Technique tip: avoiding wound complications after neglected achilles tendon repair using a tissue expansion technique.

摘要

The Achilles tendon is the most commonly ruptured tendon in the human body. This is likely due in part to the increased popularity of endurance sports, such as running and jogging, that lead to chronic overuse of the tendon. Whether treatment by conservative or operative means is superior remains a controversial matter. Operative repair of Achilles tendon ruptures, especially neglected ones, poses a unique set of operative challenges for the surgeon. Many postoperative complications are associated with this surgery, including wound infection, seroma, sural nerve entrapment, fibrotic reaction, and re-rupture of the tendon. Most notable, however, is the high rate of wound complications.