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Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement.

Publication ,  Journal Article
Staggers, JR; Smith, K; de C Netto, C; Naranje, S; Prasad, K; Shah, A
Published in: Int Orthop
April 2018

BACKGROUND: Several operative techniques exist for Achilles tendinopathy. The purpose of our study was to compare the clinical and functional outcomes of flexor hallucis longus (FHL) transfer and V-Y advancement for the treatment of chronic insertional Achilles tendinopathy. METHODS: Retrospective chart review from 2010 to 2016 of patients that underwent FHL transfer or V-Y advancement for chronic insertional Achilles tendinopathy. Outcome measures were compared for these two procedures. RESULTS: In total, 46 patients (49 ankles) with a mean age of 55.0 (range 33-73) years. Mean follow-up time 44.7 +/- 25.5 months. FHL group had 21 patients (21 ankles) with 89% satisfaction, 14% complication rate, final VAS of 0.4, final VISA-A of 89.1, subjective strength improvement following surgery of 78%, and 94% would recommend the procedure. V-Y group had 25 patients (28 ankles) with 74% subjective satisfaction, 21% complication rate, final VAS of 1.4, final VISA-A of 78.4, subjective strength improvement following surgery of 67%, and 84% would recommend the procedure. There was no significant difference in any of the results rates between the two groups (p > .05). CONCLUSION: V-Y advancement is comparable to FHL transfer for the operative management of insertional Achilles tendinopathy. Though our results trend towards less satisfactory results following V-Y advancement, we found high satisfaction rates with similar functional outcomes and complication rates in both operative groups. We suggest considering V-Y advancement as a viable option for the primary treatment of chronic insertional Achilles tendinopathy in patients who may not be an ideal candidate for FHL transfer.

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Published In

Int Orthop

DOI

EISSN

1432-5195

Publication Date

April 2018

Volume

42

Issue

4

Start / End Page

829 / 834

Location

Germany

Related Subject Headings

  • Treatment Outcome
  • Tenotomy
  • Tendon Transfer
  • Tendinopathy
  • Retrospective Studies
  • Postoperative Complications
  • Plastic Surgery Procedures
  • Patient Satisfaction
  • Pain Measurement
  • Orthopedics
 

Citation

APA
Chicago
ICMJE
MLA
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Staggers, J. R., Smith, K., de C Netto, C., Naranje, S., Prasad, K., & Shah, A. (2018). Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement. Int Orthop, 42(4), 829–834. https://doi.org/10.1007/s00264-018-3834-x
Staggers, Jackson R., Kenneth Smith, Cesar de C Netto, Sameer Naranje, Krishna Prasad, and Ashish Shah. “Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement.Int Orthop 42, no. 4 (April 2018): 829–34. https://doi.org/10.1007/s00264-018-3834-x.
Staggers JR, Smith K, de C Netto C, Naranje S, Prasad K, Shah A. Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement. Int Orthop. 2018 Apr;42(4):829–34.
Staggers, Jackson R., et al. “Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement.Int Orthop, vol. 42, no. 4, Apr. 2018, pp. 829–34. Pubmed, doi:10.1007/s00264-018-3834-x.
Staggers JR, Smith K, de C Netto C, Naranje S, Prasad K, Shah A. Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement. Int Orthop. 2018 Apr;42(4):829–834.
Journal cover image

Published In

Int Orthop

DOI

EISSN

1432-5195

Publication Date

April 2018

Volume

42

Issue

4

Start / End Page

829 / 834

Location

Germany

Related Subject Headings

  • Treatment Outcome
  • Tenotomy
  • Tendon Transfer
  • Tendinopathy
  • Retrospective Studies
  • Postoperative Complications
  • Plastic Surgery Procedures
  • Patient Satisfaction
  • Pain Measurement
  • Orthopedics