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Achilles tendon minimally invasive debridement surgical technique

Overview

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Learn the Achilles tendon minimally invasive debridement surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Achilles tendon minimally invasive debridement surgical procedure.

The indication for an Achilles tendon debridement is  painful Achilles tendinosis which has failed to respond to conservative managements.

These conservative managements, including tried and tested physiotherapy regimens, orthotic off loading and injection therapies, can be expected to work in 70% of patients , irrespective of the extent (and often nature) of the Achilles involvement. Shockwave therapy also may have a role in conservative management though its effectiveness is lower.

A debridement can be expected to work in 90% of patients with a return to limited weight-bearing possible in most after 2 weeks if using a post-operative boot if a minimally disruptive approach is used.

Full weight bearing is usually possible after 5 weeks and after a period of functional rehabilitation a return to full and painfree activity is the norm.

 

Author: Mark Herron FRCS.

Institution: The Wellington Hospital, London.

Feedback

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
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  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
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CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity

COURSE

Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

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