Treatment of Neglected Achilles Tendon Ruptures with Interpositional Allograft

Foot Ankle Clin. 2017 Dec;22(4):735-743. doi: 10.1016/j.fcl.2017.07.010. Epub 2017 Sep 28.

Abstract

Although most astute clinicians can diagnose Achilles tendon ruptures by physical examination alone, more than 20% are not accurately diagnosed in a timely fashion. The definition of a "chronic" Achilles tendon rupture in foot and ankle literature varies widely: from 4 to 10 weeks status after injury. Neglected or chronic Achilles tendon ruptures can be significantly disabling to patients if the muscle-tendon unit is stretched beyond its normal passive limit. There are a variety of treatment options that all have valid uses but have not been proven to be superior to one another.

Keywords: Achilles allograft; Achilles reconstruction; Chronic Achilles tear.

Publication types

  • Review

MeSH terms

  • Achilles Tendon / injuries*
  • Delayed Diagnosis
  • Humans
  • Reconstructive Surgical Procedures*
  • Rupture / diagnosis
  • Rupture / therapy
  • Tendon Injuries / diagnosis*
  • Tendon Injuries / therapy*