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Related Experiment Video

Updated: Aug 22, 2025

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
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Achilles Tendon Rupture Repair: Simple to Complex.

Christy M King1, Mher Vartivarian2

  • 1Kaiser San Francisco Bay Area Foot & Ankle Residency Program, Kaiser Oakland Foundation Hospital, 275 MacArthur Boulevard, Clinic 17, Oakland, CA 94611, USA; Foot & Ankle Surgery, Orthopedics and Podiatry Department, Kaiser Oakland, 275 MacArthur Boulevard, Clinic 17, Oakland, CA, 94611, USA.

Clinics in Podiatric Medicine and Surgery
|November 11, 2022
PubMed
Summary

Treating Achilles tendon ruptures, whether acute or chronic, involves considering various factors. Both surgical and non-surgical methods offer good outcomes for acute injuries, aiding shared decision-making.

Keywords:
Acute Achilles ruptureAllograftChronic Achilles ruptureEarly functional rehabilitationFHL tendon transferGap distanceNeglected Achilles ruptureUltrasound

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Musculoskeletal research

Background:

  • Achilles tendon ruptures require distinct management strategies for acute versus chronic presentations.
  • Optimal treatment pathways remain a subject of ongoing clinical discussion and research.

Purpose of the Study:

  • To review and discuss the factors influencing treatment decisions for acute and chronic Achilles tendon ruptures.
  • To highlight the roles of imaging and surgical techniques in managing neglected Achilles tendon injuries.

Main Methods:

  • Review of current literature on Achilles tendon rupture management.
  • Discussion of operative versus nonoperative approaches for acute ruptures.
  • Exploration of diagnostic imaging (MRI) and surgical techniques for chronic ruptures.

Main Results:

  • Acute Achilles tendon ruptures generally have a good prognosis with low risks, regardless of operative or nonoperative management.
  • Patient and injury characteristics are key to shared decision-making in acute cases.
  • MRI is valuable for assessing chronic ruptures, guiding surgical repair options.

Conclusions:

  • Optimal management of Achilles tendon ruptures is multifactorial, requiring individualized treatment plans.
  • Shared decision-making, informed by injury characteristics and imaging, is crucial for both acute and chronic settings.
  • Further discussion and research are warranted to refine optimal management strategies for Achilles tendon ruptures.