Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report
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-lengt...
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| Format: | Article |
| Language: | English |
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Malaysian Orthopaedic Association
2025-07-01
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| Series: | Malaysian Orthopaedic Journal |
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| Online Access: | https://www.morthoj.org/2025/v19n2/achilles-tendon-rupture.pdf |
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| author | Ahmad-Ismani MS Chong JS Hj-Salleh MA Ayeop MAS Che-Ahmad A |
| author_facet | Ahmad-Ismani MS Chong JS Hj-Salleh MA Ayeop MAS Che-Ahmad A |
| author_sort | Ahmad-Ismani MS |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e55fd8ae69894a028c6c6ed7885d604f |
| institution | Kabale University |
| issn | 1985-2533 2232-111X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj-art-e55fd8ae69894a028c6c6ed7885d604f2025-08-20T04:02:09ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2025-07-011921510.5704/MOJ.2507.017Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case ReportAhmad-Ismani MS0Chong JS1Hj-Salleh MA2Ayeop MAS3Che-Ahmad A4Department of Orthopaedics, Sultan Ahmad Shah Medical Centre, Kuantan, MalaysiaDepartment of Orthopaedics, Sultan Ahmad Shah Medical Centre, Kuantan, MalaysiaDepartment of Orthopaedics, Sultan Ahmad Shah Medical Centre, Kuantan, MalaysiaDepartment of Orthopaedics, Sultan Ahmad Shah Medical Centre, Kuantan, MalaysiaDepartment of Orthopaedics, Sultan Ahmad Shah Medical Centre, Kuantan, MalaysiaThe 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.https://www.morthoj.org/2025/v19n2/achilles-tendon-rupture.pdfachilles tendon ruptureachilles tendon segmental lossbaker’s u-lengthening |
| spellingShingle | Ahmad-Ismani MS Chong JS Hj-Salleh MA Ayeop MAS Che-Ahmad A Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report Malaysian Orthopaedic Journal achilles tendon rupture achilles tendon segmental loss baker’s u-lengthening |
| title | Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report |
| title_full | Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report |
| title_fullStr | Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report |
| title_full_unstemmed | Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report |
| title_short | Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report |
| title_sort | experience in managing a complex case of infected achilles tendon rupture with segmental loss a case report |
| topic | achilles tendon rupture achilles tendon segmental loss baker’s u-lengthening |
| url | https://www.morthoj.org/2025/v19n2/achilles-tendon-rupture.pdf |
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