{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T18:17:28Z","timestamp":1778696248797,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2019,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Reconstruction of Myerson type III (defect size more than 5 cm) chronic Achilles tendon ruptures (CATRs) is a surgical challenge due to its large Achilles tendon defect. This study aims to describe our operative technique for Myerson type III CATR and its clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>From May 2012 to April 2015, we treated seven patients (6 males, 1 female) with Myerson type III CATR using semitendinosus tendon and gracilis tendon autograft. The mean age was 47.3 years (range: 37\u201356). Patients were followed for a mean time of 31.3 months. All patients\u2019 defect size between Achilles ends after debridement was more than 5 cm and hence classified as Myerson type III. The clinical outcomes were evaluated by visual analog scale (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot score, Achilles tendon total rupture score (ATRS), and the Short Form 36 (SF-36).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All patients reported good postoperative clinical outcomes. The average AOFAS score increased from 54.29 points (range: 46\u201365 points) preoperatively to 97.57 points (range: 90\u2013100 points) at last follow-up. The average ATRS increased from 51.43 points (range: 40\u201361 points) preoperatively to 92.71 points (range: 83\u2013100 points) at last follow-up. And the average VAS for pain was 0 at the last follow-up. The mean value of SF-36 physical increased from 32.14 points (range: 25\u201335 points) to 90 points (range: 80\u201395 points). And the mean value of SF-36 mental was improved from 37.14 points (range: 32\u201340 points) to 90.86 points (range: 84\u201396 points).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Semitendinosus tendon combined gracilis tendon autograft is a safe and effective technique in the reconstruction of Myerson type III CATR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499019832717","type":"journal-article","created":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T22:57:04Z","timestamp":1551221824000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Reconstruction of Myerson type III chronic Achilles tendon ruptures using semitendinosus tendon and gracilis tendon autograft"],"prefix":"10.1177","volume":"27","author":[{"given":"Xian-Jun","family":"Jiang","sequence":"first","affiliation":[{"name":"The First Clinical College, Zhejiang Chinese Medical University, Hangzhou, China"},{"name":"Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian-Jian","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Affiliated Cixi Hospital of Wenzhou Medical University, Cixi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie-Feng","family":"Huang","sequence":"additional","affiliation":[{"name":"The First Clinical College, Zhejiang Chinese Medical University, Hangzhou, China"},{"name":"Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei-Jian","family":"Tong","sequence":"additional","affiliation":[{"name":"The First Clinical College, Zhejiang Chinese Medical University, Hangzhou, China"},{"name":"Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 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