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
Inelastic electron tunneling spectroscopy energy by exciting vibrations of the oxide or the adsorbate. These inelastic processes lead to a second tunneling path, which gives an additional current contribution to the tunneling current. Since the incident electron should have enough energy to excite this vibration, there is a minimum energy that is the onset of this (inelastic) process. This is shown in the middle figure, where the lower dashed line is a vibronic state. This minimum energy for the electron corresponds with a minimum bias voltage, which is the onset for the additional contribution. The inelastic contribution to the current is small compared to