Achilles Tendon Contracture
Conditions
Interventions
Experimental group:Two-Incision, Wire-Assisted Achilles Tendon Z-Lengthening
Control group:Z-plasty Achilles Tendon Lengthening
Sponsors
Shanghai Sixth People's Hospital
Eligibility
Sex/Gender
All
Age
14 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1.Medical history:Achilles tendon contracture caused by systemic or peripheral lesions, affecting daily life such as heel lifting and walking; 2.Clinical symtoms:affective foot heel landing when walking,middle and front dorsal extension limited,difficult to climb stairs,severe walking lameness; 3.Physical examination:limited ankle joint active and passive dorsiflexion, increased Achilles tendon tension during dorsiflexion, with or without mild foot internus and valgus deformity; 4.6 weeks of functional exercise or other conservative treatment failed; 5.Willing to undergo surgery; 6.Willing to cooperate with the investigation and follow-up and sign the informed consent
Exclusion criteria
Exclusion criteria: 1.Atrophy of Achilles tendon, gastrocnemius muscle and soleus muscle due to central lesion or peripheral neuropathy; 2.Infection in Achilles tendon lengthening area; 3.Patients with other systemic diseases that cannot tolerate surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 12 months and 24 months validity; | — |
Secondary
| Measure | Time frame |
|---|---|
| AOFAS score;Kofoed;EQ-5D-3L;MRI;VAS; | — |
Countries
China
Contacts
Public ContactDajiang Du
Shanghai Sixth People's Hospital
Outcome results
None listed