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 language | English (US) |
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Pages (from-to) | 202-209 |
Number of pages | 8 |
Journal | Techniques in Foot and Ankle Surgery |
Volume | 15 |
Issue number | 4 |
DOIs | |
State | Published - Jan 1 2016 |
Externally published | Yes |
Keywords
- Achilles rupture
- Achilles tendinopathy
- Semitendinosus allograft
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine