Produção Nacional
Revisado por pares
The quality of Achilles tendon repair five to eight years after percutaneous tenotomy in the treatment of clubfoot
2017; British Editorial Society of Bone & Joint Surgery; Volume: 99-B; Issue: 1 Linguagem: Inglês
10.1302/0301-620x.99b1.bjj-2016-0131.r1
ISSN2049-4408
AutoresDaniel A. Maranho, Fábio Henrique Luiz Leonardo, Carlos Fernando Pereira da Silva Herrero, Edgard Eduard Engel, José Batista Volpon, Marcello Henrique Nogueira‐Barbosa,
Tópico(s)Sports injuries and prevention
ResumoAims Our aim was to describe the mid-term appearances of the repair process of the Achilles tendon after tenotomy in children with a clubfoot treated using the Ponseti method. Patients and Methods A total of 15 children (ten boys, five girls) with idiopathic clubfoot were evaluated at a mean of 6.8 years (5.4 to 8.1) after complete percutaneous division of the Achilles tendon. The contour and subjective thickness of the tendon were recorded, and superficial defects and its strength were assessed clinically. The echogenicity, texture, thickness, peritendinous irregularities and potential for deformation of the tendon were evaluated by ultrasonography. Results The appearance of the Achilles tendon was slightly abnormal, with more thickening and less conspicuous contours than a normal tendon. Its strength was grossly normal, with no insufficiency of the triceps surae. Ultrasonographic findings revealed a mild fusiform thickening in 12 children (80%). The tissue at the site of the repair had a slightly hypoechoic, fibrillar quality with hyperechoic striation and the anterior contour was irregular and blurred. There was a focal narrowing within the healing tissue in two children. Conclusion This mid-term evaluation of the ability of the Achilles tendon to repair after division suggests a combination of intrinsic and extrinsic mechanisms. There were minor abnormalities which did not appear to affect function. Cite this article: Bone Joint J 2017;99-B:139–44.
Referência(s)