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Achilles Tendon Rupture and Repair - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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Achilles Tendon Rupture and Repair - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: If a person tears their Achilles tendon, the doctor may recommend a surgical procedure to repair the tendon. The Achilles tendon is a thick band of tissue that connects the two muscles in the back of the lower leg, the soleus, and gastrocnemius, to the bone in the heel of the foot called the calcaneus. It is the largest and strongest tendon in the body. It allows the foot to point downward. This movement is necessary to push off the ground to walk, jump, run, or stand on the toes. The Achilles tendon is one of the most commonly injured tendons in the body. Sudden, forceful up or down foot movements can tear or rupture the tendon. This is a common injury among adults who play sports involving running, jumping, and sudden changes of direction, like basketball, soccer, and tennis. Other risk factors for an Achilles tendon tear are aging, taking certain antibiotics, steroid injections into the tendon, being male, increased BMI, smoking, peripheral vascular disease, and diabetes. An Achilles tendon rupture can be partial or complete. A partial tear means the tendon is still connected. A complete tear means the tendon is torn in two. Surgical procedures to reconnect the two ends of the Achilles tendon can be done in one of three ways, open, mini-open, or percutaneous. During an open repair, the surgeon will make an incision down the back of the lower leg. The skin will be opened so the surgeon can see the torn tendon. The surgeon will sew the two ends together with stitches. Occasionally, some tissue will be used from the gastrocnemius. This tissue will be folded over and stitched on top of the tendon to make it stronger. Sometimes a graphed tissue from a donor is used instead. The incision will be closed with sutures or staples. During a mini-open procedure, a smaller incision will be made over the torn Achilles tendon. The skin will be opened to expose the torn tendon ends. A special tool will be inserted into the area. This tool has several small holes in it to show the surgeon precisely where to place the stitches. The stitches will pass through each hole into the skin and through the tendon. The tool will be removed, which pulls the suture under the skin so only the tendon remains attached to the suture. Then it will be turned upside down and the steps will be repeated. The surgeon will tie the stitches on the top and bottom of each side together, reconnecting the tendon. The incision will be closed with sutures or staples. During a percutaneous repair, the surgeon will make smaller surgical cuts. Three to six cuts may be made, but it depends on the surgeon. The stitches will pass through each hole and each end of the torn tendon. The stitches will be pulled together, reconnecting the tendon. The incisions will be closed with stitches.

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What attorneys say about MLA and The Doe Report:
"Thanks, and your illustrations were effective in a $3 million dollar verdict last Friday."

Joseph M. Prodor
Trial Lawyer
White Rock, British Columbia
"Thank you for the splendid medical-legal art work you did for us in the case of a young girl who was blinded by a bb pellet. As a result of your graphic illustrations of this tragic injury, we were able to persuade the insurance company to increase their initial offer of $75,000.00 to $475,000.00, just short of their policy limits.

We simply wanted you to know how pleased we were with your work which, to repeat, was of superlative character, and to let you know that we would be more than willing to serve as a reference in case you ever need one. Many thanks for an extraordinary and dramatic depiction of a very serious injury which clearly "catapulted" the insurance company's offer to a "full and fair" amount to settle this case."

Philip C. Coulter
Coulter &Coulter
Roanoke, VA

"I have found that the personalized medical illustrations prepared by Medical Legal Art have been very accurate and helpful. The medical doctors, both treating physicians and expert witnesses, have commented on the accuracy and professionalism of the medical illustrations. Most importantly, your prompt service and attention upon even short notice has been tremendous. I can certainly say that the medical illustrations prepared by Medical Legal Art have assisted us in bringing cases to a successful resolution."

Paul L. Redfearn
The Redfearn Law Firm, P.C.
Kansas City, MO

"I wanted to take some time out to let you know what a wonderful job you did with the 'collapsed lung/fractured rib' illustrations. They were both detailed and accurate. My medical expert was comfortable working with them and he spent at least an hour explaining to the jury the anatomy of the lungs, the ribs and the injuries depicted in the illustrations. Needless to say, the jury was riveted to the doctor during his testimony.

The jury returned a verdict for $800,000.00 and I'm sure we would not have done so well if not for the visualizations we were able to put forth with your assistance. Lastly, my special thanks to Alice [Senior Medical Illustrator] who stayed late on Friday night and patiently dealt with my last minute revisions."

Daniel J. Costello
Proner & Proner
New York, NY













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