Page 23 - 2020 ISAKOS Newsletter Volume I

CURRENT CONCEPTS
Dear ISAKOS Members,
ISAKOS Annual Membership fees were due December 31, 2019
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at isakos.com/myISAKOS/ myMembership. You may also contact the ISAKOS Of ce for assistance with your renewal.
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03 Intraoperative photograph made during mini-invasive calcaneoplasty for the treatment of Haglund deformity.
The postoperative protocol may depend on the physician’s confidence in the tendon reattachment as well as on the portion of the tendon removed: if <50% has been excided, early weight-bearing may be allowed. Physical therapy should be focused on gait training, gradual recovery of ankle range of motion, and a progressive gastrocnemius-soleus strengthening program.
A full recovery of the range of motion and muscle strength is usually reached after 6 weeks to 1 year.
Conclusions
Insertional Achilles tendinopathy is a painful and debilitating condition. When necessary, surgical treatment should be carefully planned in order to restore function properly.
Rehabilitation depends on the specific surgical technique performed and on the individual healing time. Less-invasive surgery may allow for an earlier return to desired daily activities and sports.
References
1. van Dijk CN, van Sterkenburg MN, Wiegerink JL, et al (2011) Terminology for Achilles tendon related disorders. Knee Surg Sports Traumatol Arthrosc. 19(5):835-841. 2. Calder J, Karlsson J, Maffulli N et al (eds) (2012) Disorders of the Achilles tendon insertions – Current concepts in orthopaedics. DJO Publications, Guildford, UK. 3. Li HY, Hua YH (2016) Achilles tendinopathy: current concepts about the basic science and clinical treatments. Biomed Res Int. 2016:6492597. 4. Maganaris CN, Narici MV, Maffulli N (2008) Biomechanics of the Achilles tendon. Disab Rehab. 30(20-22):1542-1547. 5. Canata GL, Casale V. (2019) Insertional Achilles tendinopathy. In: Sports injuries of the foot and the ankle. Canata GL, d’Hooge P, Hunt KJ, et al. (eds.). Springer Ed. 1st ed. pp 349-358.
ISAKOS NEWSLETTER 2020: VOLUME I 21