How we manage post-rupture Achilles tendinopathy - a retrospective study
ESSKA Academy. PREJBEANU R. Nov 8, 2019; 284454; epESMA-57
Prof. Dr. Radu PREJBEANU
Prof. Dr. Radu PREJBEANU
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How we manage post-rupture Achilles tendinopathy - a retrospective study

ePoster - epESMA-57

Topic: Prevention in Sports

Mioc M.-L.1, Vermesan D.2, Deleanu B.2, Haragus H.2, Prejbeanu R.2
1Timisoara Clinical Emergency County Hospital, Timisoara, Romania, 2Victor Babes University of Medicine and Pharmacy, Timisoara, Romania

Introduction: Achilles tendon tears (ATT) are a common injury amongst athletes and young active patients. Any dysfunctional healing process may lead to tendinopathy. Achilles tendinopathy (AT) is a pathology that impairs active patients to re-enter their normal, sport-based lifestyle. Different treatment options such as conservative treatment, injections, physical therapy or surgery are currently being discussed. There is no current gold standard that leads to good results in most patients due to this therapeutic diversity.
Objectives: We tried to associate post-tears tendinopathy incidence with rupture location (insertional, mid-substance), type of surgical technique (augmented, head-to-head) and rehab protocol. We then tried to assess the rate of success of our different treatment options.
Aims: Our aim was to determine factors that may lead to “post-tears tendinopathy” and evaluate different treatment options.
Methods: We retrospectively analyzed a lot of 52 patients that presented with ATT and were operated upon in our clinic, by the same surgical team in a 5-year interval. We gathered the baseline characteristics of our lot (sex, age, level of sport, type of surgical technique, rupture location, rehab protocol). We performed MRIs before the surgery and 6 months after the surgery as standard. Ultrasonographies were performed at the 3, 6 and 12 months follow-ups. Postoperative pathological occurrences were noted and observed during the treatment.
Results: We diagnosed 8 (15.35%) patients with post-tear Achilles tendinopathy. 7 of them were diagnosed clinically and with the ultrasonography, 12 months after the surgery. One patient showed signs (clinical and imagistic) of tendinopathy at the 6-months follow-up. Males were predominant 7:1 (p< 0.005), and we observed a higher incidence of occurrence with increased age. Insertional tears lead to a significant increase in tendinopathy incidence (p< 0.005). We found no statistical significance relating surgical technique (head-to-head, plantaris longus augmentation) to further tendinopathy. 5 patients improved during the rehabilitation protocol and 3 required re-operation due to traumatic re-rupture.
Conclusions: The incidence of ATT raises due to an active lifestyle of an aging population. This aging population is prone to a bad healing response that should be treated primarily with new rehabilitation methods rather than re-operation.
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