ArticleMalaysian orthopaedic journal2025
Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report.
Article in Malaysian orthopaedic journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
The Achilles tendon rupture often present as a significant clinical challenge. We present a complex case of chronic Achilles tendon rupture complicated by infection and segmental loss after failed primary repair. The patient underwent meticulous debridement, reconstruction using Baker's U-lengthening technique with augmentation using plantaris tendon. Tension-relieving sutures and a biosynthetic graft [Artelon® Flexband] were used for enhanced support. Post-operatively, a structured rehabilitation program was implemented, leading to successful healing with full weight-bearing capability at 12 weeks, with improved ankle function and no evidence of contracture. The utilisation of Baker's U-lengthening, along with adjunctive measures, proved effective in managing this challenging case. This report highlights the importance of a multidisciplinary approach, incorporating orthopaedic, infectious disease, and rehabilitation specialists in the comprehensive management of complex Achilles tendon injuries.
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