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DOI: 10.1055/a-1073-8516
Reconstruction of Complicated Achilles Tendon Ruptures with Soft Tissue Defects – a Systematic Overview and Development of a Treatment Algorithm
Article in several languages: English | deutsch![](https://www.thieme-connect.de/media/zfo/202103/lookinside/thumbnails/10-1055-a-1073-8516_ou5491_en-1.jpg)
Abstract
Achilles tendon ruptures are among the most common ruptures of large tendons. Due to the vulnerable soft tissue there is a high risk of soft tissue defects. The combination of Achilles tendon ruptures and soft-tissue defects remains a challenge for the surgeon. Despite different treatment options there is a lack of structured treatment recommendation. By means of a systematic literature review and experience from our own clinic standard, an overview of the stepwise treatment options is presented. A treatment algorithm for reconstructive measures of Achilles tendon ruptures accompanied by soft-tissue defects according to the length of defect of the Achilles tendon, the size of the soft-tissue defect and patient-individual factors is developed. This is intended to serve the surgeon as a basis for decision making prior to application of therapy.
Publication History
Article published online:
20 January 2020
© 2021. Thieme. All rights reserved.
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