Table of Contents
Advances in Orthopedic Surgery
Volume 2014, Article ID 729397, 6 pages
Clinical Study

Management of Neglected Achilles Tendon Division: Assessment of Two Novel and Innovative Techniques

1Department of Plastic Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India
2Department of Plastic Surgery, Institute of Postgraduate Medical Education & Research, Kolkata 700020, India

Received 31 August 2013; Revised 11 December 2013; Accepted 2 January 2014; Published 12 February 2014

Academic Editor: Mel S. Lee

Copyright © 2014 Pradeep Jain et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. Repair of injured Achilles tendon in neglected cases is one of the difficult and challenging procedures for surgeon. Here, we share our experience with the use of two innovative techniques for repair of chronic rupture of Achilles tendon. Design. Prospective Study. Setting. Tertiary care hospital. Patients. Twelve patients with chronic Tendo Achilles rupture were followed up over a period of three to five years. Intervention. Patients were divided in two groups, A and B. In Group A, the repair was done with Gastroc-soleus turndown flap and weaving with Plantaris tendon graft and in Group B, with modified Kessler’s technique strengthened with the free plantaris tendon graft. Outcome Assessment. Clinically and by Modified Rupp Scoring system. Results. At an average follow-up of 4 years (Group A, 3.7 and Group B, 4.4 years), the majority of the patients had excellent to good results as assessed with Modified Rupp Scoring with few minor complications in both the groups. There was no significant difference in the baseline variables such as age and gender and also in the Rupp’s score between the two groups. Conclusion. The two techniques are novel and simple and have been found to be useful for repair of chronically ruptured Achilles tendon.