Introduction: Achilles tendon ruptures are common. Metabolic disorders, such as diabetes mellitus, hypercholesterolemia, thyroid disorders, and obesity, impair tendons health, leading to Achilles tendinopathy and likely predisposing patients to Achilles tendon ruptures. Materials and methods: Patients who visited the Orthopedic Outpatient Clinics and the Accident and Emergency Departments of five different hospitals in Italy were recruited. Through telephone interviews, we administered a questionnaire to all the patients who had undergone surgical ATR repair, evaluating their past medical history, sport- and work-related activities, drug use, and post-operative rehabilitation outcomes. Results: "Return to work activities/sport" was negatively predicted by the presence of a metabolic disorder (beta = -0.451; OR = 0.637) and 'open' surgery technique (beta = -0.389; OR = 0.678). "Medical complications" were significantly predicted by metabolic disorders (beta = 0.600 (0.198); OR = 1.822) and was negatively related to 'mini-invasive' surgery (i.e., not 'open' nor 'percutaneous') (beta = -0.621; OR = 0.537). "Immediate weightbearing" and "immediate walking without assistance" were negatively predicted by 'open' technique (beta = -0.691; OR = 0.501 and beta = -0.359 (0.174; OR = 0.698)). Conclusions: Metabolic conditions can strongly affect post-operative outcomes following surgical repair of acute Achilles tendon tears.

Oliva, F., Marsilio, E., Asparago, G., Giai Via, A., Biz, C., Padulo, J., et al. (2022). Achilles Tendon Rupture and Dysmetabolic Diseases: A Multicentric, Epidemiologic Study. JOURNAL OF CLINICAL MEDICINE, 11(13), 3698 [10.3390/jcm11133698].

Achilles Tendon Rupture and Dysmetabolic Diseases: A Multicentric, Epidemiologic Study

Foti, Calogero;
2022-06-27

Abstract

Introduction: Achilles tendon ruptures are common. Metabolic disorders, such as diabetes mellitus, hypercholesterolemia, thyroid disorders, and obesity, impair tendons health, leading to Achilles tendinopathy and likely predisposing patients to Achilles tendon ruptures. Materials and methods: Patients who visited the Orthopedic Outpatient Clinics and the Accident and Emergency Departments of five different hospitals in Italy were recruited. Through telephone interviews, we administered a questionnaire to all the patients who had undergone surgical ATR repair, evaluating their past medical history, sport- and work-related activities, drug use, and post-operative rehabilitation outcomes. Results: "Return to work activities/sport" was negatively predicted by the presence of a metabolic disorder (beta = -0.451; OR = 0.637) and 'open' surgery technique (beta = -0.389; OR = 0.678). "Medical complications" were significantly predicted by metabolic disorders (beta = 0.600 (0.198); OR = 1.822) and was negatively related to 'mini-invasive' surgery (i.e., not 'open' nor 'percutaneous') (beta = -0.621; OR = 0.537). "Immediate weightbearing" and "immediate walking without assistance" were negatively predicted by 'open' technique (beta = -0.691; OR = 0.501 and beta = -0.359 (0.174; OR = 0.698)). Conclusions: Metabolic conditions can strongly affect post-operative outcomes following surgical repair of acute Achilles tendon tears.
27-giu-2022
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/34 - MEDICINA FISICA E RIABILITATIVA
English
Con Impact Factor ISI
Achilles tendon
diabetes mellitus
dysmetabolism
hypercholesterolemia
obesity
rehabilitation
rupture
surgery
thyroid disease
Oliva, F., Marsilio, E., Asparago, G., Giai Via, A., Biz, C., Padulo, J., et al. (2022). Achilles Tendon Rupture and Dysmetabolic Diseases: A Multicentric, Epidemiologic Study. JOURNAL OF CLINICAL MEDICINE, 11(13), 3698 [10.3390/jcm11133698].
Oliva, F; Marsilio, E; Asparago, G; Giai Via, A; Biz, C; Padulo, J; Spoliti, M; Foti, C; Oliva, G; Mannarini, S; Rossi, Aa; Ruggieri, P; Maffulli, N
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/308795
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