{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:44Z","timestamp":1787755484514,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 39-year-old man with a chronic Achilles rupture status post (1) failed primary repair and (2) secondary xenograft repair with graft rejection, resulting in a 12-cm Achilles tendon defect, which was reconstructed utilizing an Achilles bone block allograft and flexor hallucis longus (FHL) tendon transfer. At 15-year follow-up, the patient reported good functionality and satisfaction with the repair, with positive patient-reported outcome measures. Physical examination revealed excellent strength and range of motion. Magnetic resonance imaging confirmed the integrity and incorporation of the Achilles\/FHL graft composite.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case study provides valuable insight into successful long-term management of complex chronic Achilles ruptures with large defects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00603","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T14:23:07Z","timestamp":1717165387000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Salvage Reconstruction of a 12-cm Tendon Defect Following Chronic Achilles Rerupture\u201415-Year Follow-Up"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8308-9810","authenticated-orcid":false,"given":"Wesley 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Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1593-2014","authenticated-orcid":false,"given":"Sameh A.","family":"Labib","sequence":"additional","affiliation":[{"name":"Division of Foot & Ankle Surgery, Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4]]},"reference":[{"issue":"7-8","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1111\/ans.16921","article-title":"Chronic Achilles tendon rupture: a novel modification of surgical technique described by El Shewy","volume":"91","author":"Gunaratne","year":"2021","journal-title":"ANZ J Surg."},{"issue":"1","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"86.e5","DOI":"10.1053\/j.jfas.2009.08.006","article-title":"Achilles tendon reconstruction after sural fasciocutaneous flap using Achilles tendon 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