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The first 25 slides, exactly as they appear. The full deck has 64 content slides.
Orthopaedics
Achilles Tendon Rupture
Built from Tang — Orthopaedic Trauma Vol 2: Lower Extremity
What’s inside
9 sections · 64 slides
Overview
- What this deck will teach you
The tendon and how it fails
Anatomy, blood supply, and the mechanics of rupture
- What is an Achilles tendon rupture?
- Function of the tendon and the usual rupture site
- The rupture in numbers
- Why open surgery alone is not the whole answer
- Wound break-down after open repair
- Applied anatomy: the strongest tendon in the body
- No sheath, but a living wrapper that feeds the tendon
- Peritendinous tissue and its blood vessels
- Blood supply: why the mid-tendon is a weak spot
- Mechanism: a degenerated tendon snaps under sudden load
Classification and diagnosis
Timing after injury and reading the bedside signs
- Timing drives everything: three injury stages
- What the tendon looks like at each stage
- Clinical assessment: history and symptoms
- Physical examination: the two key tests
- Do not miss it: why ruptures get overlooked
- Radiographic evaluation: confirming the tear
- MRI of a complete Achilles tendon rupture
Principles of treatment
Surgery versus conservative care, and matching repair to stage
- Surgery or cast? A genuine controversy
- Khan et al. 2005 meta-analysis: 12 RCTs, 800 patients
- What the meta-analysis means for practice
- 301 Hospital: who gets which treatment
- Matching the repair to the injury stage
Open Krackow repair
The reference open technique, step by step
- Set-up: positioning, anaesthesia and timing
- Choosing the incision: three approaches
- The sural nerve around the foot and ankle
- Exposure: protect the blood supply
- Suturing with the Krackow locking stitch
- Open Krackow repair - exposure and tendon suturing
- Open Krackow repair - closure and immobilisation
- Closure, drainage and immobilisation
Postoperative rehabilitation
Protect the repair early, then reload it in stages
- The rehab principle: balance protection and movement
- Rehabilitation after Achilles repair
Minimally invasive repair
From Ma-Griffith to the channel-assisted CAMIR system
- The promise and the problem of going percutaneous
- The Achillon device: a cautionary tale
- Suture methods compared
- Building a better tool: the modified Bunnell stitch
- Classic and modified Bunnell suture methods
- The CAMIR system: five technical innovations (1-3)
- The CAMIR system: five technical innovations (4-5)
- The CAMIR suturing system
- Performing CAMIR for an acute rupture
- CAMIR procedure - creating the safe suture channel
- CAMIR procedure - passing and tying the suture
Subacute and chronic repairs
When the tendon has already shortened
- Subacute rupture: Abraham's V-Y lengthening
- Abraham's V-Y lengthening for subacute rupture
- Chronic rupture: the Lindholm flap reconstruction
- Lindholm flap repair for chronic rupture
- Reinforcement and repairing tendon defects
Experience, lessons and summary
A special pitfall and the take-home messages
- Watch for hormone-related spontaneous rupture
- Three ideas to remember
- Summary: the whole topic on one slide
- References (1/2)
- References (2/2)
- Orthopaedic Trauma Surgery - Volume 2: Lower Extremity