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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Return to Play After Open Calcaneoplasty for Insertional Achilles Tendinopathy With Haglund Deformity in Competitive Professional Athletes
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Return to Play After Open Calcaneoplasty for Insertional Achilles Tendinopathy With Haglund Deformity in Competitive Professional Athletes

机译：在竞争性专业运动员中，在开放式锥形成形术后返回播放术患者，竞争专业运动员

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Background: Surgical treatment of insertional Achilles tendinopathy with Haglund deformity in highly competitive professional athletes has not been previously investigated. Purpose: To assess clinical outcomes, including return to play (RTP), after surgical treatment of insertional Achilles tendinopathy in professional athletes. Study Design: Case-control study; Level of evidence, 3. Methods: This retrospective study included 20 professional athletes who were surgically treated for insertional Achilles tendinopathy and had at least 2 years of follow-up. An open longitudinal lateral approach was used for the operation, without violation of the Achilles tendon. Outcome evaluation included American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, subjective patient satisfaction, mean time of return to competition (RTC), and rate of RTP. We defined RTC as return to an official match for at least 1 minute and RTP rate as the percentage of patients who were able to participate in at least 2 full seasons. A subgroup analysis was performed to compare the RTP and no-RTP groups. Results: The AOFAS score improved significantly from preoperatively to the final follow-up (from 65.1 to 88.4; P & .001), and 75% of the patients reported good to excellent satisfaction. The mean time of RTC was 7.45 months (range, 4-18 months), and the rate of RTP was 60%. The RTP group had a significantly lower mean body mass index than did the no-RTP group (22.03 vs 23.86, respectively; P = .005) and faster mean RTC (5.0 vs 11.1 months, respectively; P & .001). Conclusion: Open calcaneoplasty for surgical treatment of insertional Achilles tendinopathy with Haglund deformity in highly competitive professional athletes should be approached cautiously. Our patients had a 7.5-month recovery period before return to their first official match, and only 60% of the patients returned to their sports activity and participated in at least 2 full seasons. Lower body mass index and a faster RTC after surgery were related to longer functional maintenance.
机译：背景：以前尚未调查在高竞争力的专业运动员中与Haglund Deformity的插入achilles肌腱病患者的手术治疗尚未得到调查。目的：评估临床结果，包括返回持有（RTP），在专业运动员中的插入achilles肌腱病患者外科治疗后。研究设计：案例控制研究;证据级别，3.方法：这项回顾性研究包括20名专业运动员，用于手术治疗插入性脑梗塞，至少有2年的随访。敞开的纵向横向方法用于操作，而不会违反Achilles肌腱。结果评估包括美国矫形脚和脚踝社会（AOFAS）Hindfoot得分，主观患者满意度，平均返回竞争时间（RTC）和RTP率。我们将RTC定义为返回官方匹配至少1分钟，RTP率作为能够参加至少2个全季节的患者的百分比。进行亚组分析以比较RTP和No-RTP组。结果：AoFAS评分从术前从术前提高到最终随访（从65.1到88.4; P＆amp; .001），75％的患者报告了良好的满意度。 RTC的平均时间为7.45个月（范围，4-18个月），RTP的速率为60％。 RTP组的平均体重指数明显低于No-RTP组（分别为22.03 vs 23.86; p = .005）和更快的意味着rtc（分别为5.0 vs 11.1个月; p＆amp; .001） 。结论：对于在高竞争力的专业运动员中，患有Haglund Deformity的插入achilles肌腱病的外科治疗的开放性钙膨胀术应小心翼翼地接近。我们的患者返回第一个官方比赛前有7.5个月的恢复期，只有60％的患者返回其体育活动，并参加了至少2个全季节。手术后较低的身体质量指数和更快的RTC与较长的功能性维护有关。

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