{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:31:08Z","timestamp":1787754668045,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"14","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2016,7,20]]},"abstract":"\n Background:<\/jats:title>\n An infected Achilles tendon after tendon repair is particularly difficult to treat because of the poor vascularity of the tendon as well as the thin surrounding soft tissue. For treatment of an infected Achilles tendon following tendon repair, we first focused on complete debridement and then promoted fibrous scar healing of the Achilles tendon using functional treatment.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n We retrospectively reviewed all of the medical records of 15 tertiary referral patients with postoperative infection of the Achilles tendon occurring between 2007 and 2012. The mean follow-up time was 33 months (range, 22 to 97 months). The infected tissue and the necrotic tendon were debrided, and the ankle was placed in a short leg splint for 2 weeks. The splint was then replaced with an ankle brace for the next 4 weeks. Partial weight-bearing was allowed immediately, and full weight-bearing was allowed at 2 weeks postoperatively. We assessed and recorded the physical parameters such as the range of motion, calf circumference, ability to perform a single-limb heel rise, patient satisfaction, and Arner-Lindholm scale. Laboratory tests, postoperative ultrasonography, and isokinetic plantar flexion power tests were also performed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n At a mean time of 17 days (range, 8 to 30 days) after debridement, infection signs such as discharge from the wound, redness, and local warmth resolved. The wound had healed and the stitches were removed at a mean of 17 days following the wound repair. At the time of the latest follow-up, there were no signs of active infection. Achilles tendon continuity recovered in all patients by fibrous scar healing. Compared with the contralateral side, there was no difference in the ankle range of motion in 8 patients. According to the Arner-Lindholm scale, 9 of the 15 results were excellent and 6 were good. Ten patients were able to perform a single-limb heel rise. Eleven of 15 patients returned to their pre-injury recreational activities. Diffuse homogeneous echotexture of the Achilles tendon with continuity was observed on the ultrasonographic examination.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n In this retrospective series, radical debridement, combined with antibiotic therapy and functional rehabilitation, was successful in eradicating infection and maintaining function in patients with postoperative infection following Achilles tendon repair.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence:<\/jats:title>\n \n Therapeutic\n Level IV<\/jats:underline>\n . See Instructions for Authors for a complete description of levels of evidence.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.15.01117","type":"journal-article","created":{"date-parts":[[2016,7,20]],"date-time":"2016-07-20T14:13:02Z","timestamp":1469023982000},"page":"1161-1167","source":"Crossref","is-referenced-by-count":29,"title":["Debridement and Functional Rehabilitation for Achilles Tendon Infection Following Tendon Repair"],"prefix":"10.2106","volume":"98","author":[{"given":"Seung Hwan","family":"Bae","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Cheongju Ppuri Medical Center, Cheongju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho-Seong","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Gyo","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heui-Chul","family":"Gwak","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su-Young","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20230714","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1097\/01.blo.0000144475.05543.e7","article-title":"Wound complications after open Achilles tendon repair: an analysis of risk factors","volume":"427","author":"Bruggeman","year":"2004","journal-title":"Clin Orthop Relat Res."},{"issue":"8","key":"bib2-20230714","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/j.otsr.2012.07.009","article-title":"Salvage technique for postoperative infection and necrosis of the Achilles tendon","volume":"98","author":"Fourniols","year":"2012","journal-title":"Orthop Traumatol Surg Res."},{"issue":"5","key":"bib3-20230714","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1097\/00006534-199810000-00044","article-title":"One-stage reconstruction of an infected skin and Achilles tendon defect with a composite distally planned lateral arm flap","volume":"102","author":"Berthe","year":"1998","journal-title":"Plast Reconstr Surg."},{"issue":"6","key":"bib4-20230714","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1055\/s-2006-947148","article-title":"Reconstruction of the Achilles tendon and overlying skin defect with a medical plantar flap and tensor fasciae latae graft","volume":"16","author":"Taniguchi","year":"2000","journal-title":"J Reconstr Microsurg."},{"issue":"3","key":"bib5-20230714","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/S1067-2516(01)80082-X","article-title":"Reconstruction of skin and tendon defects from wound complications after Achilles tendon rupture","volume":"40","author":"Ademo\u011flu","year":"2001","journal-title":"J Foot Ankle Surg."},{"key":"bib6-20230714","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/00003086-199607000-00027","article-title":"Free tissue coverage of wound complications following Achilles tendon rupture surgery","volume":"328","author":"Leppilahti","year":"1996","journal-title":"Clin Orthop Relat Res."},{"issue":"Supp 239","key":"bib7-20230714","first-page":"1","article-title":"Subcutaneous rupture of the Achilles tendon; 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