Surgical Strategy for the Chronic Achilles Tendon Rupture

Figure 3

A 23-year-old male. The interval from rupture to surgery was 7 weeks. Preoperative MRI showed chronic Achilles tendon rupture (arrow) (a, b). Length of gap (double-headed arrow) was 9 cm after scar tissue debridement (c). V-Y advancement performed (d). Wound healed (e). MRI showing inflammation (arrow) at 6 weeks of follow-up (f, g). MRI showing fusiform-shaped tendon thickening and homogeneous low-signal at 1 year postoperatively (arrow) (h, i).

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