Purpose: To evaluate surgically repaired ruptures of the Achilles tend
on by means of ultrasonography, employing the classification scheme of
Thermann et al. Method: 54 patients were examined by ultrasonography
after an average interval of 4.4 years. A 7.5 MHz linear transducer wa
s used with a gel approach piece to evaluate the longitudinal and tran
sverse images of the tendon. Results: More than 90% of patients AHD Gr
ade 2 or 3 tendons; in only 3 patients could the repaired tendon be de
signated Grade 1 or comparable to the healthy control. Conclusion: The
re was no correlation between the relatively unsatisfactory results se
en on ultrasonography and the clinical results. We cannot recommend ul
trasonography as the only method for assessing postoperative results f
ollowing Achilles tendon repairs.