This case comes from Dr. Amber Shane, DPM, of Orlando, Florida:

A 37 year-old male initially presents with a full-thickness Achilles Tendon rupture from a basketball jumping injury 3 days ago. The patient underwent end-to-end open primary repair.  Full healing of the surgical site occurred at two weeks with a normal postoperative course. Four weeks from the date of surgery the patient was using a knee scooter without his boot and fell from the scooter on the surgical limb subsequently ruptured the Achilles proximal to the repair. The patient then proceeded to the OR for repair. Greater than a 6 centimeter deficit was created from the rupture and disrupted previous repair. Therefore, a turn down technique was utilized from gastrocnemius aponeurosis to repair the deficit, an amnio membrane was placed over the repair to decrease adhesions and inflammation.  Images attached.

Dr. Shane’s recommended articles: heikkinen2016 and seker2016

How do you treat your Achilles tendon ruptures?  Please share!

Physician Bio:

Dr. Amber Shane is a diplomate of the American Board of Foot and Ankle Surgery and board certified in Reconstructie Rearfoot/Ankle Surgery.  Dr. Shane practices in Orlando, Florida at Florida Hospital East, Orlando Health, and Orlando Center for Outpatient Surgery.  Dr. Shane completed an External Fixation Fellowship at the Russia Ilizarov Scientific Center for Restorative Traumatology and Orthopedics in Russia as well as the AO International Internal Fixation Fellowship at Carl Gustav Carus University Clinic for Trauma and Reconstructive Surgery in Germany.

Dr. Shane’s practice focuses on reconstructive foot and ankle surgery, limb realignment and deformity correction, adult and pediatric flatfoot surgery, and diabetic limb salvage.

Dr. Shane enjoys spending time with her her husband, Christopher Reeves, DPM, and their two sons.  She and her family are big Michigan football fans and love listening to Metallica!

For more information on Dr. Amber Shane or to submit a case and bio, please contact Lisa Viele, lviele@bespaglobal.com