2. Introduction
⢠Acute rupture of TA
â Often overlooked as âsprainâ
â Missed in up to 25%
â Most common: M 30-40
â Risk factors: âweekend worriorsâ, smoking,
fluoroquinolone, steroids
â 4-6 cm above calcaneal insertion in hypovascular
region
3. Management â Conservative vs
Operative
⢠Conservative
â Funtional
bracing/casting in
equinus
â Surgeon/patient
preference
â Equivalent plantar
flexion strength vs
surgical treatment
â AVOIDS WOUND
COMPLICATIONS
â NO DIFFERENCE IN RE-
RUPTURE RATES AS PER
RECENT LEVEL 1
EVIDENCE
⢠Operative
â End-to-end open repair vs
percutaneous(sural n injury)
â Only for acute
ruptures(<6/52)
â VY advancement/tendon
transfer for chronic tears
â No difference in plantar
flexion strength vs
conservative treatment
â Wound problems in 5-10%
â Further surgeries required to
debride infected/necrotic
tendon in deep infections
â Does NOT avoid
bracing/casting/immobilizatio
n