DOI: 10.36347/sjmcr.2023.v11i08.017

Pages: 1487-1492

The old rupture of the calcaneal tendon can be explained by a lack of knowledge of the initial diagnosis, an ultrasound falsely reassuring or after the failure of an initial treatment. Before the third week, the direct suture is frequently possible. The chronic rupture is between the third week and the third month. Calcaneal tendon lengthening techniques can then be indicated if the loss of substance, which exceeds 2.5 cm. After three months, tendon retraction requires tendon reconstruction or transfer for treat the old break. A surgical indication can be justified in case of pain, instability or when autonomy may be compromised in the elderly subject. Many surgical techniques have been described. They use tendon transfers, autografts or synthetic ligaments. The repair technique using a reversal aponeurosis of the triceps sural was popularized by Bosworth.