Open Access
CC BY-NC-ND 4.0 · Indian J Plast Surg 2019; 52(01): 109-116
DOI: 10.1055/s-0039-1687923
Review Article
Association of Plastic Surgeons of India

Management of Chronic Achilles Tendon Injuries—Review of Current Protocols and Surgical Options

Madhu Periasamy
1   Department of Plastic Surgery, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India
,
Hari Venkatramani
1   Department of Plastic Surgery, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India
,
Raja Sabapathy Shanmuganathan
1   Department of Plastic Surgery, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India
› Author Affiliations
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Publication History

Publication Date:
02 May 2019 (online)

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Abstract

Chronic Achilles tendon injury is a challenging problem. A review of the different options available and their technical considerations is required. Reconstruction of the Achilles tendon depends on numerous factors such as the gap between the debrided tendon ends, the presence of a distal stump, and the and presence of scar tissue. Various protocols have been described for reconstruction. Methods of reconstruction vary from direct repair, bridging of the tendon gap with tendon grafts or tendon transfers. We review and enumerate the different protocols enumerated for the reconstruction of chronic Achilles tendon lesions in the literature and look at the authors preferred methods of reconstruction