Reconstruction of neglected Achilles tendon rupture with Marlex mesh

Reconstruction of the neglected Achilles tendon rupture was performed with marlex mesh on six patients. Marlex mesh was folded into three layers and sandwiched between both ruptured ends that were divided horizontally into two layers in moderate tension. All of the patients showed satisfactory function with a mean follow-up period of 3 years (range, 2.4-3.7 years). The operative procedure is simple because there is no need to harvest healthy tendon or fascia as the donor and there is less adhesion with neighboring tissues and minimal signs of foreign-body reactions.