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Achilles Tendon Rupture and Repair - Medical Animation
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Achilles Tendon Rupture and Repair - Medical Animation


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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:
"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine

"For us, the defining feature of effective demonstrative evidence is whether, by itself, the piece will tell the story of the case. Medical legal Art provides our firm with illustrations and animations that are clear and persuasive. Their exhibits tell the story in a way that allows the jury to understand a very complex subject, very quickly."

James D. Horwitz
Koskoff, Koskoff & Bieder, P.C.
Bridgeport, CT

"This past year, your company prepared three medical illustrations for our cases; two in which we received six figure awards; one in which we received a substantial seven figure award. I believe in large part, the amounts obtained were due to the vivid illustrations of my clients' injuries and the impact on the finder of fact."

Donald W. Marcari
Marcari Russotto & Spencer, P.C.
Chesapeake, VA
"It is with great enthusiasm that I recommend Medical Legal Art. We have used their services for three years and always found their professionalism, quality of work, and timely attention to detail to exceed our expectations. We recently settled two complicated catastrophic injury cases. One medical malpractice case involving a spinal abscess settled for 3.75 million and the other involving injuries related to a motor vehicle accident settled for 6.9 million. We consider the artwork provided by MLA to have been invaluable in helping us to successfully conclude these cases.

I highly recommend MLA to anyone seeking high quality, detailed medical legal artwork."

E. Marcus Davis, Esq.
Davis Zipperman, Krischenbaum & Lotito
Atlanta, GA

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