Treatment of chronic tendoachilles ruptures with triple bundle suturing technique and an early rehabilitation program was analyzed in this study. Patients included in the study were, 18 years old and above, and those with tendoachilles ruptures of more than 4 weeks. Excluded were patients with multiple injuries, previous tendoachilles injuries, inability to follow rehabilitation protocol and patients whose tendons could not be apposed. Tendons were debrided after which they were repaired with triple bundle suturing technique. Ankle motion and weight bearing using an ankle foot orthosis was started the next postoperative day. We had 16 patients with an average age of 40 years and a 2:1 male predominance. Chronicity of the rupture averaged 2.85 months (range, 1-10 months). Full weight bearing was on the average tolerated by the patient on the second day. Evaluation on the 6th week based on a modified ankle scoring system; 8 (50%) patients were excellent; 6 (37.5%) patients were good; and 2 (12.5%) patients were fair. At the 3rd month; 15 (94%) patients had excellent and 1 (6.2%) had a fair results. Thompson's testing and ultrasound imaging showed no re-ruptures. We encountered wound dehiscence and ankle stiffness in two separate cases. Despite the chronicity of the tendoachilles rupture of our patients, we noted that this new suturing technique provided our patients with a repair that was strong enough to resist the forces of early motion and ambulation.
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