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Updated: Aug 5, 2026

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A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
Published on: August 2, 2024
Management of Chronic Achilles Tendon Ruptures
Jake Powell1, William Crawford2
1Department of Orthopedics, University of North Texas Health Science Center, Fort Worth, TX, USA.
Foot and Ankle Clinics
|July 31, 2026
Summary
Chronic Achilles tendon ruptures present treatment challenges. New synthetic grafts may offer improved healing for Achilles tendon injuries compared to traditional surgical methods.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Chronic Achilles tendon rupture is challenging due to retraction and histologic changes.
- Current treatments include primary repair, VY advancement, Achilles tendon turndown, allografts, and tendon transfers.
- These traditional methods have associated morbidities.
Purpose of the Study:
- To review treatment options for chronic Achilles tendon rupture.
- To explore the potential of novel synthetic graft materials.
Main Methods:
- Literature review of existing treatment modalities.
- Discussion of emerging synthetic graft technologies (acellular collagen matrices, Artelon).
Main Results:
- Traditional techniques have limitations and associated complications.
- Synthetic grafts show promise for improving chronic Achilles tendon rupture healing.
Conclusions:
- Novel synthetic grafts may offer a less morbid alternative for treating chronic Achilles tendon ruptures.
- Further research is needed to validate the efficacy of these new materials.
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