
reconstruction
allograft
autograft
augmentation
xenograft
Orthopedics
Sport Sciences
Surgery

Biuppslag (personer, institutioner, konferenser, titlar ...)

Bartoli, A. (författare)
Sammaria, G. (författare)
Migliorini, F. (författare)
Karlsson, Jon,1953Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xkajon (författare)
Oliva, F. (författare)
Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för ortopedi (creator_code:org_t)

Sammanhörande titlar

Ingår i:Knee Surgery Sports Traumatology Arthroscopy31:10, s. 4526-380942-2056

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Av författaren/redakt...: Maffulli, N.; Bartoli, A.; Sammaria, G.; Migliorini, F.; Karlsson, Jon, 1 ...; Oliva, F.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

Artiklar i publikationen: Knee Surgery Spo ...

Av lärosätet: Göteborgs universitet

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