The incidence of tendo-achilles
rupture in the patients 30-40 years of age is increased specially in athletics
to reach 75% of all cases. The tendon rupture is called neglected when the
treatment is delayed more than four weeks from the date of injury.
The percentage of misdiagnosis of
Achilles tendon ruptures may reach 20%. The delay in treatment of AT ruptures
results in soft
tissue retraction with degeneration of the tendon filling the gap between
the ruptured ends with fibrotic scar tissue which leads to marked functional
disability.
In neglected or chronic ruptures
of Achilles Tendon (AT), the retraction and atrophy of the tendon ends create a
gap filled with scar tissue and fibrosis which make the reconstruction
difficult. The extent of the gap and the potential recovery of the muscle are
factors that affect the repair after reconstruction.
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