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Autograft Reconstruction for Chronic Achilles Tendon Disorders

Maffulli, Nicola MD, MS, PhD, FRCP, FRCS(Orth)*,†; Aicale, Rocco*; Tarantino, Domiziano*

Techniques in Foot & Ankle Surgery: September 2017 - Volume 16 - Issue 3 - p 117–123
doi: 10.1097/BTF.0000000000000154
Special Focus: Soft Tissue Reconstruction in the Foot and Ankle

Surgical management of chronic tendon Achilles ruptures usually requires tendon grafting procedures. Several techniques have been described. We describe the use of 3 different minimally invasive tendon transfer techniques in the management of patients with a chronic rupture of the tendon Achilles, undertaking a free transfer of the semitendinosus tendon, or a transfer of the peroneus brevis or flexor hallucis longus tendons. All 3 techniques produce marked functional improvement, and return to sports is possible in most patients. The advantages of one technique over the others need to be explored.

Level of Evidence: Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence.

*Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno, Italy

Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK

The authors declare no conflict of interest.

Address correspondence and reprint requests to Nicola Maffulli, MD, MS, PhD, FRCP, FRCS (Orth), University of Salerno, Baronissi, Salerno, 84081, Italy. E-mail:

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