Clínica Alemana de Santiago - Universidad del Desarrollo, Av. Vitacura 5951, Vitacura, Santiago, 7650568 Chile; Hospital Militar de Santiago - Universidad de los Andes, Av. Plaza 2501, Las Condes, Región Metropolitana, Santiago, 7620157 Chile.
Clínica Alemana de Santiago - Universidad del Desarrollo, Av. Vitacura 5951, Vitacura, Santiago, 7650568 Chile.
Foot Ankle Surg. 2020 Jun;26(4):421-424. doi: 10.1016/j.fas.2019.05.008. Epub 2019 May 18.
Achilles non-insertional tendinopathy is usually treated with conservative means. If resistant to a rehabilitation protocol surgical treatment could be proposed. The aim of this research is to report the mid-term clinical results of endoscopic assisted surgery for patients suffering from recalcitrant painful non-insertional Achilles tendinopathy.
A consecutive series of 11 patients (6 men and 5 women), median age of 54 (range 40-67) years, with chronic recalcitrant painful non-insertional Achilles tendinopathy were included. All patients completed at least 20 physical therapy sessions and 6 months of no sports activities before surgery. All underwent Achilles tendoscopy, without tendon excision or transfer with a median follow-up of 87 (27-105) months. We report the preoperative symptoms duration, treatment before surgery, complications and satisfaction after surgery, return to previous sport level, and postoperative VISA-A score.
Mean preoperative symptoms duration was 1 year, having all performed at least 20 physical therapy sessions. No postoperative complications were reported, achieving a complete satisfaction in 10 of 11 patients. All patients returned to their preoperative sports level with a median postoperative VISA-A functional score of 100 (30-100) points.
The mid-term results of Achilles tendoscopy in patients with chronic painful non-insertional Achilles tendinopathy are satisfactory with a rapid rehabilitation. This procedure is safe and has a low complication rate.
IV. Retrospective case series.
跟腱非止点腱病通常采用保守治疗。如果对康复方案无反应，可考虑手术治疗。本研究旨在报告内镜辅助手术治疗顽固性疼痛性非止点跟腱腱病患者的中期临床结果。
连续纳入 11 例（6 男 5 女）慢性复发性疼痛性非止点跟腱腱病患者，中位年龄 54 岁（范围 40-67 岁）。所有患者均在手术前完成至少 20 次物理治疗和 6 个月的无运动活动。所有患者均接受跟腱镜检查，无肌腱切除或转移，中位随访 87（27-105）个月。我们报告术前症状持续时间、手术前治疗、并发症和术后满意度、恢复到以前的运动水平以及术后 VISA-A 评分。
平均术前症状持续时间为 1 年，所有患者均至少完成 20 次物理治疗。无术后并发症，11 例患者中有 10 例完全满意。所有患者均恢复到术前运动水平，术后 VISA-A 功能评分中位数为 100（30-100）分。
对于慢性疼痛性非止点跟腱腱病患者，跟腱镜检查的中期结果令人满意，康复迅速。该手术安全，并发症发生率低。
IV. 回顾性病例系列。
Zotero 插件