Achilles tendon recurrent rupture following surgical repair: report on two cases.
BACKGROUND
Rerupture is a main complication in Achilles tendon rupture surgery, with an incidence of 2-8%. Although wound break-down and rerupture are well known complications, spontaneous open rerupture has not been previously reported to the authors' knowledge.


METHODS
We report on two cases of open rerupture of Achilles tendon following augmented repair, through a transverse wound perpendicular to the primary incision line. Reruptures occurred 80 and 54 days after primary repair.


CONCLUSIONS
After surgical repair long term follow-up results are good in both cases. This complication could be related to subtotal closure of the paratenon due to the bulk of the augmented repair and to an inadequate and a too extended period of postoperative ankle immobilization.
García-Germán
Diego
D
Hospital Universitario de Getafe, Madrid, Spain. diegoggerman@gmail.com
Rubio-Quevedo
Rafael
R
Lopez-Goenaga
Javier
J
Martin-Guinea
Javier
J
D000125:Achilles Tendon / Q000293:injuries*; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects*; D020127:Recovery of Function; D012008:Recurrence; D012086:Reoperation; D012421:Rupture; D013708:Tendon Injuries / Q000601:surgery*; D016896:Treatment Outcome