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Insertional Achilles tendopathy - clinical presentation and primary treatment experience

M. Burnev, D. Raykov, Pr. Penev


Introduction: Insertional Achilles tendinopathy is a clinical and anatomical syndrome that is manifested by swelling, pain, morning stiffness around the heel. Pathoanatomical signs are inflammation, degenerative and histopathological changes in the insertion area of the Achilles tendon. The aim of the study is to present a clinical and anatomical analysis of the disease and to analyze the initial surgical experience.Material and Methods: The study period is October 2012 - March 2015 year. A total of 8 patients were operated in the Department of Orthopedics and Traumatology, Varna university of medicine and Hospital `Evrohospital` Varna with gender distribution 6:2 (m/f) and mean age 37 (±3y.). Follow up was 24 months postoperatively. The patient is in abdominal position without use of pneumatic tourniquet and the operation was done under spinal anesthesia.Results: The results were assessed following AOFAS-scale. We achieved excellent results in 5(60%) patients →80 points, very good in 2 (25%) patients 60-80 p. by AOFAS and a 1 (15%) patient - good and satisfactory <61 p.Conclusion: Despite the small number of patients in our study, the comparative analysis following AOFAS, provides very good and excellent results after the 12th month. Thus the surgical treatment in cases with chronic insertional achilles tendopathy has to be a method of treatment choice.



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About The Authors

M. Burnev

D. Raykov

Pr. Penev

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