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Achilles Tendon Analysis

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The surgical management of acute Achilles tendon rupture includes percutaneous repair or open repair and is typically the preference of the orthopedic surgeon and the patient (Longo, Petrillo, Maffulli, & Denaro, 2013). Surgical repair of the Achilles tendon permits the surgeon to physically reduce the distance between the ruptured tendon ends, which allows for decreased scar tissue formation and increased tendon healing (Cooper, 2015). For the past two decades, surgical repair has been mainly reserved for athletes, patients who are younger in age, and patients who delayed seeking treatment for a previous rupture (Longo, Petrillo, Maffulli, & Denaro, 2013). It is recommended that physicians be judicious with surgical treatment in patients with diabetes, neuropathy, and peripheral vascular disease…show more content…
This approach allows the surgeon to expose and directly visualize the tendon. The open repair procedure has been associated with complications such as post-operative infection, adhesions, suture reactions, hematoma formation, and incisional neuromas (Karabinas et al., 2014). Percutaneous surgical repair was introduced in 1977 with confidence that the procedure would improve upon the open repair surgery. This improvement would be accomplished by providing a lower re-rupture rate and greatly diminish post-operative complications such as surgical wound infection (Cooper, 2015). Percutaneous surgical repair of the Achilles tendon traditionally involves creating six small incisions along the medial and lateral borders of the tendon in order to suture the tendon and attenuate the rupture gap (Longo, Petrillo, Maffulli, & Denaro, 2013). Surgical complications associated with percutaneous repair of the Achilles tendon most often consist of sural nerve injury and neuroma formation (Karabinas et al.,
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