Surgical considerations for the neglected or chronic Achilles tendon rupture: a combined technique for reconstruction.

Document Type

Article

Publication Title

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

Abstract

The Achilles tendon is among the most commonly injured tendons in the human body. The most common reason for delayed treatment is a missed diagnosis or a deficiency in presentation. The neglected or chronically ruptured Achilles tendon presents a unique treatment challenge. The surgical approach varies greatly depending on the extent of degeneration and the resultant gap between the opposing tendon ends. Most surgeons have recommended the use of a tendon transfer or augmentation to strengthen the Achilles tendon repair. The following technique uses a flexor hallucis longus tendon transfer with gastrocnemius aponeurosis turndown flap augmentation. This technique has been commonly performed by us with success.

First Page

664

Last Page

671

DOI

10.1053/j.jfas.2013.10.001

Publication Date

9-1-2014

Share

COinS