Minimally invasive stripping for chronic Achilles tendinopathy

Abstract

This technique has the advantages of achieving a safe and secure disruption of neo-vessels and the accompanying nerve supply in a minimally invasive fashion.

Chronic Achilles Tendon Disorders

“…It may provide greater potential for the management of recalcitrant AT by breaking neovessels and the accompanying nerve supply to the tendon. 42 It can be associated with other minimally invasive procedures to optimize results.…”

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

“…Acute ruptures of the AT occur most commonly in men in their third and fourth decades of life who participate in sports intermittently [21,33]. The management of AT ruptures has changed with time, as more evidence is available in favor of early weight bearing and early active mobilization [26,34,35], and also for the use of percutaneous techniques instead of open surgery [21,24]. One review of the literature [20] suggested that most patients were around 40 years old, although the ages ranged from 12 to 86 years.…”

Ipsilateral free semitendinosus tendon graft with interference screw fixation for minimally invasive reconstruction of chronic tears of the Achilles tendon

“…We believe that this approach is comfortable for the surgeon and advantageous for the patient in terms of plantar flexion recovery, anthropometric measures, fast return to daily and sport activity, and safe, with low donor site comorbidities and low risks of wound complications and neurovascular injuries [2,3,4,7,11]. The graft passage through the calcaneum and the interference screw to stabilize the construct allows bone-tendon healing, as it is more stable and strong than healing to a tendon-tendon interface.…”

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