Chronic Achilles Ruptures: Reconstructive Options

The Journal of the American Academy of Orthopaedic Surgeons
Karl M SchweitzerSamuel B Adams

Abstract

Achilles tendon ruptures, if neglected or identified late, lead to impairments in function and gait. Surgical reconstruction is typically required to restore the resting length and tension to the gastrocnemius-soleus complex. A variety of reconstructive options have been described, depending on several factors, including chronicity, residual gap size, remaining tissue quality and vascularity, location of tendon rupture or deficiency, and patient-specific factors. Despite the many surgical options described from local soft-tissue rearrangements and tendon transfers, to the use of allograft tissue and synthetic material augmentation, there is understandably a paucity of evidence-based guidelines available to direct surgeons in the optimal procedure for each patient-specific situation. 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.

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Citations

Oct 14, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Paweł BąkowskiTomasz Piontek
Sep 30, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Shu-Kun HeFu-Guo Huang
Dec 29, 2020·Revista Brasileira De Ortopedia·Nacime Salomão Barbachan MansurMarcel Jun Sugawara Tamaoki
Mar 29, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Yanming MaYiqing Chen
Jan 21, 2020·Zeitschrift für Orthopädie und Unfallchirurgie·Roslind Karolina HackenbergKristian Welle

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