{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:15Z","timestamp":1789290315951,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nAcute Achilles tendon rupture may present intraoperatively with severely frayed and macerated tendon ends (\u201cmop-end\u201d), which can compromise primary repair strength and increase the risk of gap formation.\n\nCase Report:\nA 43-year-old male sustained a right Achilles tendon rupture during recreational football. Ultrasound confirmed a complete rupture. Open surgical repair was performed 6 days after injury. Intraoperatively, both tendon ends were severely frayed with a classic \u201cmop-end\u201d appearance. Repair was performed using the Krackow locking-loop technique with non-absorbable polypropylene sutures, reinforced with a circumferential running polypropylene suture. A viable interposed local soft tissue, consistent with traumatically avulsed tissue arising from the distal gastrosoleus musculotendinous complex, was identified. Rather than discarding this tissue, the tissue was preserved and sutured directly over the repaired tendon, where it served as a biological onlay augmentation layer \u2013 a strategy we term \u201copportunistic biological augmentation,\u201d defined here as the preservation and utilization of viable local soft-tissue encountered intraoperatively that would conventionally be discarded.\n\nResults:\nAt 3-year follow-up, the patient achieved full return to competitive football with no pain or functional limitation. The Achilles Tendon Total Rupture Score was 100\/100.\n\nConclusion:\nKrackow repair with circumferential suture reinforcement combined with preservation of viable local soft tissue may provide additional biological support for healing in selected cases with poor tendon tissue quality, while avoiding donor-site morbidity and additional tissue harvest.\n\nKeywords:\nAchilles tendon rupture , Krackow repair , mop-end , suture augmentation , opportunistic biological augmentation , intraoperative decision-making , poor tissue quality , tendon healing , return to sport<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i09.8096","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:19:37Z","timestamp":1788952777000},"page":"367-373","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Opportunistic Biological Augmentation during Acute Achilles Tendon Repair: A Novel Surgical Concept With Three-Year Follow-Up\u2014A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Ahmed Alsaedawy A.","family":"Albeshlawy","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Khafji General Hospital, Khafji, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:22Z","timestamp":1789289122000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/09\/opportunistic-biological-augmentation-during-acute-achilles-tendon-repair-a-novel-surgical-concept-with-three-year-follow-up-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i09.8096","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i09.8096","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}