ArticleJournal of orthopaedic case reports2026
Open Traumatic Achilles tendon Rupture in a Pediatric Patient Managed by Modified Kessler Technique: A Case Report.
Article in Journal of orthopaedic case reports, 2026. 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
Introduction: Open traumatic Achilles tendon rupture is uncommon, particularly in the pediatric population. Unlike closed spontaneous ruptures - which predominantly affect middle-aged adults - sharp lacerating injuries in children pose challenges due to contamination risk and the close relation of neurovascular structures in the posterior ankle.We report a case of complete open Achilles tendon rupture in a 9-year-old boy following a sharp metallic object injury, treated with primary tendon repair using the Modified Kessler technique. This case adds to the limited pediatric literature and may guide clinicians in management of this injury. Case Report: A 9-year-old male child presented with a 3 × 1 × 1 cm contaminated laceration wound over the right posterior ankle following injury by a sharp metallic object. Clinical examination revealed a positive Thompson test and a palpable gap at the Achilles tendon. Primary surgical repair was performed using the modified Kessler technique with epitendinous augmentation under general anesthesia. Conclusion: This case highlights that open Achilles tendon injury can occur in children and prompt surgical repair using the modified Kessler technique yields excellent functional outcomes with an AOFAS ankle-hindfoot score of 95. Pediatric surgeons and orthopedic residents should be aware of this rare but serious injury pattern.
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