Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip
Chronic Achilles tendon ruptures can result in tendon lengthening and significant functional deficits including gait abnormalities and diminished push-off strength. Surgical intervention is typically required to restore Achilles tension and improve ankle plantarflexion strength. A variety of surgica...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-10-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/24730114211050565 |
| _version_ | 1797772647456571392 |
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| author | Justin C. Haghverdian MD Christopher E. Gross MD Andrew R. Hsu MD |
| author_facet | Justin C. Haghverdian MD Christopher E. Gross MD Andrew R. Hsu MD |
| author_sort | Justin C. Haghverdian MD |
| collection | DOAJ |
| description | Chronic Achilles tendon ruptures can result in tendon lengthening and significant functional deficits including gait abnormalities and diminished push-off strength. Surgical intervention is typically required to restore Achilles tension and improve ankle plantarflexion strength. A variety of surgical reconstruction techniques exist depending on the size of the defect and amount of associated tendinosis. For smaller tendon defects 2 to 3 cm in size, primary end-to-end repair using an open incision and multiple locking sutures is an established technique. However, a longer skin incision and increased soft tissue dissection is required, and failure at the suture-tendon interface has been reported that can result in postoperative tendon elongation and persistent weakness. In this report, we describe a novel technique to reconstruct chronic midsubstance Achilles tendon ruptures using a small incision with knotless repair of the tendon secured directly to the calcaneus. This technique minimizes wound healing complications, increases construct fixation strength, and allows for early range of motion and rehabilitation. Level of Evidence: Level V, Expert Opinion. |
| first_indexed | 2024-03-12T21:55:01Z |
| format | Article |
| id | doaj.art-4476e625b3654843a6a87e0460fd4f65 |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-03-12T21:55:01Z |
| publishDate | 2021-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-4476e625b3654843a6a87e0460fd4f652023-07-25T18:04:49ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142021-10-01610.1177/24730114211050565Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique TipJustin C. Haghverdian MD0Christopher E. Gross MD1Andrew R. Hsu MD2Department of Orthopaedic Surgery, University of California-Irvine, Orange, CA, USADepartment of Orthopaedics, Medical University of South Carolina, Charleston, SC, USADepartment of Orthopaedic Surgery, University of California-Irvine, Orange, CA, USAChronic Achilles tendon ruptures can result in tendon lengthening and significant functional deficits including gait abnormalities and diminished push-off strength. Surgical intervention is typically required to restore Achilles tension and improve ankle plantarflexion strength. A variety of surgical reconstruction techniques exist depending on the size of the defect and amount of associated tendinosis. For smaller tendon defects 2 to 3 cm in size, primary end-to-end repair using an open incision and multiple locking sutures is an established technique. However, a longer skin incision and increased soft tissue dissection is required, and failure at the suture-tendon interface has been reported that can result in postoperative tendon elongation and persistent weakness. In this report, we describe a novel technique to reconstruct chronic midsubstance Achilles tendon ruptures using a small incision with knotless repair of the tendon secured directly to the calcaneus. This technique minimizes wound healing complications, increases construct fixation strength, and allows for early range of motion and rehabilitation. Level of Evidence: Level V, Expert Opinion.https://doi.org/10.1177/24730114211050565 |
| spellingShingle | Justin C. Haghverdian MD Christopher E. Gross MD Andrew R. Hsu MD Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip Foot & Ankle Orthopaedics |
| title | Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip |
| title_full | Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip |
| title_fullStr | Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip |
| title_full_unstemmed | Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip |
| title_short | Knotless Reconstruction of Chronic Achilles Tendon Ruptures With <3-cm Defects: Technique Tip |
| title_sort | knotless reconstruction of chronic achilles tendon ruptures with 3 cm defects technique tip |
| url | https://doi.org/10.1177/24730114211050565 |
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