Z-Plasty Lengthening for Management of Achilles Tendon Contracture: A Case Report

Tendo‑Achilles contracture is characterized by shortening and tightening of the Achilles tendon, leading to restricted ankle dorsiflexion and equinus deformity that significantly affects gait and functional mobility. The Achilles tendon connects the gastrocnemius–soleus complex to the calcaneum and plays a crucial role in walking, running, and jumping. Contracture can result from prolonged immobilization, trauma, neuromuscular disorders, repetitive strain, or biomechanical abnormalities. Surgical lengthening procedures are indicated when conservative management fails. This paper describes the successful management of Achilles tendon contracture in a 34‑year‑old male using Z‑plasty tendon lengthening. The technique provided controlled elongation of the tendon while preserving its structural integrity and biomechanical strength. Postoperative follow‑up demonstrated improved dorsiflexion, correction of equinus deformity, and restoration of a near‑normal gait pattern. Z‑plasty remains a reliable and effective surgical technique for treating moderate to severe Achilles tendon contractures.