J Korean Foot Ankle Soc.  2019 Dec;23(4):216-219. 10.14193/jkfas.2019.23.4.216.

Calcaneal Tuberosity Avulsion Fracture after Repair of Achilles Tendon Rupture: A Case Report

• Lee SH
• Yi Y
• Kim S
• Kang HJ

• KMID: 2465948
• DOI: http://doi.org/10.14193/jkfas.2019.23.4.216

Abstract

In clinical practice, recurrent Achilles ruptures have been noted to occurr at the original ruptured site. However, reports of new developed fresh rupture of the Achilles tendon in other sites are is extremely rare. Our report is about one uncommon case of a traumatic calcaneal tuberosity avulsion fracture following augmented repair, which was performed using the Krackow locking loop technique. We performed open reduction and intra-osseous fixation using a suture anchor. This procedure was done through the primary longitudinal incision for the calcaneal avulsion fracture fragment. After 6 months of follow-up, our patient has achieved a complete functional recovery and he can normally perform daily and work-related tasks without pain.

Keyword

Achilles tendon; Calcaneal tuberosity; Avulsion fracture

MeSH Terms

Achilles Tendon*
Follow-Up Studies
Humans
Rupture*
Suture Anchors

Figure

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  Figure 1 Clinical photo of initial injury treated using Krackow locking loop technique. (A) Laceration wound on Achilles tendon. (B) Initial repair using Krakow method.

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  Figure 2 Magnetic resonance image before 2nd surgery (asterisk: primary repair site with near complete healing, arrow: avulsion fracture of calcaneal tuberosity).

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  Figure 3 Eleven weeks after initial Achilles tendon repair, demonstrate an avulsion fracture of the calcaneous. (A) Heeled Achilles tendon and calcaneal tuberosity fracture. (B) Open reduction with intra-osseous fixation with suture anchor.

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  Figure 4 Preoperative (A) and postoperative (B) radiography for the calcaneal tuberosity avulsion fracture.

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