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.
- Achilles rupture
- Achilles tendinopathy
- Semitendinosus allograft
ASJC Scopus subject areas
- Orthopedics and Sports Medicine