Chronic Achilles Tendon Ruptures

by Dr Kowshik Jain, FRCS Orth, Dudley Group of Hospitals, NHS Trust

[@arunfiesta]

Would have been better if you could have uploaded a surgical video demonstrating the steps... 👍👍

[@GaleusLeonidus]

thank u jain sir

[@cookiecrunch747]

Well done Koushik.

[@OrthopaedicPrinciples]

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[@cookiecrunch747]

@@OrthopaedicPrinciples I know that!

[@ragnarlothbrock6209]

Can take full length of FHL from knot of Henry then turn it in a tunnel through the calcaneum & suture it on itself to discard the use of interference screw cause of of its cost?

[@shadhenderson6000]

Hey, ruptured my right achilles two weeks ago. The boot was causing a lot of swelling, pain and discomfort from the heat. Found that removing the boot and resting the foot angled down and sideways on a pillow when working during the day eliminated all these issues. However, slightly unsure if this is okej or if it may affect the healing process, could not find anything on it online. So, my question is, is this a sensible thing to do. I'm still using the boot when sleeping and when moving around. Thanks

[@rohitkaware3136]

Why not to use peroneus brevis tendon, it has a more advantage over fhl, fdl by preventing the deformity, morbidity of donor site. In Indian population, people use to walk bare foot on uneven terrain surface they need good plantar grip which is hampered in fhl, fdl transfer. While peroneus brevis has less loss of eversion deformity. In campbell also they mentioned that peroneus brevis has a good strength than fdl, less than fhl.

[@OrthopaedicPrinciples]

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