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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.

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Presentation on theme: "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."— Presentation transcript:

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 by The Journal of Bone and Joint Surgery, Inc.

2 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.

3 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.

4 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.

5 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.

6 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.

7 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.

8 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.

9 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.

10 Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360 ©2008 by The Journal of Bone and Joint Surgery, Inc.

11 Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360 ©2008 by The Journal of Bone and Joint Surgery, Inc.

12 Nicola Maffulli, and Adam Ajis J Bone Joint Surg Am 2008;90:1348-1360 ©2008 by The Journal of Bone and Joint Surgery, Inc.

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