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The Journal of Bone and Joint Surgery, Vol 73, Issue 2 214-219, Copyright © 1991 by Journal of Bone and Joint Surgery, Inc
Chronic rupture of the Achilles tendon: a new technique of repair
RA Mann, GB Holmes, KS Seale and DN Collins
Department of Orthopaedic Surgery, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107.
A new operative technique is described for the treatment of patients who
have a rupture of the Achilles tendon. The large gap between the proximal
and distal stumps of the Achilles tendon in seven patients was bridged by
use of the tendon of the flexor digitorum longus as the graft. At the most
recent follow-up examination (average follow-up, thirty-nine months; range,
two to six years), the result was excellent or good in six patients and
fair in one. Postoperatively, two patients needed an adjuvant procedure:
one, a local rotation flap and the other, a split-thickness skin graft.
Both patients had excellent restoration of function. The patient who had a
fair result had a persistent limp and residual discomfort. There were no
re-ruptures.
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