Insertional versus non-insertional tendoachilles tears: a comparative analysis of various predisposing factors and outcome following a repair
Background Association of tendon degeneration, pre-existing posterior heel pain, Haglund’s bump, retrocalcaneal spur, and mode of injury varies for the insertional and non-insertional type of tendoachilles tears (TA). Purpose The study compares the various predisposing factors that determine the dis...
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Veröffentlicht in: | International orthopaedics 2022-05, Vol.46 (5), p.1009-1017 |
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Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Background
Association of tendon degeneration, pre-existing posterior heel pain, Haglund’s bump, retrocalcaneal spur, and mode of injury varies for the insertional and non-insertional type of tendoachilles tears (TA).
Purpose
The study compares the various predisposing factors that determine the distinct type of TA tear and the outcome following a repair.
Methods
This is a retrospective study of the patients who underwent tendoachilles repair during January 2012–June 2018. Patients above 18 years with a minimum follow-up of two years were included. Patients with calcaneal tuberosity avulsions, prior surgeries, and open injuries were excluded. Patients were divided into groups 1 (insertional tears (IT)) and 2 (non-insertional tears (NIT)), and further subdivided based on the tendon degeneration (as D-degenerative and N-normal sub types) from ultrasound findings. AOFAS score and predisposing factors like degeneration, posterior heel pain, Haglund’s bump, spur, and mechanism of injury were compared between the groups.
Results
The study included
N
= 146 with a mean age of 51.6 years and mean follow-up of 38.6 (range 24 to 96) months. IT associated with degeneration (IT-D) had a trivial fall as the predominant mechanism (
P
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ISSN: | 0341-2695 1432-5195 |
DOI: | 10.1007/s00264-022-05337-w |