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Órgano Oficial del Hospital Ángeles Health System
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2026, Number 4

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Acta Med 2026; 24 (4)

Chronic Achilles tendon rupture treated with repair and augmentation using plantaris muscle and gastrocnemius turndown flap

Ochoa CR, Cañizares CMS, Flores VRI
Full text How to cite this article 10.35366/123512

DOI

DOI: 10.35366/123512
URL: https://dx.doi.org/10.35366/123512

Language: Spanish
References: 5
Page: 449-451
PDF size: 1181.93 Kb.


Key words:

Achilles tendon, rupture, turndown flap.

ABSTRACT

Introduction: the Achilles tendon is the strongest tendon in the body; however, it is prone to a lot of tears, this due to the significant loading forces to which it is subjected, especially when performing physical activity. Achilles tendon ruptures that are not treated or diagnosed until four weeks after the injury are called chronic ruptures and require surgical treatment. Clinical case: in this article we present a chronic calcaneal tendon injury treated by repair, augmentation with the plantaris muscle and turndown flap of the gastrocnemius. Conclusion: there are several treatment alternatives for a chronic Achilles tendon rupture on this occasion the option with better functional results was chosen.


REFERENCES

  1. Kraeutler MJ, Purcell JM, Hunt KJ. Chronic Achilles tendon ruptures.Foot Ankle Int. 2017; 38 (8): 921-929.

  2. Flint JH, Wade AM, Giuliani J, Rue JP. Defining the terms acute andchronic in orthopaedic sports injuries: a systematic review. Am J SportsMed. 2014; 42 (1): 235-241.

  3. Raju S, Singhi PK, Somashekar V, Ajari A, Chidambaram M. Longtermoutcomes of gastrocnemius V-Y plasty gastrosoleus fascialturndown flap for chronic tendo-Achilles injuries with complex gap(Kuwada type IV injuries). Indian J Orthop. 2021; 56 (3): 421-428.doi: 10.1007/s43465-021-00475-6.

  4. Bai L, Guan S, You T, Zhang W, Chen P. Comparison of gastrocnemiusturn flap and hamstring graft for the treatment of Kuwada type 3chronic ruptures of the Achilles tendon: a retrospective study. OrthopJ Sports Med. 2019; 7 (12): 2325967119887673.

  5. Nambi GI, Salunke AA, Pathak S, Sahijwani H, Menon P, ChaudhariM et al. “Repair and flap technique”: a retrospective analysis of singlestage reconstruction method for treatment of chronic open Achillestendon defect with proximal turndown flap and reverse sural flap.Indian J Orthop. 2020; 55 (Suppl 1): 149-156.




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Acta Med. 2026;24