Journal article
Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement
International orthopaedics, Vol.42(4), pp.829-834
04/2018
DOI: 10.1007/s00264-018-3834-x
PMID: 29453583
Abstract
Several operative techniques exist for Achilles tendinopathy. The purpose of our study was to compare the clinical and functional outcomes of flexor hallucis longus (FHL) transfer and V-Y advancement for the treatment of chronic insertional Achilles tendinopathy.
Retrospective chart review from 2010 to 2016 of patients that underwent FHL transfer or V-Y advancement for chronic insertional Achilles tendinopathy. Outcome measures were compared for these two procedures.
In total, 46 patients (49 ankles) with a mean age of 55.0 (range 33-73) years. Mean follow-up time 44.7 +/- 25.5 months. FHL group had 21 patients (21 ankles) with 89% satisfaction, 14% complication rate, final VAS of 0.4, final VISA-A of 89.1, subjective strength improvement following surgery of 78%, and 94% would recommend the procedure. V-Y group had 25 patients (28 ankles) with 74% subjective satisfaction, 21% complication rate, final VAS of 1.4, final VISA-A of 78.4, subjective strength improvement following surgery of 67%, and 84% would recommend the procedure. There was no significant difference in any of the results rates between the two groups (p > .05).
V-Y advancement is comparable to FHL transfer for the operative management of insertional Achilles tendinopathy. Though our results trend towards less satisfactory results following V-Y advancement, we found high satisfaction rates with similar functional outcomes and complication rates in both operative groups. We suggest considering V-Y advancement as a viable option for the primary treatment of chronic insertional Achilles tendinopathy in patients who may not be an ideal candidate for FHL transfer.
Details
- Title: Subtitle
- Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement
- Creators
- Jackson R Staggers - University of Alabama at Birmingham, 1313 13th Avenue South, Suite 207, Birmingham, AL, 35205, USAKenneth Smith - University of Alabama at Birmingham, 1313 13th Avenue South, Suite 207, Birmingham, AL, 35205, USACesar de C Netto - University of Alabama at Birmingham, 1313 13th Avenue South, Suite 207, Birmingham, AL, 35205, USASameer Naranje - University of Alabama at Birmingham, 1313 13th Avenue South, Suite 207, Birmingham, AL, 35205, USAKrishna Prasad - University of Alabama at Birmingham, 1313 13th Avenue South, Suite 207, Birmingham, AL, 35205, USAAshish Shah - University of Alabama at Birmingham, 1313 13th Avenue South, Suite 207, Birmingham, AL, 35205, USA. ashishshah@uabmc.edu
- Resource Type
- Journal article
- Publication Details
- International orthopaedics, Vol.42(4), pp.829-834
- Publisher
- Germany
- DOI
- 10.1007/s00264-018-3834-x
- PMID
- 29453583
- ISSN
- 0341-2695
- eISSN
- 1432-5195
- Language
- English
- Date published
- 04/2018
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040461802771
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