Chronic Achilles tendinopathy in athletic individuals: Results of nonsurgical treatment

Chronic Achilles tendinopathy in athletic individuals: Results of nonsurgical treatment
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DOI:
10.1177/107110079902000507
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发表时间:
1999-05-01
影响因子:
2.7
通讯作者:
Hovgaard, D
Hovgaard, D
中科院分区:
医学2区
文献类型:
--
作者:
Angermann, P;Hovgaard, D

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我们报告了22例慢性跟腱病的非手术治疗结果,随访33 ~ 72个月。在治疗期结束后,70%的患者得到改善或治愈。在随访中,65%的患者得到改善或治愈,35%的患者治疗失败或长期效果不佳。在这些患者中,早期手术可能被考虑,但只有一名患者在随访期间接受了肌腱周围炎手术。对于患有慢性跟腱病的运动员,建议采用强调积极训练的非手术治疗。如果运动员已经治疗了3到6个月没有进展,应该考虑手术。
We report the results of nonsurgical treatment of chronic Achilles tendinopathy in 22 patients with a follow-up of 33 to 72 months. Immediately after the treatment period, 70% of the patients were either improved or cured. At follow-up, 65% were improved or cured, and 35% failed treatment or had a poor long-term result. In these patients, early surgery might have been considered, but only one patient received a peritendinitis operation in the follow-up period. In athletic individuals with chronic Achilles tendinopathy, nonsurgical treatment with emphasis on active training is recommended. Surgery should be considered if the athlete has been treated for 3 to 6 months without progress.