Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report.

IF 0.6 Q4 ORTHOPEDICS

Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI:10.5704/MOJ.2507.017

M S Ahmad-Ismani, J S Chong, M A Hj-Salleh, Mas Ayeop, A Che-Ahmad

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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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处理感染性跟腱断裂伴节段性丧失的复杂病例的经验：1例报告。

跟腱断裂通常是一个重要的临床挑战。我们提出一个复杂的病例慢性跟腱断裂并发感染和节段性损失后失败的初步修复。患者接受了细致的清创术，使用Baker's u型延长技术和跖腱增强技术进行重建。使用张力缓解缝线和生物合成移植物[Artelon®Flexband]来增强支持。术后，实施有组织的康复计划，在12周时成功愈合，完全能够负重，踝关节功能改善，无挛缩迹象。事实证明，利用Baker的u型延长技术以及辅助措施，在处理这一具有挑战性的情况下是有效的。本报告强调了多学科方法的重要性，将骨科、传染病和康复专家纳入复杂跟腱损伤的综合管理。

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来源期刊

Malaysian Orthopaedic Journal ORTHOPEDICS-

CiteScore

1.30

自引率

0.00%

发文量

104

审稿时长

24 weeks

期刊介绍： The Malaysian Orthopaedic Journal is a peer-reviewed journal that publishes original papers and case reports three times a year in both printed and electronic version. The purpose of MOJ is to disseminate new knowledge and provide updates in Orthopaedics, trauma and musculoskeletal research. It is an Open Access journal that does not require processing fee or article processing charge from the authors. The Malaysian Orthopaedic Journal is the official journal of Malaysian Orthopaedic Association (MOA) and ASEAN Orthopaedic Association (AOA).