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Treatment of Chronic Achilles Tendon Ruptures with Tendon Transfers

  • Andrew M. Ebert
  • Kelly Short PT
  • Robert B. Anderson
Chapter

Presentation

Treatment delays after complete rupture of the Achilles tendon are not uncommon, because nearly 20% of patients are misdiagnosed on initial examination.1 Numerous definitions of what constitutes a “chronic” or late Achilles tendon rupture have been proposed. A functional definition would be those ruptures left untreated for such a time as to prohibit primary tendon repair. Most would agree that this situation will likely be encountered with complete Achilles ruptures beyond the 4 to 6 week mark.2Distribution of chronic injuries appears to be equal among males and females, with the average age of presentation between 35 and 60 years. The neglected acute rupture includes the usual history of acute pain or sensation of a “pop” occurring in the calf, with subsequent weakness. However, the subset of patients who sustain recurrent partial ruptures often present with more subtle histories. Those with connective tissue disorders or chronic Achilles tendinosis may relate a long...

Keywords

Achilles Tendon Bone Tunnel Tendon Transfer Flexor Hallucis Longus Flexor Digitorum Longus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Andrew M. Ebert
  • Kelly Short PT
  • Robert B. Anderson

There are no affiliations available

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