Achilles tendon rupture
Introduction
Incidence : less than 2%
Most common site - 2~6cm from the insertion site
- due to poor vascularity (especially in lateral side)
Indirect trauma > direct trauma
Mechanism
- Sharp unexpected dorsiflexion
- Violent dorsiflexion as in a fall from a height
- Pushing off with the weight bearing forefoot while extending the knee
- Degeneration (age, fluoroquinolone, steroid…)
Surgical Options
Acute vs Chronic (48hr, 4-6w, 3m…)
Defect Size (3cm, 6cm…)
Various techniques
Approach
Open
Mini-open
Percutaneous
Surgical Options
Surgical Options
Surgical Options
Surgical Options