Old rupture of Achilles tendon is a kind of common athletic injuries and usually prefers surgical treatment. The author reported a 43-year-old male patient with fall-induced left heel pain for more than 9 months. At the admission to hospital, the patient was evaluated with stable vital signs, mild swelling at left heel, pressing pain (+), Thompson test (±), heel raising (±) and good arteriopalmus of foot. After the well surgical preparation, the left old rapture of Achilles tendon was sutured by titanium Krachow method, supported by Calcaneal bone tunnel fixation. The operation was finished successfully. After the operation, the patient was offered with long-leg tubular plaster, regular dressing change and mentoring functional rehabilitation. Suture reaction was observed during the early stage. The half-year follow-up visit reported good Arner-lindholm assessment without complications like palindromic rapture, deep venous thrombosis of legs and deep infection.
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