Surgical repair of Achilles XXXX .

@entity1 @entity1409 @entity134 @entity397 @entity210
We evaluated the surgical results of 42 consecutive @entity1 with @entity1409 treated from 1973 to 1984 to determine the causes of @entity397 and to evaluate our treatment methods. @entity1 were divided into early and late repair groups and their charts reviewed to determine common clinical features. A new method of repair with early functional range of motion exercises before casting was used and compared to other techniques in common use. Thirty-one @entity1 were contacted for long-term followup (average, 4.7 years). Twenty-three of these @entity1 returned for intensive reevaluation and Cybex testing. We found a high incidence of @entity210 (14.3%) and previous @entity134 injections (7.1%) in our @entity1 . Good results were obtained from the four surgical methods used. There were no reruptures and only 7% of the @entity1 experienced minor wound problems. @entity1 treated with early functional range of motion exercises averaged 12.5 degrees more dorsiflexion at the time of cast removal and did not require adjunctive protective devices. Long-term results, however, revealed equilibration of range of motion and near normal function in all repair techniques with 88% of all @entity1 returning to preinjury activity levels.
