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chronic tendinopathy Achilles tendon surgical combing testimony

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Clinical case

Patient, 58, sporting good level with chronic tendinitis of the Achilles tendon of the left.

Chronic Pain   the Achilles tendon   evolving for more than a year after a triathlon.

The patient has received medical treatment   (necessary before any surgical decision): rehabilitation, Stanish stretching,   shock wave, orthopedic soles.

Given the persistence of pain and failure of medical treatment the patient has an MRI which showed a corporeal tendinopathy extended with even cracking a central area of the tendon well explaining the painful symptoms.

Clinical examination   shows a thickened tendon to 5 cm from the calcaneal insertion with painful swelling zone: chronic tendinopathy area corporeal.

The indication for surgical treatment   therefore proposed with surgical combing of the tendon.

The postoperative need   12 hours hospitalization   (outpatient) and immobilisation in a boot for a month resin with partial support.

A work stoppage was needed between 1 and 2 months depending on the profession.

In the postoperative there must be at   least 4 to 6 months of therapy.

A replay of the race is possible after 6th   months (average 8 months)


The 6th   months postoperatively the patient had no sequel, no pain, and he had already resumed his regular sports activities   Jogging 1:15   2 to 3 times per week without difficulty,he had scheduled a resumption of competition 12 months.

Patient Message   after his first competition.  


One year after the removal of my cast after your intervention to combing my Achilles tendon ...

I just participated in the triathlon of Aix-les-Bains with happiness and pain !!

I wanted to thank you again ...

Doctor Nicolas LEFEVRE, Doctor Yoann BOHU, Doctor Antoine GEROMETTA, Doctor Serge HERMAN. - 27 septembre 2015.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.


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