Minimally Invasive Achilles Tendon Reconstruction Using Semitendinosus Graft
Author Information
Author(s): Maffulli Nicola, Longo Umile Giuseppe, Gougoulias Nikolaos, Denaro Vincenzo
Primary Institution: Keele University School of Medicine
Hypothesis
Can a minimally invasive technique using semitendinosus tendon graft effectively reconstruct the Achilles tendon in cases of chronic tears with a gap greater than 6 cm?
Conclusion
This technique allows for the reconstruction of the Achilles tendon while preserving skin integrity, especially in cases with large gaps.
Supporting Evidence
- The technique preserves skin integrity over the site most prone to wound breakdown.
- Chronic ruptures of the Achilles tendon pose a technical challenge with higher complication rates.
- The semitendinosus tendon is long and strong, providing a robust reconstruction option.
Takeaway
Doctors can fix a torn Achilles tendon using a piece of another tendon from the leg without making a big cut, which helps keep the skin safe.
Methodology
The method involves two small incisions to harvest the semitendinosus tendon and reconstruct the Achilles tendon.
Limitations
No data about patient outcomes are presented, and the technique is technically demanding.
Digital Object Identifier (DOI)
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