Surgical Strategy for the Chronic Achilles Tendon Rupture

Figure 4

A 30-year-old male. The interval from rupture to surgery was 22 weeks. Preoperative MRI showed chronic Achilles tendon rupture (arrow) (a, b). Length of gap (double-headed arrow) was 9 cm, a lot of scar tissue located stump area, and it was difficult to perform V-Y advancement (c). Gastrocnemius fascial turndown flap performed (d, e). Sutured with the stump and adjusted the tension (f). The position of ankle was similar to the other side after surgery (g). MRI showing fusiform-shaped tendon thickening and homogeneous low-signal at 1 year postoperatively (arrow) (h, i).

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