Citation Information :
Senthil V. Primary End-end Tendo-Achilles Repair for Defect of 7 cm: A Case Report with Literature Review. J Foot Ankle Surg Asia-Pacific 2024; 11 (1):38-41.
Achilles tendon evolved in humans as a consequence of bipedal gait. We report a case of neglected tendo-Achilles injury in a 32-year-old female. Magnetic resonance imaging (MRI) showed a defect of 3.5 cm, about 5.5 cm from the calcaneal attachment. On debridement, a defect of 7 cm was found intraoperatively. It was repaired end-to-end with ultra braid suture with Krackow 90° locking stitch with gift box configuration along with V-Y plasty. Paratenon suturing was done to reinforce the repair. Now the patient is at an 18-month follow-up, showing intact repair in MRI and full weight-bearing. In our case, we want to bring out the mechanical properties of tendo-Achilles. Mechanical properties of tendo-Achilles with emphasis on its viscoelastic nature and repair in a high amount of tension produced good strong repair and functional outcome at final follow-up.
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