Surgical considerations for the neglected or chronic Achilles tendon rupture: a combined technique for reconstruction.
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.
['Peterson|Kyle S|KS|', 'Hentges|Matthew J|MJ|', 'Catanzariti|Alan R|AR|', 'Mendicino|Michael R|MR|', 'Mendicino|Robert W|RW|']
D000125:Achilles Tendon D002908:Chronic Disease D003951:Diagnostic Errors D004210:Dissection D006801:Humans D019651:Reconstructive Surgical Procedures D012421:Rupture D013524:Surgical Flaps D013708:Tendon Injuries D013710:Tendons
tendon transfer flexor hallucis longus ankle injury leg popliteal block triceps surae