Researchers assessed whether the central incision technique would be an effective, well-tolerated surgical incision for the surgical treatment of insertional Achilles tendinopathy with minimal to no loss of plantarflexion strength. A review was made of a single surgeon’s experience with 27 patients (29 surgical procedures). The mean followup time was four years. An additional telephone assessment was performed at a mean followup time of seven years. The average recovery time was 5.7 months. There was no significant difference in plantarflexion strength between the operative and nonoperative sides. At the four-year mark, 15 patients had an AOFAS hindfoot score of 100; the average AOFAS hindfoot score was 96. At seven years, 22 patients (including two bilateral cases) reported pain scores of 0 and they had no strength deficits. Overall, there was a 96 percent (22 of 23) satisfaction rate.
From the article of the same title
Foot & Ankle International (09/11) Nunley, James A. ; Ruskin, Greg ; Horst, Frank
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About drphilipw
Dr. Philip Wrotslavsky specializes in the diagnosis and treatment of infant, children and adult patients with medical conditions of the foot, ankle and lower leg structures.
Dr Wrotslavsky completed his orthopedic fellowship (Chief Fellow) at The Limb Reconstruction Fellowship Program at the International Center for Limb Lengthening in Baltimore, Maryland under the guidance of Dr. Dror Paley and Dr. John Herzenberg. His fellowship experience included the in-depth study, prevention, and treatment of limb threatening foot conditions, infections, diabetic charcot neuroarthropathy, nonunions, malunions, and congenital and posttraumatic limb deformities. He has adopted techniques derived from the science of distraction osteogenesis.He is adept at utilizing the full gamut of orthopedic fixation materials, including screws, wires, plates, intramedullary rods, and monolateral and circular fixators (Ilizarov and Taylor Spatial Frame) in the treatment and correction of deformities.
His 4 years of podiatry foot and ankle surgical residency training took place in an inner city hospital in New York City, where he worked with a multidisciplinary team of general, podiatric, orthopedic and vascular physicians and surgeons and provided a wide variety of foot and ankle care including wound care, ankle arthroscopy, diabetic limb salvage and reconstruction, flatfoot reconstruction, neurological cavo-varus foot reconstruction and management of trauma to the foot and ankle.
Dr Wrotslavsky's fellowship and residency training has taught him to perform a full biomechanical exam identifying lower extremity pathology from spine to foot.He enjoys working with a team of physicians identifying the patients’ pathology and providing the appropriate treatment.
