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Achilles tendon rupture and treatment

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At The Stone Clinic in San Francisco, we've seen athletes make a full recovery from a ruptured Achilles. The way we treat the injury is different from most other places, (including the clinic that operated on Kobe Bryant). The most common approach is to open up the wound, unfortunately losing valuable cells and growth factors that the body has produced around the injury site to begin the repair process.

We treat the rupture with a percutaneous technique of suture repair through small portals. This way, we reduce scarring and risk of infection and most importantly, we take advantage of the body's own natural ability to heal itself. A detailed physical therapy program following surgery is essential to encourage full healing and return to competitive sports. Our results of percutaneous Achilles tendon repair have been superb, with only 6 traumatic re-ruptures in twenty years of repairs.

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knee-popping-knee-clicking-knee-noise
A question I am asked a lot is, “I hear clicking and popping in my knee, is this something that I should be concerned about?”
The incidence of such tears is about 61 per 100,000 people each year. Yet the repair/replacement ratio is well under 10% for repair and 0.01% for replacement. Why?
It’s possible to repair a chronically unstable ankle but it is best to help people avoid ever getting to that unstable stage by making sure that simple torn ligaments are stimulated to heal properly in the first place.
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Kevin R. Stone · Jonathan R. Pelsis · Scott T. Surrette · Ann W. Walgenbach · Thomas J. Turek 

Stone, K.R., A.W. Walgenbach, T.J. Turek, A. Freyer, and M.D. Hill. 2006.