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Case Reports
. 2022 Dec 8;14(12):e32325.
doi: 10.7759/cureus.32325. eCollection 2022 Dec.

Case Series Report: Reconstruction of Chronic Achilles Tendon Rupture With Semitendinosus Autograft Combined With Vulpius Technique

Mihail Vuldzhev  1 , Jerome Linkwinstar  1 , Filip Koynarski  1
Affiliations
Case Reports

Case Series Report: Reconstruction of Chronic Achilles Tendon Rupture With Semitendinosus Autograft Combined With Vulpius Technique

Mihail Vuldzhev et al. Cureus. .

Abstract

We present five patients with chronic ruptures of the Achilles tendon and a defect larger than 6 cm. The average age of patients was 47 years. The interval between the rupture and treatment was between two and seven months. The size of the defects was between 6 and 12 cm, determined by magnetic resonance imaging (MRI) and/or ultrasound. All patients had an inability to step on the patient's limbs, a positive Thompson's symptom, difficulty walking and calf atrophy. Here, we evaluated the surgical results of semitendinosus autograft combined with Vulpius lengthening of the gastrocnemius in the treatment of chronic Achilles tendon rupture with a defect larger than 6 cm during medium-term follow-up.

Keywords: achilles tendon; chronic rupture; lengthening; semitendinosus graft; vulpius technique.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Intraoperative view after blunt dissection
Figure 2
Figure 2. Length of semitendinosus graft
Figure 3
Figure 3. Single semitendinosus graft passed through stumps four times bridging the defect
Figure 4
Figure 4. Final view of reconstruction after augmentation with Semitendinosus tendon
Figure 5
Figure 5. Clinical outcomes for subcategories
See this image and copyright information in PMC

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