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The Achilles Tendon: Pathology, Treatment and Rehabilitation

Open debridement of noninsertional achilles tendinopathy

Publication ,  Chapter
Easley, ME; Le, ILD
February 23, 2024

Although symptomatic Achilles tendinopathy can be managed nonoperatively (Ohberg and Alfredson, Knee Surg Sports Traumatol Arthrosc 12:(5)465-70, 2004, Ohberg et al., Br J Sports Med 38(1):8-11, 2004), histologic analysis of tissue obtained at the time of surgery demonstrates degenerative fibrous tissue, no inflammatory cells, and no healing response (Astrom and Rausing, Clin Orthop Rel Res 316:151-64,1995, Maffulli and Kader J Bone Joint Surg (Br) 84(1):1-8). Surgical management of noninsertional Achilles tendinopathy is indicated when nonoperative management fails. Surgical options for noninsertional Achilles tendinopathy include the following: Percutaneous tenotomy; Tenosynovectomy. Open Achilles debridement with repair of the residual Achilles tendon. Open Achilles debridement with reconstruction of the residual Achilles tendon.

Duke Scholars

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Publication Date

February 23, 2024

Start / End Page

141 / 153
 

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Easley, M. E., & Le, I. L. D. (2024). Open debridement of noninsertional achilles tendinopathy. In The Achilles Tendon: Pathology, Treatment and Rehabilitation (pp. 141–153). https://doi.org/10.1007/978-3-031-45594-0_15
Easley, M. E., and I. L. D. Le. “Open debridement of noninsertional achilles tendinopathy.” In The Achilles Tendon: Pathology, Treatment and Rehabilitation, 141–53, 2024. https://doi.org/10.1007/978-3-031-45594-0_15.
Easley ME, Le ILD. Open debridement of noninsertional achilles tendinopathy. In: The Achilles Tendon: Pathology, Treatment and Rehabilitation. 2024. p. 141–53.
Easley, M. E., and I. L. D. Le. “Open debridement of noninsertional achilles tendinopathy.” The Achilles Tendon: Pathology, Treatment and Rehabilitation, 2024, pp. 141–53. Scopus, doi:10.1007/978-3-031-45594-0_15.
Easley ME, Le ILD. Open debridement of noninsertional achilles tendinopathy. The Achilles Tendon: Pathology, Treatment and Rehabilitation. 2024. p. 141–153.

DOI

Publication Date

February 23, 2024

Start / End Page

141 / 153