Achilles Tendon Injury, Achilles Tendon Rupture, Achilles Tendon Surgery, Flexor Hallucis Longus
Conditions
Keywords
Achilles tendon, rupture, endoscopic, flexor hallucis longus transfer
Brief summary
This observational study aims to evaluate the outcome of endoscopic flexor hallucis longus transfer (FHLt) in patients with acute Achilles tendon rupture (AATR).
Detailed description
This evaluation will be performed by examining the following parameters: 1. Patient satisfaction quantified with the Achilles tendon Total Rupture Score (ATRS). This is the primary outcome. 2. Complication rate 3. Ankle and Calf circumference compared to the contralateral healthy limb. 4. Passive and Active range of ankle motion compared to the contralateral healthy limb. 5. Hallux flexion force compared to the contralateral healthy limb.
Interventions
PROCEDUREEndoscopic Flexor Hallucis Longus transfer for Acute Achilles tendon rupture
All patients have already undergone the same operation for the same disease. All data are to be collected retrospectively
Sponsors
General Hospital of Naoussa
Aristotle University Of Thessaloniki
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Signed Consent Form * Acute Achilles Tendon Rupture (\<4 weeks) * Underwent operative treatment with Endoscopic Flexor Hallucis Longus transfer * More than 24 months postoperative follow-up * Patients operated after 2015
Exclusion criteria
* Inability or Unwillingness to cooperate * Medically unfit for examination * Age less than 18 or more than 75 years * Non-operative Management or any other Surgical Management * Neglected Achilles Tendon Rupture (\>4 weeks) * Bilateral Achilles Tendon Rupture * Patients operated before 1.1.2015 or after 1.1.2023 * Comorbidities interfering with the secondary outcomes (e.g. Venous insufficiency resulting in lower limb excessive edema interferes with ankle and calf circumference, rheumatoid arthritis and/or previous foot and ankle surgery interferes with active and passive range of motion of the ankle, etc)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction | At least 24 months postoperatively | Evaluated and quantified with the Achilles Tendon Total Rupture Score (min = 0 - worst outcome, max = 100 - best outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complication rate | At least 24 months postoperatively | Complications will be recorded and categorized: Rerupture, Infection, Nerve injury, Miscellaneous |
| Calf Circumference | At least 24 months postoperatively | Calf circumference measured 15 cm distally to the inferior pole of the patella. Contralateral limb calf circumference will also be measured. The Calf Circumference Difference will be calculated and compared between the two groups. |
| Ankle Circumference | At least 24 months postoperatively | Ankle circumference measured 8 cm proximally to the lateral malleolus. Contralateral limb ankle circumference will also be measured. The Ankle Circumference Difference will be calculated and compared between the two groups. |
| Ankle Range of Motion | At least 24 months postoperatively | Active and Passive Ankle joint Range of Motion will be calculated with an electronic goniometer. Contralateral limb Range of Ankle joint Motion will also be measured. The Range of Motion Difference will be calculated and compared between the two groups. |
Countries
Greece
Outcome results
None listed