Less invasive Achilles tendon reconstruction.
BACKGROUND
The optimal management of chronic ruptures of the Achilles tendon is surgical reconstruction. Reconstruction of the Achilles tendon using peroneus brevis has been widely reported. Classically, these procedures involve relatively long surgical wounds in a relatively hypovascular area which is susceptible to wound breakdown.


RESULTS
We describe our current method of peroneus brevis reconstruction for the Achilles tendon using two para-midline incisions.


CONCLUSIONS
This technique allows reconstruction of the Achilles tendon using peroneus brevis preserving skin integrity over the site most prone to wound breakdown, and can be especially used to reconstruct the Achilles tendon in the presence of previous surgery.
Carmont
Michael R
MR
Department of Trauma and Orthopaedics, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, ST7 4QG UK. mcarmont@hotmail.com
Maffulli
Nicola
N
D000125:Achilles Tendon / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D000842:Ankle / Q000033:anatomy & histology / Q000601:surgery; D002370:Casts, Surgical / Q000592:standards; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D019637:Orthopedic Procedures / Q000379:methods*; D026741:Physical Therapy Modalities; D011182:Postoperative Care / Q000379:methods / Q000592:standards; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology / Q000517:prevention & control; D020127:Recovery of Function; D012421:Rupture / Q000473:pathology / Q000601:surgery; D013497:Sural Nerve / Q000033:anatomy & histology / Q000601:surgery; D013529:Surgical Wound Dehiscence / Q000517:prevention & control; D013536:Suture Techniques / Q000592:standards; D013537:Sutures / Q000592:standards; D013709:Tendon Transfer / Q000379:methods*; D016896:Treatment Outcome