Formal Open Repair of the Achilles Tendon

  • Claude T. MoormanIII
  • Maria K.A. Kaseta

Acute ruptures of the Achilles tendon are common injuries associated with trauma, male gender, obesity, and a history of injected corticosteroids.1 Although there is a significant increase in the incidence of Achilles tendon injuries over the last two decades,2 there is no consensus regarding the optimal management (operative vs. nonoperative) of acute ruptures of the Achilles tendon.3, 4, 5, 6, 7 This chapter describes the operative technique favored by the senior author as well as a physical therapy protocol that has resulted in excellent outcomes.

A number of studies have shown that surgical repair results in less morbidity and improved function. For example, surgically repaired tendons are at lower risk of rerupture,4,7,8 and patients who elect surgery achieve normal push-off power.9,10One randomized prospective study compared operative versus nonoperative treatment of acute ruptures of the Achilles tendon in 111 patients and demonstrated better results (resuming sports...


Achilles Tendon Neutral Position Sural Nerve Deep Fascia Ankle Range 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Claude T. MoormanIII
    • 1
  • Maria K.A. Kaseta
    • 2
  1. 1.Department of Orthopaedic SurgeryDuke University Medical CenterDurhamUSA
  2. 2.Department of SurgeryDuke UniversityDurhamUSA

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