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Murine Hind Limb Explant Model for Studying the Mechanobiology of Achilles Tendon Impingement
Published on: December 8, 2023
Insertional Achilles tendinosis: pathogenesis and treatment
1Black Hills Orthopedic and Spine Center, PO Box 6850, Rapid City, SD 57709-6850, USA. bryandenhartog@bhosc.com
Foot and Ankle Clinics
|October 28, 2009
Summary
Insertional Achilles tendinopathy requires non-operative treatment initially. Surgical debridement and flexor hallucis longus transfer offer reliable pain relief for chronic, debilitating cases.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Disorders
Background:
- Insertional Achilles tendinopathy is a painful condition.
- Non-operative treatment is the initial approach.
- Chronic pain may necessitate surgical intervention.
Purpose of the Study:
- To evaluate the efficacy of surgical intervention for chronic insertional Achilles tendinopathy.
- To assess pain relief and patient satisfaction following the procedure.
Main Methods:
- Surgical debridement of the diseased Achilles tendon.
- Removal of the impinging calcaneal prominence.
- Transfer of the flexor hallucis longus tendon through a single incision.
Main Results:
- The procedure provides reliable pain relief.
- Patient satisfaction rates are relatively high following surgical treatment.
Conclusions:
- Surgical management, including debridement and FHL transfer, is effective for recalcitrant insertional Achilles tendinopathy.
- This single-incision approach offers a reliable solution for debilitating pain and high patient satisfaction.
