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Related Experiment Video

Updated: Nov 12, 2025

Author Spotlight: Unraveling the Mechanobiology of Tendon Impingement – A Multiaxial Murine Hind Limb Explant Model
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Author Spotlight: Unraveling the Mechanobiology of Tendon Impingement – A Multiaxial Murine Hind Limb Explant Model

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Neglected Achilles Tendon Ruptures.

James M Cottom1, Charles A Sisovsky1

  • 1Florida Orthopedic Foot and Ankle Center, 1630 South Tuttle Avenue, Sarasota, FL 34239, USA.

Clinics in Podiatric Medicine and Surgery
|March 22, 2021
PubMed
Summary
This summary is machine-generated.

Achilles tendon ruptures are often missed and can be treated non-surgically or surgically. Surgical options for neglected Achilles injuries yield good to excellent outcomes, restoring patient function.

Keywords:
AllograftFDL tendon transferFHL tendon transferPeroneus brevis tendon transferPrimary achilles repairTurndown flapV-Y advancement

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Musculoskeletal System

Background:

  • Achilles tendon ruptures are common injuries.
  • A significant percentage (over 25%) of Achilles tendon ruptures are misdiagnosed.
  • Neglected injuries require specific treatment considerations.

Purpose of the Study:

  • To outline conservative and surgical treatment options for neglected Achilles tendon ruptures.
  • To discuss various surgical techniques and their applicability based on injury characteristics.
  • To highlight the efficacy of these treatments in restoring function.

Main Methods:

  • Review of conservative management strategies including physical therapy, bracing, and custom ankle-foot orthoses.
  • Description of surgical interventions such as primary repair, V-Y tendon advancement, turndown flaps, tendon transfers, and allografts.
  • Evaluation of treatment outcomes based on tendon quality, defect size, and surgical approach.

Main Results:

  • Conservative options provide viable management pathways.
  • Surgical techniques are tailored to individual patient and injury factors.
  • Various surgical methods demonstrate good to excellent patient outcomes.

Conclusions:

  • Both conservative and surgical approaches can effectively treat neglected Achilles tendon injuries.
  • Surgical interventions offer reliable restoration of function and patient satisfaction.
  • Treatment choice depends on injury specifics and surgeon expertise.