Minimally invasive surgeries for insertional Achilles tendinopathy:A commentary review  

作　　者：Kenichiro Nakajima 

机构地区：[1]Center for Foot and Ankle Surgery,Department of Orthopedic Surgery,YashioCentral General Hospital,Yashio-shi 340-0814,Saitama,Japan

出　　处：《World Journal of Orthopedics》2023年第6期369-378,共10页世界骨科杂志（英文版）

摘　　要：Studies of minimally invasive surgery for insertional Achilles tendinopathy are limited.To establish this surgery,the following techniques must be minimally invasive:Exostosis resection at the Achilles tendon insertion,debridement of degenerated Achilles tendon,reattachment using anchors or augmentation using flexor hallucis longus(FHL)tendon transfer,and excision of the posterosuperior calcaneal prominence.Studies on these four perspectives were reviewed to establish minimally invasive surgery for insertional Achilles tendinopathy.Techniques for exostosis resection were demonstrated in one case study,where blunt dissection around the exostosis was performed,and the exostosis was resected using an abrasion burr under fluoroscopic guidance.Techniques for debridement of degenerated Achilles tendon were demonstrated in the same case study,where the space left after resection of the exostosis was used as an endoscopic working space,and the degenerated Achilles tendon and intra-tendinous calcification were debrided endoscopically.Achilles tendon reattachment techniques using suture anchors have been demonstrated in several studies.However,there are no studies on FHL tendon transfer techniques for Achilles tendon reattachment.In contrast,endoscopic posterosuperior calcaneal prominence resection is already established.Additionally,studies on ultrasound-guided surgeries and percutaneous dorsal wedge calcaneal osteotomy as minimally invasive surgery were reviewed.

关 键 词：Achilles tendon ENDOSCOPY FLUOROSCOPY OSTEOTOMY ULTRASONOGRAPHY TENDINOPATHY Surgery 

分 类 号：R687.2[医药卫生—骨科学]