Achilles tendon rupture vestigial muscle is harvested and wrapped around the Achilles tendon, increasing the strength of the repaired tendon. If the tissue quality is poor, e.g. the injury has been neglected, the surgeon might use a reinforcement mesh (collagen, Artelon or other degradable material). In percutaneous surgery, the surgeon makes several small incisions, rather than one large incision, and sews the tendon back together through the incision(s). Surgery may be delayed for about a week after the rupture to let the swelling go down. For sedentary patients and those who have vasculopathy or risks for poor healing, percutaneous surgical repair may be
Superhard material example, the fracture toughness of diamond is about 7–10 MPa·m, which is high compared to other gemstones and ceramic materials, but poor compared to many metals and alloys – common steels and aluminium alloys have the toughness values at least 5 times higher. Several properties must be taken into account when evaluating a material as (super)hard. While hard materials have high bulk moduli, a high bulk modulus does not mean a material is hard. Inelastic characteristics must be considered as well, and shear modulus might even provide a better correlation with hardness than bulk modulus. Covalent materials generally have high