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Volume 12 Issue 4 ( October-December ) 2023

Original Articles

Repair Of Chronic Achilles Tendon Rupture Using Krackow Suture Technique
Dr. Sridhar Garikapati

Background and Objectives: Achilles Tendon Ruptures are common tendon injuries that occur due to sudden dorsiflexion of a plantar flexed foot, mostcommonly associated with sporting events. Diagnosis can be made clinically with weakness of plantar flexion with a positive Thompson's test. MRI studies may be indicated for surgical management of chronic injuries. Treatment may be nonoperative or operative depending on patient age, patient activity demands and chronicity of injury. A large number of ruptures of the Achilles tendon occurs in the watershed hypo-vascular regionof the tendon which is approximately 2–6 cm proximal to the insertion of tendon at calcaneum. Chronic Achilles tendon rupture in the watershed area makes end to end repair of tendon less feasible and the neglected distal stump is often inapt for repair. A number of surgical techniques have been described for repair of chronic Achilles tendon. Our study was conducted with the objective of determining the efficacy and functional outcome of Krackowtechnique.

 
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