Management of chronic ruptures of the Achilles tendon.

@article{Maffulli2008ManagementOC,
  title={Management of chronic ruptures of the Achilles tendon.},
  author={Nicola Maffulli and Adam Ajis},
  journal={The Journal of bone and joint surgery. American volume},
  year={2008},
  volume={90 6},
  pages={
          1348-60
        }
}
  • N. Maffulli, A. Ajis
  • Published 1 June 2008
  • Medicine
  • The Journal of bone and joint surgery. American volume
Chronic ruptures of Achilles tendons are those that present four to six weeks after the original injury. They have become more common as acute Achilles tendon injuries have become more frequent, and they are associated with considerable functional morbidity. Most surgeons agree that chronic ruptures should be managed operatively. Diagnosis is based predominantly on history and clinical examination. Real-time, high-resolution ultrasound and magnetic resonance imaging are helpful in preoperative… 
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Highly Influential Citations
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180 Citations

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Endoscopic Management of Chronic Achilles Tendon Rupture.
Reconstruction of chronic Achilles tendon rupture using the semitendinosus tendon: a case report.
TLDR
A case of chronic Achilles tendon rupture reconstructed using the semitendinosus tendon is presented because of the difficulty in pulling down the proximal stump to reach the distal stump and due to an insufficient margin for hooking a suture to thedistal stump.
Achilles Tendon Disorders Including Tendinopathies and Ruptures
Acute and chronic Achilles tendon ruptures in athletes.
Autograft Reconstruction for Chronic Achilles Tendon Disorders
TLDR
The use of 3 different minimally invasive tendon transfer techniques in the management of patients with a chronic rupture of the tendon Achilles, undertaking a free transfer of the semitendinosus tendon, or aTransfer of the peroneus brevis or flexor hallucis longus tendons are described.
The Missed Achilles Tear: Now what?
Chronic Achilles Tendon Rupture Reconstructed With Achilles Tendon Allograft and Xenograft Combination.
  • S. Hollawell, William Baione
  • Medicine
    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
  • 2015
TLDR
The combined Achilles allograft plus xenograft augmentation technique appears to be a reasonable option for the surgical treatment of chronic Achilles tendon rupture.
Chronic Achilles tendon ruptures.
Chronic Achilles Ruptures: Reconstructive Options.
TLDR
Reconstructive options for the patient with a chronic Achilles rupture are detailed and reviewed here, to serve as a framework for the treating surgeon in these complex cases.
Chronic Achilles rupture reconstructed with Achilles tendon allograft: a case report.
TLDR
A case of neglected Achilles tendon rupture with a 12-cm defect that was repaired using an Achilles tendon allograft with interferential screws to fix the graft in the calcaneus to recover his ankle function to normal activities after rehabilitation.
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References

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TLDR
Conservative treatment of an acute rupture of the Achilles tendon by immobilization with a cast provides satisfactory results, and for the younger, more athletic patient, surgical repair should be considered.
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TLDR
This paper describes the specific surgical steps and postoperative care for reconstruction of the Achilles tendon utilizing allograft and describes the functional donor-site morbidity and insufficient quality and quantity of autogenous tendon concerns.
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TLDR
A new operative technique is described for the treatment of patients who have a rupture of the Achilles tendon, using the tendon of the flexor digitorum longus as the graft to bridged the large gap between the proximal and distal stumps.
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TLDR
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TLDR
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  • Medicine
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TLDR
An endoscopic assisted flexor hallucis longus transfer is described in order to minimize the soft tissue dissection in chronic Achilles tendon rupture.
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TLDR
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