36M with recurrent Achilles rupture after previous open repa | Figure 1

36M with recurrent Achilles rupture after previous open repair 3 months prior.

Plantarflexion weakness, pain, and limping despite attempt at conservative care. 5cm gap left after debridement, and needed FHL transfer, V-Y advancement, and tendon repair with graft augmentation.

Intraoperative sequential pictures of Achilles tendon repair.

• First shows tendon.
• 2nd shows scar tissue after debulking.
• 3rd shows repaired tendon.
• 4th shows paratenon repaired, surrounding repaired tendon.