Rafael Arriaza1,2,3, Álvaro Arriaza4, Emilio López-Vidriero5, Raquel Gayoso1, Carlos Agrasar2,3, Miguel Angel Saavedra-Garcia3. 1. Instituto Médico Arriaza y Asociados, La Coruña, Spain. 2. Cátedra HM de Traumatología del Deporte, Universidade da Coruña, Spain. 3. Departamento de Educación Física y Deportiva, Grupo INCIDE, Universidade da Coruña, da Coruña. 4. Hospital Universitario Clínico de San Carlos, Madrid, Spain. 5. International Sports Medicine Clinic, Sevilla, Spain.
Abstract
BACKGROUND: The possibility of using a bone-tendon quadriceps tendon graft and platelet rich plasma (PRP) injection to enhance healing capability, to solve the defect created by stump retraction in chronic Achilles tendon ruptures was studied in a series of 8 patients. METHODS: A series of 8 patients studied prospectively and followed for more than 24 months is presented. Results were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) score, and evaluating pain, level of activity, footwear restrictions, and satisfaction. Statistical analysis was done by the sign test for matched pairs and Wilcoxon signed-rank test. Alpha error was set at 0.05. RESULTS: Preoperatively, patients showed an average AOFAS score of 77.25 (range, 67-88). After surgery, AOFAS score showed a marked improvement in all the cases, with an average of 95.6 (range, 87-100). Improvement in AOFAS score results was statistically significant, both for sign test for matched pairs (P=0.008) and for Wilcoxon signed-rank test (P=0.012). All of the patients were satisfied with the results of the procedure, and would undergo it again. CONCLUSIONS: Autologous quadriceps tendon graft (in bone-tendon configuration) has proved as a simple technique that offers good results to patients with tissue defects in the Achilles tendon. 2019 Annals of Translational Medicine. All rights reserved.
BACKGROUND: The possibility of using a bone-tendon quadriceps tendon graft and platelet rich plasma (PRP) injection to enhance healing capability, to solve the defect created by stump retraction in chronic Achilles tendon ruptures was studied in a series of 8 patients. METHODS: A series of 8 patients studied prospectively and followed for more than 24 months is presented. Results were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) score, and evaluating pain, level of activity, footwear restrictions, and satisfaction. Statistical analysis was done by the sign test for matched pairs and Wilcoxon signed-rank test. Alpha error was set at 0.05. RESULTS: Preoperatively, patients showed an average AOFAS score of 77.25 (range, 67-88). After surgery, AOFAS score showed a marked improvement in all the cases, with an average of 95.6 (range, 87-100). Improvement in AOFAS score results was statistically significant, both for sign test for matched pairs (P=0.008) and for Wilcoxon signed-rank test (P=0.012). All of the patients were satisfied with the results of the procedure, and would undergo it again. CONCLUSIONS: Autologous quadriceps tendon graft (in bone-tendon configuration) has proved as a simple technique that offers good results to patients with tissue defects in the Achilles tendon. 2019 Annals of Translational Medicine. All rights reserved.
Authors: David R Richardson; Jeffrey Willers; Bruce E Cohen; W Hodges Davis; Carroll P Jones; Robert B Anderson Journal: Foot Ankle Int Date: 2009-07 Impact factor: 2.827
Authors: Sabino Padilla; Mikel Sánchez; Victor Vaquerizo; Gerard A Malanga; Nicolás Fiz; Juan Azofra; Christopher J Rogers; Gonzalo Samitier; Steven Sampson; Roberto Seijas; Ricardo Elorriaga; Jack Taunton; Frank Boehm; Roberto Prado; Ramón Cugat; Eduardo Anitua Journal: Int J Mol Sci Date: 2021-01-15 Impact factor: 5.923