the success rate of Achilles tendon lengthening surgery for chronic achilles tendon pain varies depending on several factors, including patient characteristics and the specific technique used. in general, the long-term outcome of Achilles tendon lengthening is promising, with many patients experiencing a significant reduction in pain and improved function.
Patient Characteristics
the success of Achilles tendon lengthening is generally higher in certain patient populations. people with hemiplegia, who have paralysis on one side of the body, tend to have a better response to this procedure compared to those with paraplegia, who have paralysis on both sides. Additionally, patients younger than 7 years old may experience a higher failure rate due to growth-related issues.
Technique
there are several different techniques used for Achilles tendon lengthening, including open z-plasty, which involves a larger incision for direct access to the tendon, and smaller, less invasive approaches such as endoscopic techniques. the choice of technique depends on the severity of the tendinopathy, the patient's age, and the surgeon's preference.
Long-Term Outcomes
despite the variability in success rates, many patients report a significant reduction in visual analogue pain scores for sporting activities, as well as improvements in dorsiflexion and plantarflexion movements. however, there is a risk of complications such as over-lengthening, which can lead to crouched gait or increased risk of falls. in some cases, the overall benefit of the procedure may not outweigh the potential risks and alternative treatments may be considered.
##Achilles tendon lengthening surgery can be a successful treatment option for chronic Achilles tendon pain, particularly in carefully selected patients. while the success rate may vary, many patients experience a reduction in pain and improvement in functionality. however, it is important to discuss the specific risks and benefits of the procedure with a qualified foot and ankle surgeon to determine the best course of action for individual patients.
