Dual semitendinosus allograft reconstruction of large achilles tendon defects

Nigel Hsu, Eric W. Tan, Stuart Miller

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with chronic midsubstance Achilles tendinopathy who do not respond to nonoperative management often require surgical intervention. Debridement of the diseased and dysfunctional tendon may result in a gap >5 cm. A number of previously described techniques to bridge the defect include V-Y lengthening, turndown procedures, local tendon transfers, synthetic grafts, and hamstring autograft and allograft. This article describes a novel technique using 2 semitendinosus allografts to reconstruct Achilles tendinopathy with large defects. There are 2 options for distal fixation depending upon the residual amount of Achilles tendon that remains distally on the heel. This technique offers another option for the surgeon in the face of a difficult reconstructive procedure. Early outcomes have been excellent.

Original languageEnglish (US)
Pages (from-to)202-209
Number of pages8
JournalTechniques in Foot and Ankle Surgery
Volume15
Issue number4
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

Keywords

  • Achilles rupture
  • Achilles tendinopathy
  • Semitendinosus allograft

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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