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Treatment of Chronic Achilles Tendon Ruptures with an Acellular Dermal Matrix Augmentation

  • Troy S. Watson
  • James A. NunleyEmail author
Chapter

Although Achilles tendon repairs have been augmented using fascia lata, gastrocnemius flaps, plantaris tendon grafts, the palmaris longus, the flexor hallucis longus, and synthetic grafts,1, 2, 3, 4, 5, 6, 7 the implementation of a single surgical model has not been universally accepted. Some studies reporting marginal improvement or equivalent results between direct repair and augmentation concluded that any advantages with augmentation did not merit the additional surgical risks in acute Achilles tendon repair. 2,8 In chronic Achilles tendon tears, however, the use of augmentation with primary repair or transfers has received greater acceptance. The reinforcement of chronic or neglected Achilles tear repairs is logically advantageous due to the poor tendon tissue quality present, the gap that remains following excision of the fibrous pseudotendon, and the tendon retraction or fatty infiltration resulting from delayed treatment. 9, 10, 11, 12, 13, 14Patients with chronic Achilles...

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Foot and Ankle Institute, Desert Orthopaedic CenterLas VegasUSA
  2. 2.Department of Surgery, Division of Orthopaedic SurgeryDuke University Medical CenterDurhamUSA

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