Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008.

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Presentation transcript:

Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6): 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: ©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: ©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: ©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: ©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: ©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: ©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: ©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: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.