A Novel Way to Reconstruct the Neglected Achilles Tendon Rupture

Asopa, Vipin; Douglas, R J W; Clayton, James

doi:10.1177/1071100713517100

Cited by 1 publication

(2 citation statements)

References 13 publications

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“…14 Patients with chronic Achilles tendon ruptures with pain and weakness generally require surgical repair in order to return to their baseline activity level. 1,20…”

Section: Discussionmentioning

confidence: 99%

“…14 Patients with chronic Achilles tendon ruptures with pain and weakness generally require surgical repair in order to return to their baseline activity level. 1,20 Small tendon defects are often managed with an end-toend repair after scar resection, tendon mobilization, and apposition with locking Krackow sutures. Myerson proposed a treatment algorithm based on the size of tendon gap, which has been established and replicated in the literature.…”

Section: Discussionmentioning

confidence: 99%

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Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip

Haghverdian

Gross

Hsu

2021

Foot & Ankle Orthopaedics

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Chronic Achilles tendon ruptures can result in tendon lengthening and significant functional deficits including gait abnormalities and diminished push-off strength. Surgical intervention is typically required to restore Achilles tension and improve ankle plantarflexion strength. A variety of surgical reconstruction techniques exist depending on the size of the defect and amount of associated tendinosis. For smaller tendon defects 2 to 3 cm in size, primary end-to-end repair using an open incision and multiple locking sutures is an established technique. However, a longer skin incision and increased soft tissue dissection is required, and failure at the suture-tendon interface has been reported that can result in postoperative tendon elongation and persistent weakness. In this report, we describe a novel technique to reconstruct chronic midsubstance Achilles tendon ruptures using a small incision with knotless repair of the tendon secured directly to the calcaneus. This technique minimizes wound healing complications, increases construct fixation strength, and allows for early range of motion and rehabilitation. Level of Evidence: Level V, Expert Opinion.

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“…14 Patients with chronic Achilles tendon ruptures with pain and weakness generally require surgical repair in order to return to their baseline activity level. 1,20…”

Section: Discussionmentioning

confidence: 99%