Minimally Invasive Achilles Tendon Reconstruction Using the Peroneus Brevis Tendon Graft

2012 ◽  
pp. 35-44
Author(s):  
Nicola Maffulli ◽  
Filippo Spiezia ◽  
Umile Giuseppe Longo ◽  
Vincenzo Denaro
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Tendon Graft ◽  
Tendon Reconstruction ◽  
Peroneus Brevis ◽  
Achilles Tendon Reconstruction

scholarly journals Minimally invasive reconstruction technique for chronic Achilles tendon tears allows rapid return to walking and leads to good functional recovery

2019 ◽  
Vol 28 (1) ◽  
pp. 305-311 ◽  
Author(s):  
Paweł Bąkowski ◽  
Kinga Ciemniewska-Gorzela ◽  
Krzysztof Talaśka ◽  
Jan Górecki ◽  
Dominik Wojtkowiak ◽  
...  
Keyword(s):  
Cyclic Loading ◽  
Minimally Invasive ◽  
Achilles Tendon ◽  
Invasive Technique ◽  
Reconstruction Technique ◽  
Injured Limb ◽  
Tendon Reconstruction ◽  
Isokinetic Test ◽  
Tendon Tears ◽  
Achilles Tendon Reconstruction

Abstract Purpose Chronic Achilles tendon tears, including chronic ruptures with end gap over 6 cm making end-to-end suturing impossible, can be treated with autologous hamstring graft reconstruction. The primary goal of this study was to present the biomechanical and long-term clinical results of recently developed minimally invasive Achilles tendon reconstruction technique. Methods Minimally invasive Achilles tendon reconstruction was applied to 8 foot and ankle cadaveric specimens as well as 18 patients with chronic Achilles tendon tears. Repaired cadavers were subjected to the biomechanical testing using a cyclic loading protocol. Patients with reconstructed Achilles tendon were subjected to the clinical, functional and isokinetic tests at 12 months after the treatment. Results All of tested Achilles cadaveric specimens survived 2 loading blocks (250 cycles of 10–100 N load followed by additional 250 cycles of 10–200 N load). With three specimens, it was possible to perform the third cyclic loading block with 20-300 N load and two specimens survived the fourth block with 20–400 N load. Therefore, a mean number of 838 cycles (±178) within the range of 509–1000 was recorded. Two specimens which survived all 1000 cycles were pulled to failure at 25 mm/s rate. The results obtained in the load to failure testing were as follows: 398 N and 608 N of maximum load. The results of functional heel rise endurance test and single leg hop for distance test indicated a decrease in the endurance and strength of the injured limb. However, the results of the weight-bearing lunge tests indicated no tendency for elongation of the Achilles tendon. A comparative analysis of the isokinetic test results for the non-injured and injured limb was revealed no statistically significant differences for every isokinetic test (n. s.), with significant difference for isometric strength parameters (p = 0.0006). Conclusions The results of the biomechanical tests as well as 1-year extensive functional, clinical and isokinetic results of the minimally invasive technique for chronic Achilles tendon tears are encouraging. Patients returned to their normal physical activity, including sport pre-injury level in most cases. Level of evidence III

Kinetic and Kinematic Evaluation of the Ankle Joint After Achilles Tendon Reconstruction With Free Semitendinosus Tendon Graft: Preliminary Results

2013 ◽  
Vol 37 (3) ◽  
pp. 291-297 ◽  
Author(s):  
Carolina Lins ◽  
André Felipe Ninomya ◽  
Cintia Kelly Bittar ◽  
Antônio Egydio de Carvalho ◽  
Alberto Cliquet
Keyword(s):  
Achilles Tendon ◽  
Ankle Joint ◽  
Tendon Graft ◽  
Semitendinosus Tendon ◽  
Preliminary Results ◽  
Tendon Reconstruction ◽  
Kinematic Evaluation ◽  
Achilles Tendon Reconstruction

Peroneus Brevis flap in Achilles tendon reconstruction. Clinical, radiological and functional analysis

2020 ◽  
Vol 26 (2) ◽  
pp. 218-223 ◽  
Author(s):  
Federico Lo Torto ◽  
Juste Kaciulyte ◽  
Marco Marcasciano ◽  
Donato Casella ◽  
Andrea Bernetti ◽  
...  
Keyword(s):  
Functional Analysis ◽  
Achilles Tendon ◽  
Tendon Reconstruction ◽  
Peroneus Brevis ◽  
Achilles Tendon Reconstruction

Failed Achilles Tendon Reconstruction

2016 ◽  
Vol 9 (3) ◽  
pp. 241-244
Author(s):  
Patrick Bull ◽  
J. Mike Miller ◽  
Alan Ng ◽  
Stephen A. Brigido ◽  
Stephen A. Brigido ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Reconstruction ◽  
Achilles Tendon Reconstruction

The Anterolateral Thigh Flap for Achilles Tendon Reconstruction

2019 ◽  
Vol 143 (6) ◽  
pp. 1772-1783 ◽  
Author(s):  
Denis Ehrl ◽  
Paul I. Heidekrueger ◽  
Andreas Schmitt ◽  
Franz Liska ◽  
Milomir Ninkovic ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Anterolateral Thigh Flap ◽  
Tendon Reconstruction ◽  
Anterolateral Thigh ◽  
Achilles Tendon Reconstruction
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