Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008

Management of Chronic Ruptures of the Achilles Tendon

by Nicola Maffulli, and Adam Ajis

J Bone Joint Surg AmVolume 90(6):1348-1360

June 1, 2008

©2008 by The Journal of Bone and Joint Surgery, Inc.

Typical appearance of a chronic rupture of the Achilles tendon.

Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360


A real-time, high-resolution longitudinal ultrasound scan of a seventeen-week-old chronic rupture of the Achilles tendon in a fifty-five-year-old man.



Sagittal magnetic resonance imaging scan of a fifteen-week-old chronic rupture of the Achilles tendon in a fifty-one-year-old man.



The use of a free gracilis tendon to reconstruct an Achilles tendon with a chronic rupture.



Figs. 5-A through 5-D Performance of a z-shortening procedure for the treatment of a chronic Achilles tendon tear that had healed in continuity.



The distal limb is being shortened.



A line drawing depicting the z-shortening procedure.



The completed procedure.









Documents

Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008