The surgical treatment of tendinitis. Clinical rationale and biologic basis.
The rationale for surgical treatment of tendinitis is to induce a modulation of the tendon cell-matrix environment by either promoting a renewed wound repair cycle or by the removal of aberrant tissue. The adequacy of healing as a result of surgical tendon treatment has been poorly documented histologically; what evidence exists suggests normal tissue is not achieved. The clinical experience of the authors as well as preliminary analysis of wound healing patterns in a longitudinal internal tenotomy rabbit tendo-Achilles model are discussed.
Leadbetter
W B
WB
Department of Orthopaedic Surgery, Georgetown University, Washington, DC.
Mooar
P A
PA
Lane
G J
GJ
Lee
S J
SJ
D000125:Achilles Tendon / Q000601:surgery; D000818:Animals; D001265:Athletic Injuries / Q000601:surgery*; D012090:Cumulative Trauma Disorders / Q000601:surgery; D004195:Disease Models, Animal; D006801:Humans; D011300:Preoperative Care; D011817:Rabbits; D017006:Rotator Cuff / Q000601:surgery; D052256:Tendinopathy / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing