Abstract
Neglected Achilles tendon ruptures are becoming more common. The etiologies are numerous, often complicating acute ruptures of the undiagnosed calcaneal tendon, whether by ignorance of the pathognomonic signs (loss of the physiological equine in prone position and Thomson’s maneuver) or by erroneous diagnosis of partial rupture often induced by an ultrasound. Also, it can be due to an iterative ruptures or ruptures on a pathological tendon. The treatment is always performed by a surgery. However, techniques are numerous and depend on the indications. We describe in this work the surgical technique of repairing neglected Achilles tendon ruptures according to Bosworth, performed in the Department of Traumatology-Orthopedics and Reconstructive Surgery of the Ibn Rochd University Hospital Center in Casablanca, Morocco.
Highlights
Calcaneal tendon rupture is defined as a loss of continuity of the calcaneal tendon without damage to the overlying integumentary planes
The criterion for the duration of the rupture of the Achilles tendon varies according to the authors, while that used in our study is 4 weeks between the rupture and the treatment [1]
The incidence of neglected Achilles tendon ruptures has been on the rise in recent years, along with the population gain from sports activities
Summary
Calcaneal tendon rupture is defined as a loss of continuity of the calcaneal tendon without damage to the overlying integumentary planes. The criterion for the duration of the rupture of the Achilles tendon varies according to the authors, while that used in our study is 4 weeks between the rupture and the treatment [1]. The incidence of neglected Achilles tendon ruptures has been on the rise in recent years, along with the population gain from sports activities. Surgical treatment is almost always required in the absence of contraindications, but choosing the most appropriate procedure is often difficult due to tendon retraction and the loss of tissue created. We will describe the Bosworth surgical technique described by the author of the same name [5] in the distribution and plasty of neglected Achilles tendon ruptures, used in the department of Traumatology-Orthopedics and Reconstructive Surgery. Corresponding author: Omar Fadili Service de Traumatologie-Orthopédie et de Chirurgie Réparatrice Aile 4, CHU Ibn Rochd de Casablanca, Maroc
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