Operative repair of ruptured achilles tendon and functional after-treatment--II. Delayed rupture

Purpose of surgical treatment of delayed rupture of the achilles tendon is repair of normal continuity with restoration of original length and muscle tension. Our experiences are described with 10 patients, using different surgical techniques, all based on the three-tissue bundle procedure (sandwich-technique). After-treatment was functional, followed by immobilisation in a lower leg walking plaster. Wound healing disturbances influenced healing time, but not the end-results. In secondary reconstruction of achilles tendon rupture, simple operative repair is the best prevention of complications.