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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
©2008 by The Journal of Bone and Joint Surgery, Inc.
Typical appearance of a chronic rupture of the Achilles tendon.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
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.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
Sagittal magnetic resonance imaging scan of a fifteen-week-old chronic rupture of the Achilles tendon in a fifty-one-year-old man.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
The use of a free gracilis tendon to reconstruct an Achilles tendon with a chronic rupture.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
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.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
The distal limb is being shortened.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
A line drawing depicting the z-shortening procedure.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
The completed procedure.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.