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A Passive Ankle Dorsiflexion Testing System for an In Vivo Model of Overuse-induced Tendinopathy
Published on: March 1, 2024
Chronic Achilles tendon ruptures
1University of Toledo, Toledo, OH 43615, USA; Toledo Orthopaedic Surgeons, 2865 North Reynolds Road, Building A, Toledo, OH 43615, USA. tgpadanilam@msn.com
Foot and Ankle Clinics
|October 28, 2009
Summary
Chronic Achilles tendon ruptures significantly impair function and often require surgery. This review covers surgical options like gastrocnemius advancement and synthetic grafts for neglected ruptures, noting a lack of comparative data.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Regenerative Medicine
Background:
- Chronic Achilles ruptures present a significant clinical challenge.
- Patients experience marked impairment of functional activities.
- Surgical intervention is typically required to optimize outcomes.
Purpose of the Study:
- To review and summarize described surgical methods for treating chronic or neglected Achilles tendon ruptures.
- To provide an overview of current treatment strategies available to physicians.
Main Methods:
- Review of literature describing surgical techniques for chronic Achilles tendon rupture.
- Categorization of methods including gastrocnemius advancement, fascial turndown flaps, local tendon transfers, free tissue transfer, and synthetic grafts.
Main Results:
- Multiple surgical techniques exist for chronic Achilles tendon rupture repair.
- Methods include flap procedures, tendon transfers, and the use of synthetic materials.
- No comparative data is available to guide evidence-based treatment selection.
Conclusions:
- Treatment options for chronic Achilles tendon ruptures are diverse.
- Further research and comparative studies are needed to guide evidence-based decision-making.
- Optimal surgical management remains to be determined by comparative data.
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