Reconstruction of neglected chronic tendoachilles tear healed in continuity: surgical technique

Documented cases of chronic tend Achilles tears which have healed in continuity are essentially unreported in literature (line 1 changed). Diagnosis in chronic tears is based predominantly on history and clinical examination. These injuries present usually as impairment of ankle plantar flexion. Thickened scar tissue commonly bridges the rupture site in an attempt at repair. Most surgeons agree that chronic ruptures should be managed operatively (delete). Many surgical techniques are described to repair chronic tears of tend Achilles with gap. However, techniques for chronic tears that have healed in continuity are sparse in the literature. We describe the surgical technique of reconstruction of such a chronic tear that had healed in continuity.