management of chronic ruptures of the achilles tendon by nicola maffulli, and adam ajis j bone joint...
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![Page 1: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/1.jpg)
Management of Chronic Ruptures of the Achilles Tendon
by Nicola Maffulli, and Adam Ajis
J Bone Joint Surg AmVolume 90(6):1348-1360
June 1, 2008
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/2.jpg)
Typical appearance of a chronic rupture of the Achilles tendon.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/3.jpg)
A real-time, high-resolution longitudinal ultrasound scan of a seventeen-week-old chronic rupture of the Achilles tendon in a fifty-five-year-old man.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/4.jpg)
Sagittal magnetic resonance imaging scan of a fifteen-week-old chronic rupture of the Achilles tendon in a fifty-one-year-old man.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/5.jpg)
The use of a free gracilis tendon to reconstruct an Achilles tendon with a chronic rupture.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/6.jpg)
Figs. 5-A through 5-D Performance of a z-shortening procedure for the treatment of a chronic Achilles tendon tear that had healed in continuity.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/7.jpg)
The distal limb is being shortened.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/8.jpg)
A line drawing depicting the z-shortening procedure.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/9.jpg)
The completed procedure.
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/10.jpg)
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/11.jpg)
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.
![Page 12: Management of Chronic Ruptures of the Achilles Tendon by Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am Volume 90(6):1348-1360 June 1, 2008 ©2008](https://reader036.vdocuments.us/reader036/viewer/2022062423/5697c0251a28abf838cd519a/html5/thumbnails/12.jpg)
Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360
©2008 by The Journal of Bone and Joint Surgery, Inc.