Delayed treatment of a rupture of the Achilles tendon is a challenge. Operative treatment is generally recommended, with a variety of techniques being described to appose the tendinous ends and augment the repair.
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References
1.
. AbrahamE.PankovichA.M.: Neglected rupture of the Achilles tendon: treatment by a V-Y tendinous flap. J. Bone Joint Surg., 57A:253–255, 1975.
2.
. AmisA.A.CampbellJ.R.KempsonS.A.MillerJ.H.: Comparison of the structure of neotendons induced by implantation of carbon or polyester fiber. J. Bone Joint Surg., 66B:131–139, 1984.
3.
. *ArnerO.LindholmA.: Subcutaneous rupture of the Achilles tendon. Acta Chir. Scand. (Suppl.), 239:1–51, 1959.
4.
. BarnesM.J.HardyA.E.: Delayed reconstruction of the calcaneal tendon. J. Bone Joint Surg., 68B:121–124, 1986.
5.
. BosworthD.M.: Repair of defects in the tenoachilles. J. Bone Joint Surg., 38A:111–114, 1956.
6.
. BuggE.I.Jr.BoydB.M.: Repair of neglected rupture or laceration of the Achilles tendon. Clin. Orthop., 56:73–75, 1968.
7.
. ChristensenI.: Rupture of the Achilles tendon: analysis of 57 cases. Acta Chir. Scand., 106:50–60, 1953.
8.
. ConwayA.M.DornerR.W.ZucknerJ.: Regeneration of resected calcaneal tendon in the rabbit. Anat. Rec., 1958:43–49, 1967.
. ElftmanH.: Biomechanics of muscle with particular application to studies of gait. Am. Acad. Orthop. Surg. Instr. Course Lect., 18:13–24, 1962–69.
11.
. FumarolaA.: A one-stage reconstruction of a large defect of the tendo-Achilles in the overlying skin. Br. J. Plast. Surg., 38:403, 1985.
12.
. GerdesM.H.BrownT.D.BellA.L.BakerJ.A.LevsonM.LayerS.: A flap augmentation technique for Achilles tendon repair. Clin. Orthop., 280:241–246, 1992.
13.
. HansenS.T.Jr.: Trauma to the heel cord. InDisorders of the Foot and Ankle, Volume III. JahssM.H. (ed.), Philadelphia, W. B. Saunders, 1991, pp. 2355–2360.
14.
. HattrupS.J.JohnsonK.A.: A review of ruptures of the Achilles tendon. Foot Ankle, 6:34–38, 1985.
15.
. HowardC.B.WinstonI.BellW.JenkinsD.R.H.: Late repair of the calcaneal tendon with carbon fibre. J. Bone Joint Surg., 66B:206–208, 1984.
16.
. InglisA.E.ScottW.N.SculcoT.P.PattersonA.H.: Ruptures of the tendo achillis: an objective assessment of surgical and nonsurgical treatment. J. Bone Joint Surg., 58A:990–993, 1976.
17.
. InoueT.TanakaI.ImaiK.HatokoM.: Reconstruction of Achilles tendon using vascularized fascia lata with lateral thigh free flap. Br. J. Plast. Surg., 43:728–731, 1990.
18.
. KatoY.P.DunnM.G.ZawadsksJ.P.TriaA.J.SilverF.H.: Regeneration of Achilles tendon with a collagen tendon prosthesis. J. Bone Joint Surg., 73A:561–573, 1991.
19.
. LeaR.B.SmithL: Nonsurgical treatment of tenoachilles ruptures. J. Bone Joint Surg., 52A:1398–1407, 1972.
20.
. LeitnerA.VoigtCh.RahmanzadehR.: Treatment of extensive aseptic defects in old Achilles tendon ruptures. Foot Ankle, 13:176–180, 1992.
21.
. LevyM.VelkesS.GoldsteinJ.RosnerM.: A method of repair for Achilles tendon ruptures without cast immobilization. Clin. Orthop., 187:199–204, 1984.
22.
. LidmanD.NettJebladH.BerggrenA.RajanS.: Reconstruction of soft tissue defects including the Achilles tendon with free neurovascular tensor fascia lata flap and fascia lata. Scand. J. Plast. Reconstr. Surg., 21:213, 1987.
23.
. LiebermanJ.R.LozmanJ.CzajkaJ.DoughertyJ.: Repair of Achilles tendon rupture with Dacron vascular graft. Clin. Orthop., 243:204–208, 1988.
24.
. LynnT.A.: Repair of the torn Achilles tendon, using the plantaris tendon as a reinforcing membrane. J. Bone Joint Surg., 48A:268–272, 1966.
25.
. MannR.A.HolmesG.B.SealeK.S.CollinsD.N.: Chronic rupture of the Achilles tendon: a new technique of repair. J. Bone Joint Surg., 73A:214–219, 1991.
26.
. NistorL.: Surgical and non-surgical treatment of Achilles tendon rupture: a prospective randomized study. J. Bone Joint Surg., 63A:394–399, 1981.
27.
. OzakiJ.FujikJ.SugimotoK.TamaiJ.Masuharak: Reconstruction of neglected Achilles tendon rupture with Mariix mesh. Clin. Orthop., 238:204–208, 1989.
28.
. ParkerR.G.RepiniczM.: Neglected rupture of the Achilles tendon: treatment by modified Strayer gastrocnemius recession. J. A. P. A., 69:548–555, 1979.
29.
. ParsonsJ.R.RosariaA.WeissA.B.AlexanderH.: Achilles tendon repair with an absorbable polymer-carbon fiber composite. Foot Ankle, 5:49–53, 1984.
30.
. ParsonsJ.R.WeissA.B.SchenkR.S.AlexanderH.PavliskiF.: Long-term follow-up of Achilles tendon repair with polymer-carbon fiber composite. Foot Ankle, 9:179–184, 1989.
31.
. PlattH.: Observations of some tendon ruptures. Br. Med. J., 1:811, 1931.
32.
. RalstonE.SchmidtE.: Repair of ruptured Achilles tendon. J. Trauma, 11:15–21, 1971.
33.
. SimonS.R.MannR.A.HagyJ.L.LarsenL.J.: The role of the posterior calf muscles in normal gait. J. Bone Joint Surg., 60A:465–472, 1978.
34.
. TaylorG.I.WatsonN.: One-stage repair of compound leg defects with free revascularized flaps of groin skin and iliac bone. Plast. Reconstr. Surg., 61:494, 1978.
35.
. TeufferA.P.: Traumatic rupture of the Achilles tendon. Reconstruction by transplant and graft of the lateral peroneus brevis. Orthop. Clinic. North Am., 5:89–83, 1974.
36.
. TobinW.J.: Repair of the neglected ruptured and severed Achilles tendon. Am. Surg., 19:514–522, 1953.
. WapnerK.L.PavlockG.S.: Repair of chronic Achilles tendon rupture with flexor hallucis longus tendon. Presented at the Annual Meeting of the AOFAS, Napa, CA, July 16, 1992.
39.
. WapnerK.L.SheaJ.AllardyceT.HechtP.J.: Anatomic basis for tendon selection in reconstruction of ruptures of the Achilles and posterior tibial tendons. Presented at the Annual Meeting of the AOFAS, Napa, CA, July 17, 1992.
40.
. WeiF C.ChenH C.ChuangC C.NoordhoffM.S.: Reconstruction of Achilles tendon and calcaneus defects with skin-aponeurosis-bone composite free tissue from the groin region. Plast. Reconstr. Surg., 81:579, 1988.
41.
. WhiteR.K.KraynickB.M.: Surgical uses of the peroneus brevis tendon. Surg. Gynecol. Obstet, 108:117–121, 1959.
42.
. ZadikI.: Repair of old rupture of the teno-Achilles by means of fascia lata: report of a case. J. Bone Joint Surg., 22A:1070–1071, 1940.
43.
GilcreestE.: Ruptures and tears of muscles and tendons of the lower extremity: report of 15 cases. J. A. M. A., 100:153, 1933.
44.
JenkinsD.R.H.ForsterI.W.McKibbinB.RalisZ.A.: Induction of tendon and ligament formation by carbon implants. J. Bone Joint Surg., 59B:53–57, 1977.
45.
LawrenceG.H.CaveE.F.O'ConnerH.: Injuries to the Achilles tendon. Experience at the Mass. General Hospital 19001954. Am. J. Surg., 89:795–802, 1955.
46.
LintonP.C.: The conlined medial and lateral gastrocnemius musculocutaneous V-Y island advancement flap. Plast. Reconstr. Surg., 70:490–493, 1982.
47.
LipscombR.R.WakimK.G.: Regeneration of severed tendons: an experimental study. Proc. Mayo Clin., 36:271–276, 1961.
48.
SutherlandD.H.TupperL.DanielD.: The role of ankle plantarflexors in normal walking. J. Bone Joint Surg., 62A:354–363, 1980.
