Update to the 40 year old male with the infected Achilles te | Figure 1

Candlemaker

Orthopedic Surgery

Case Update

Update to the 40 year old male with the infected Achilles tendon repair 4 weeks postop. I took him for an I&D. I removed all the sutures I could find and left the swivelocks in the calcaneus. Intraop cultures were taken. Interestingly, his Achilles had healed a nice bridge of tissue over his rupture (image above-prone with heel at the bottom) I approximated the wound and put on an incisional wound vac.

Cultures isolated MSSA so he was treated on keflex.

Once his wound healed, I put him back on the normal rehab protocol.

He has returned to full activity.

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