Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint...

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Management of Chronic Ruptures of the Achilles Tendon

by Nicola Maffulli, and Adam Ajis

J Bone Joint Surg AmVolume 90(6):1348-1360

June 1, 2008

Typical appearance of a chronic rupture of the Achilles tendon.

Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360

A real-time, high-resolution longitudinal ultrasound scan of a seventeen-week-old chronic rupture of the Achilles tendon in a fifty-five-year-old man.

Sagittal magnetic resonance imaging scan of a fifteen-week-old chronic rupture of the Achilles tendon in a fifty-one-year-old man.

The use of a free gracilis tendon to reconstruct an Achilles tendon with a chronic rupture.

Figs. 5-A through 5-D Performance of a z-shortening procedure for the treatment of a chronic Achilles tendon tear that had healed in continuity.

The distal limb is being shortened.

A line drawing depicting the z-shortening procedure.

The completed procedure.

Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint...

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