Simultaneous Bilateral Reconstruction of Chronic Achilles Tendon Rupture with Flexor Digitorum Longus Transfer and Turndown Flaps: A Case Report and Review of Literature.

ABSTRACT: Background/Objectives: Bilateral Achilles tendon ruptures are exceptionally rare, accounting for <1% of Achilles injuries; chronic presentations are frequently linked to diagnostic delay in the acute phase. The aim of this paper is to describe a modified, single-stage bilateral reconstruction of neglected Achilles tendon ruptures using Flexor Digitorum Longus (FDL) transfer and turndown flaps. This study evaluates 12-month functional and radiological outcomes while comparing this surgical strategy with current literature. Methods: A 58-year-old man with rheumatoid arthritis on long-term corticosteroids presented 4 months after asynchronous bilateral Achilles ruptures with progressive weakness and gait limitation. Clinical examination and MRI confirmed chronic discontinuity wi

SUBMITTER: Gatti SD 

PROVIDER: S-EPMC12897851 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature