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The Achilles Tendon: Treatment and Rehabilitation / Edition 1

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Overview

This techniques-oriented text is a comprehensive guide to managing Achilles tendon problems. Readers learn the latest less invasive and nonoperative treatment approaches, in addition to traditional treatments, from internationally renowned contributors. Introductory chapters provide essential background on basic anatomy, physiology, and pathomechanics. Subsequent sections cover the spectrum of Achilles tendon injuries. Acute and chronic conditions are addressed, as well as problems specific to both adolescents and adults. The book also takes a practical approach to sports training in relation to the role of the Achilles. Rehabilitation is highlighted with an emphasis on quicker return to play. Case studies tie the book together and aid with the ready application of concepts to daily practice.

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Editorial Reviews

Doody's Review Service
Reviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This book covers the treatment and rehabilitation of Achilles tendon injuries.
Purpose: It is intended as a comprehensive guide to managing adult patients with Achilles tendon problems.
Audience: All medical professionals caring for adults with foot and ankle problems are the intended audience. Additionally, orthopedic residents and fellows, as well as podiatry trainees, can learn how to correctly care for the Achilles tendon.
Features: The work is divided into acute and chronic injuries and tendonopathies. A useful introductory section covers anatomy, ultrasound, and MRI of the tendon. The spectrum of acute tendon rupture treatments is covered in chapters on nonoperative management, percutaneous techniques, mini-open repair, and the classical open repair. The pros and cons of each method are fully explored and a detailed and proactive protocol to rehabilitate the treated tendon is presented. Experienced authors fully cover options to treat chronic injuries. The vexing problems of Achilles tendonopathies are an important part of this book. The authors differentiate between tendonopathies of young athletes and those of older sedentary individuals who are likely to have comorbidities. There are many intraoperative, two-tone photographs which, unfortunately, are not always easy to decipher. Replacing these with better, perhaps more expensive, medical illustrations gets my vote.
Assessment: Writing a book about the Achilles tendon is a daunting undertaking. Granted, "it is the largest and strongest tendon in the human body and subjected to tensile forces of up 12.5 times body weight ton during sprinting," as it states in the first chapter, but does this mean we are to look forward to a similar work on, say, the patellar tendon/ligament, another important structure? Nevertheless, the editor and the contributing authors pull this feat off. The work has particularly nostalgia for me because we published the original V-Y plasty procedure for chronic ruptures (JBJS1975; 57A: 253-5) from Cook County Hospital in Chicago. In addition to the big picture, the reader learns about such things as the patellofibular ligament, the exact location of the fabella, Kager's triangle, retrocalcaneal bursa, and pump bumps, tennis leg, the vario stable boot, etc. I highly recommend this work to all medical professionals caring for the adult foot and ankle. Orthopedic residents and fellows and podiatry trainees can learn how to correctly care for the Achilles tendon.
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Product Details

  • ISBN-13: 9781441927149
  • Publisher: Springer New York
  • Publication date: 10/29/2010
  • Edition description: Softcover reprint of hardcover 1st ed. 2009
  • Edition number: 1
  • Pages: 256
  • Product dimensions: 0.57 (w) x 7.00 (h) x 10.00 (d)

Table of Contents

Anatomy of the Achilles Tendon.- Ultrasound Examination of the Achilles Tendon.- Magnetic Resonance Imaging of the Achilles Tendon.- Acute Injuries.- Ruptures of the Medial Gastrocnemius Muscle ('Tennis Leg').- Nonoperative Management of Acute Ruptures.- Acute Repairs of the Achilles Tendon by the Percutaneous Technique.- Mini-Open Repair of Acute Ruptures.- Formal Open Repair of the Achilles Tendon.- Rehabilitation after Acute Ruptures of the Achilles Tendon.- Chronic Injuries.- Treatment of the Chronic Elongated Achilles Tendon with Anatomic Reconstruction.- Treatment of Chronic Achilles Tendon Ruptures with Tendon Transfers.- Free Tissue Reconstruction.- Achilles Tendonopathy.- Non-insertional Achilles Tendinopathy: An Overview.- Nonoperative Management of Achilles Tendinopathy.- Surgical Management of Achilles Tendinopathy by Percutaneous Longitudinal Tenotomies.- Open Debridement of Non-insertional Achilles Tendinopathy.- Overview of Insertional Achilles Tendonopathy.- Medial and Lateral Approaches to Insertional Achilles Disease.- Insertional Achilles Tendonopathy: The Central Approach.- Treatment of Chronic Achilles Tendon Ruptures with an Acellular Dermal Matrix Augmentation

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