Abstract
Surgical treatment is recommended for a chronic Achilles tendon rupture, as well as a re-rupture. Chronic Achilles tendon ruptures are referred to those more than 4 weeks after initial injury. An end-to-end repair is considered insufficient for tendons with a chronic injury or re-rupture and reinforcement is recommended. Fascial reinforcement has not been shown to improve outcome for acute ruptures.
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References
Nilsson-Helander K, Swärd L, Grävare Silbernagel K, Thomeé R, Eriksson BI, Karlsson J. A new surgical method to treat chronic ruptures and re-ruptures of the Achilles tendon. Knee Surg Sports Traumatol Arthrosc. 2008;16(6):614–20.
Silfverskiöld N. Über die subkutane toale Achillesshnenruptur und deren Behandling. Acta Chir Scand. 1941;84:393–413.
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Nilsson-Helander, K., Swärd, L., Carmont, M.R., Olsson, N., Karlsson, J. (2017). Free/Turndown Gastrocnemius Flap Augmentation. In: Thermann, H., et al. The Achilles Tendon. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54074-9_13
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DOI: https://doi.org/10.1007/978-3-662-54074-9_13
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