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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 20, Issue 9, pp 1863–1867 | Cite as

Reconstructive surgery using autologous bone–patellar tendon graft for insertional Achilles tendinopathy

  • Wataru MiyamotoEmail author
  • Masato Takao
  • Takashi Matsushita
Ankle

Abstract

Purpose

The purpose of this study was to investigate the clinical results of reconstructive surgery using a bone–patellar tendon (BPT) autograft for athletes with intractable insertional Achilles tendinopathy.

Methods

Ten athletes who underwent reconstructive surgery using a BPT autograft were included in this study. Indications were (1) persistent symptoms in spite of conservative therapy for 6 months, and (2) diffuse high intensity changes of an entire cross-section of the tendon at its insertion point on T2-weighted magnetic resonance imaging (MRI), with clinical follow-up of more than 24 months after surgery. Clinical evaluation was performed before surgery and at the most recent follow-up [median: 32 (25–48) months], and radiological assessment at 1 year after surgery.

Results

The median Achilles tendon rupture score at the most recent follow-up was 92.5 (85–100) points. The median visual analogue scale score improved significantly from 90 (85–100) points preoperatively to 5 (0–10) points at the most recent follow-up (P < 0.01). Based on T2-weighted MRI, the anterior-posterior width of the grafted BPT was approximately twice that of the intact nonsurgical contralateral tendon insertion in all patients at 1 year after surgery. The median time from surgery to ability to return to full sports activity was 13.5 months.

Conclusions

The reconstructive surgery presented in this study can be useful for athletes who suffer from insertional Achilles tendinopathy with a wide area of diseased tendon at the insertion point.

Level of evidence

IV.

Keywords

Reconstruction Autologous tendon graft Bone–patellar tendon Tendinopathy Insertional Achilles tendinopathy 

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Wataru Miyamoto
    • 1
    Email author
  • Masato Takao
    • 1
  • Takashi Matsushita
    • 1
  1. 1.Department of Orthopaedic SurgeryTeikyo University School of MedicineItabashiJapan

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