Abstract
We present the case of Achilles tendon rupture in a 54-year-old man while rehabilitating
after end-to-end open repair of an acute Achilles tendon rupture. Re-rupture after
surgical repair of Achilles tendon is well known. The present case, however, is atypical,
because the second rupture occurred significantly proximal to the first rupture. To
our knowledge, this is the first time this has been described in English language
studies. We have termed this incident a fresh rupture. A gastrocnemius turndown flap was used to repair the fresh rupture, which led to
a satisfactory recovery. This case report serves to inform surgeons of the existence
of this type of Achilles tendon rupture, while considering the possible etiologies
and suggesting a technique that has been shown to be successful in the present case.
Level of Clinical Evidence
Keywords
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References
- Incidence of Achilles tendon rupture.Acta Orthop Scand. 1996; 67: 277-279
Coughlin MJ, Mann RA, Saltzman C, eds. Disorders of tendon. In Surgery of Foot and Ankle, ed 8, pp 1237-1238, Mosby Elsevier, Philadelphia, 2007.
- Treatment of acute Achilles tendon ruptures: a meta-analysis of randomised control trials.J Bone Joint Surg. 2005; 87: 2202-2210
- Treatment of acute Achilles tendon ruptures: a systematic overview and metaanalysis.Clin Orthop. 2002; 400: 190-200
- Recurrent rupture of the Achilles tendon [abstract].Unfallchirurgie. 1983; 93: 199-209
- Experimental rupture of the Achilles tendon: comparison of various types of experimental rupture in rats.Acta Orthop Scand. 1971; 42: 528-543
- Operative versus nonoperative treatment of Achilles tendon rupture: a prospective randomized study and review of the literature.Am J Sports Med. 1993; 21: 791-799
- Surgical repair of ruptures of the tendo Achillis.Clin Orthop. 1981; 156: 160-169
- Subcutaneous rupture of the Achilles tendon: a study of 92 cases.Acta Chir Scand. 1959; 116: 1-51
- Rupture of the Achilles tendon.J Bone Joint Surg. 1999; 81: 1019-1036
- Use of fluroquinolone and risk of Achilles tendon rupture: a population-based cohort study.Eur J Clin Pharmacol. 2007; 63: 499-503
- Partial and complete ruptures of the Achilles tendon and local corticosteroid injections.Br J Sports Med. 1992; 26: 7-14
- Blood supply of the Achilles tendon.J Orthop Res. 1998; 16: 591-596
- Review of the vascularisation of the human Achilles tendon.Injury. 2005; 36: 1267-1272
- Total Achilles tendon rupture: a review.Sports Med. 1998; 25: 79-100
- Rupture of the Achilles tendon: a series and a review of literature.J Trauma. 1972; 12: 794-798
- Rupture of the Achilles tendon: analysis of 57 cases.Acta Chir Scand. 1953; 106: 50-60
- A flap augmentation technique for Achilles tendon repair.Clin Orthop. 1992; 280: 241-246
- Spontaneous rupture of the Achilles tendon is preceded by widespread and bilateral tendon damage and ipsilateral inflammation: a clinical and histopathologic study of 60 patients.Acta Orthop Scand. 2003; 74: 78-84
- A new surgical method to treat chronic ruptures and reruptures of the Achilles tendon.Knee Surg Sports Traumatol Arthrosc. 2008; 16: 614-620
Article info
Publication history
Published online: November 07, 2011
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
