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Endoscopic flexor hallucis longus transfer for the management of Acute Achilles tendon ruptures in active professional Soccer players. A Prospective Case Series Report With A Minimum Of 2 Years Follow Up.

Nasef Mohamed N. Abdellatif, MD, PhD.
EGYPT

Endoscopic flexor hallucis longus transfer for the management of Acute Achilles tendon ruptures in active professional Soccer players. A Prospective Case Series Report With A Minimum Of 2 Years Follow Up.

Nasef Mohamed N. Abdellatif, MD, PhD., EGYPT Jorge Pablo Batista, MD, ARGENTINA

DrNasef OrthoClinic Centro Arthroscopia Jorge Batista FIFA Center Excellence, Cairo Buenos Aries Madrid, EGYPT

2021 Congress ePoster Presentation rating (1)

Anatomic Location

Ankle / Foot / Calf

Anatomic Structure

Tendon

Diagnosis / Condition

Tears Trauma

Treatment / Technique

Endoscopy Repair / Reconstruction Sutures / Knots / Anchors

Patient Populations

Professional Athletes / Olympians Sport Specific Population

Diagnosis Method

Physical Examination X-ray MRI Ultrasound

Sports Medicine

Rehabilition / Physical Therapy Sport Specific Injuries Outcome Studies

Tendon

Rupture Tendon Achilles Tendon

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Summary: Acute Achilles tendon rupture (AATR) can be treated with either surgical or nonsurgical options. MR images were obtained preoperatively, at one week, and two years postoperatively. Also, Hallux dynamometry, Ankle plantar flexion strength, Achilles tendon length in addition to Achilles tendon rupture scores (ATRS), Tegner, and AOFAS scores were documented for all patients also at two years postop.

Background

Acute Achilles tendon ruptures (AATR) that occur in athletes can be a career-ending injury. The aim of this study was to describe return to play and clinical outcomes of isolated endoscopic FHL transfer in active soccer players with AATR.

Methods

Twenty-seven active male soccer players who underwent endoscopically assisted FHL tendon transfer for acute Achilles tendon ruptures were included in this study. Follow up was 46.2(+/-10.9) months after surgery. Return to play criteria and clinical outcome measures were evaluated.

Results

All players returned to playing professional competitive soccer games. Return to active team training was at a mean of 5.8(+/-1.1) months postoperative. While return to active competitive match play occurred at a mean of 8.3(+/-1.4) months. Twenty-two players (82%) were able to return to their pre-injury levels and performances and resumed their professional careers at the same soccer club as their pre-injury state. One player (3.7%) shifted his career to professional indoor soccer. At 26 months postoperatively, the Tegner activity scale was a mean of 9.7 (+/-0.4), the Achilles tendon total rupture score (ATRS) mean was 99(+/-2), while AOFAS score was a mean of 99(+/-3). No patients reported any great toe complaints or symptomatic deficits of flexion strength.

Conclusion

The current study demonstrated satisfactory and comparable return to play criteria and clinical results with minimal complications when utilizing an advanced endoscopically assisted technique involving FHL tendon transfer to treat acute Achilles tendon ruptures in this specific subset of patient cohort.

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Endoscopic flexor hallucis longus transfer for the management of Acute Achilles tendon ruptures in active professional Soccer players. A Prospective Case Series Report With A Minimum Of 2 Years Follow Up.

Endoscopic flexor hallucis longus transfer for the management of Acute Achilles tendon ruptures in active professional Soccer players. A Prospective Case Series Report With A Minimum Of 2 Years Follow Up.

Background

Methods

Results

Conclusion

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Endoscopic flexor hallucis longus transfer for the management of Acute Achilles tendon ruptures in active professional Soccer players. A Prospective Case Series Report With A Minimum Of 2 Years Follow Up.

Endoscopic flexor hallucis longus transfer for the management of Acute Achilles tendon ruptures in active professional Soccer players. A Prospective Case Series Report With A Minimum Of 2 Years Follow Up.

Background

Methods

Results

Conclusion

More ISAKOS 2021: Global Content