Minimally Invasive Reconstruction of Chronic Achilles Tendon Ruptures Using the Ipsilateral Free Semitendinosus Tendon Graft and Interference Screw Fixation

2013 ◽  
Vol 41 (5) ◽  
pp. 1100-1107 ◽  
Author(s):  
Nicola Maffulli ◽  
Mattia Loppini ◽  
Umile Giuseppe Longo ◽  
Gayle D. Maffulli ◽  
Vincenzo Denaro
2017 ◽  
pp. 93-97
Author(s):  
Rocco Aicale ◽  
Domiziano Tarantino ◽  
Francesco Oliva ◽  
Michael R. Carmont ◽  
Nicola Maffulli

Author(s):  
Athar Ahemad M. A. ◽  
Naser Mohd Abdul ◽  
Mushir Ali Syed

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Different surgical procedures have been used for treatment of chronic ruptures of the Achilles tendon with varying results. This study assesses the functional outcomes and complications of chronic insertional tears of Achilles tendon.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">10 patients with chronic ruptures of the Achilles tendon were followed for a mean period of 10.3 months. Only ruptures at or near (within 1 cm) insertion were included. They were treated by direct repair of tendon to calcaneum by suture anchor. Flexor hallucis longus (FHL) tendon transfer fixed to calcaneal tunnel with an interference screw was used to augment the repair</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Outcome was assessed by AOFAS Ankle-Hindfoot (AHS) score. The mean preoperative score of 41.2 improved to 85.4 at final follow-up out of a total 100 points. We achieved excellent results in 80% and good outcome in 20% cases. No re-ruptures were noted. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">In insertional chronic ruptures of Achilles tendon, FHL transfer to calcaneum with interference screw fixation and repair of Achilles tendon with suture anchor is a reliable technique with good outcome and is recommended.</span></p>


2010 ◽  
Vol 22 (05) ◽  
pp. 427-436 ◽  
Author(s):  
Mahmoud Chizari ◽  
Bin Wang ◽  
Mel Barrett ◽  
Martyn Snow

This paper, describes the biomedical testing of an Anterior Cruciate Ligament (ACL) reconstruction using an interference screw fixation on the bovine and porcine tissues. The harvesting procedure, experimental setup, mechanical testing, and evaluation of the tendon graft interference screw fixation are all presented throughout this study. A guideline has also been introduced to evaluate the basic mechanical properties of the bone components and the tendon graft.


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