title: Quadriceps autograft to treat Achilles Chronic tears: a simple surgical technique.
abstract: BACKGROUND
  Chronic Achilles tendon tears could hinder patients and represent a challenge to surgeons. Although many different surgical techniques have been proposed for reconstruction of a neglected Achilles tendon rupture, there is no clear evidence to support one technique over the others, but the use of a technique that could allow for an "anatomical" reconstructions seems desirable.
  
  
  METHODS
  The present paper describes a new anatomic Achilles tendon reconstruction for chronic tears, using a quadriceps tendon autograft as graft source, with PRP injected into the graft and the neighbor tissue, and fixation in a bone trough with a simple small fragments screw.
  
  
  RESULTS
  Autologous quadriceps tendon graft seems an excellent option, although -surprisingly- has received little attention until now.
  
  
  CONCLUSIONS
  Autologous Quadriceps tendon graft (in bone-tendon configuration) is a simple technique that could allow surgeons to reconstruct tissue defects in the Achilles tendon with non-expensive hardware.
authors.affiliation: Instituto Médico Arriaza y Asociados, Calle Enrique Mariñas, 32, 15008, La Coruña, Spain. arriazarafael@yahoo.com.|Cátedra de Traumatología del Deporte HM, Universidade da Coruña, Avenida Che Guevara 121, Oleiros, 15179, A Coruña, Spain. arriazarafael@yahoo.com.
authors.forename: Rafael
authors.initials: R
authors.lastname: Arriaza
authors.affiliation: Instituto Médico Arriaza y Asociados, Calle Enrique Mariñas, 32, 15008, La Coruña, Spain. rgp@arriaza.es.
authors.forename: Raquel
authors.initials: R
authors.lastname: Gayoso
authors.affiliation: International Sports Medicine Clinic, Calle Arjona, 10, 41001, Sevilla, Spain. dremiliolv@gmail.com.
authors.forename: Emilio
authors.initials: E
authors.lastname: López-Vidriero
authors.affiliation: Instituto Médico Arriaza y Asociados, Calle Enrique Mariñas, 32, 15008, La Coruña, Spain. jap@arriaza.es.
authors.forename: Jesús
authors.initials: J
authors.lastname: Aizpurúa
authors.affiliation: Cátedra de Traumatología del Deporte HM, Universidade da Coruña, Avenida Che Guevara 121, Oleiros, 15179, A Coruña, Spain. carlos.agrasar@udc.es.
authors.forename: Carlos
authors.initials: C
authors.lastname: Agrasar
mesh_terms: D000125:Achilles Tendon / Q000293:injuries / Q000601:surgery*; D000368:Aged; D064592:Autografts; D001863:Bone Screws; D002908:Chronic Disease; D006801:Humans; D007267:Injections; D008279:Magnetic Resonance Imaging; D053657:Platelet-Rich Plasma; D052097:Quadriceps Muscle / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000295:instrumentation; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*; D013710:Tendons / Q000637:transplantation*; D016896:Treatment Outcome