Abstract
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.
Conclusion:
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.
MeSH terms
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Achilles Tendon / injuries*
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Achilles Tendon / pathology
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Achilles Tendon / surgery*
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Ankle / anatomy & histology
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Ankle / surgery
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Casts, Surgical / standards
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Humans
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Minimally Invasive Surgical Procedures / methods*
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Orthopedic Procedures / methods*
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Physical Therapy Modalities
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Postoperative Care / methods
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Postoperative Care / standards
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Postoperative Complications / etiology
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Postoperative Complications / pathology
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Postoperative Complications / prevention & control
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Recovery of Function
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Rupture / pathology
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Rupture / surgery
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Sural Nerve / anatomy & histology
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Sural Nerve / surgery
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Surgical Wound Dehiscence / prevention & control
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Suture Techniques / standards
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Sutures / standards
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Tendon Transfer / methods*
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Treatment Outcome