Minimally Invasive Achilles Tendon Reconstruction Using the Peroneus Brevis Tendon Graft

  • Nicola Maffulli
  • Filippo Spiezia
  • Umile Giuseppe Longo
  • Vincenzo Denaro
Chapter

Abstract

Minimally invasive peroneus brevis reconstruction for the Achilles tendon (AT) overcome the problems with an open procedure, namely difficulty with wound healing because of the tenuous blood supply and increased chance of wound breakdown and infection. In this chapter we presented a technique which uses two para-midline incisions preserving skin integrity over the site most prone to wound breakdown. This minimally invasive technique allows reconstruction of the Achilles tendon using the tendon of 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 gap less than 6 cm.

Keywords

Maxon 

Notes

Competing Interests

The authors declare that they have no competing interests.

References

  1. 1.
    Ames PR, Longo UG, Denaro V, et al. Achilles tendon problems: not just an orthopaedic issue. Disabil Rehabil. 2008;30:1646–50.PubMedCrossRefGoogle Scholar
  2. 2.
    Carmont MR, Maffulli N. Less invasive Achilles tendon reconstruction. BMC Musculoskelet Disord. 2007;8:100.PubMedCrossRefGoogle Scholar
  3. 3.
    Crisp T, Khan F, Padhiar N, et al. High volume ultrasound guided injections at the interface between the patellar tendon and Hoffa’s body are effective in chronic patellar tendinopathy: a pilot study. Disabil Rehabil. 2008;30:1625–34.PubMedCrossRefGoogle Scholar
  4. 4.
    Longo UG, Ramamurthy C, Denaro V, et al. Minimally invasive stripping for chronic Achilles tendinopathy. Disabil Rehabil. 2008;30:1709–13.PubMedCrossRefGoogle Scholar
  5. 5.
    Longo UG, Ronga M, Maffulli N. Achilles tendinopathy. Sports Med Arthrosc. 2009;17:112–26.PubMedCrossRefGoogle Scholar
  6. 6.
    Longo UG, Ronga M, Maffulli N. Acute ruptures of the achilles tendon. Sports Med Arthrosc. 2009;17:127–38.PubMedCrossRefGoogle Scholar
  7. 7.
    Maffulli N, Ajis A, Longo UG, et al. Chronic rupture of tendo Achillis. Foot Ankle Clin. 2007;12:583–96, vi.PubMedCrossRefGoogle Scholar
  8. 8.
    Maffulli N, Longo UG, Ronga M, et al. Favorable outcome of percutaneous repair of achilles tendon ruptures in the elderly. Clin Orthop Relat Res. 2010;468(4):1039–46. Epub 2009 Jun 19.PubMedCrossRefGoogle Scholar
  9. 9.
    Maffulli N, Tallon C, Wong J, et al. Early weightbearing and ankle mobilization after open repair of acute midsubstance tears of the achilles tendon. Am J Sports Med. 2003;31:692–700.PubMedGoogle Scholar
  10. 10.
    Maffulli N, Tallon C, Wong J, et al. No adverse effect of early weight bearing following open repair of acute tears of the Achilles tendon. J Sports Med Phys Fitness. 2003;43:367–79.PubMedGoogle Scholar
  11. 11.
    McClelland D, Maffulli N. Neglected rupture of the Achilles tendon: reconstruction with peroneus brevis tendon transfer. Surgeon. 2004;2:209–13.PubMedCrossRefGoogle Scholar
  12. 12.
    Pintore E, Barra V, Pintore R, et al. Peroneus brevis tendon transfer in neglected tears of the Achilles tendon. J Trauma. 2001;50:71–8.PubMedCrossRefGoogle Scholar
  13. 13.
    Webb J, Moorjani N, Radford M. Anatomy of the sural nerve and its relation to the Achilles tendon. Foot Ankle Int. 2000;21:475–7.PubMedGoogle Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Nicola Maffulli
    • 1
    • 2
  • Filippo Spiezia
    • 3
  • Umile Giuseppe Longo
    • 3
  • Vincenzo Denaro
    • 3
  1. 1.Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End HospitalQueen Mary University of LondonLondonUK
  2. 2.Department of Trauma and Orthopaedic SurgeryKeele University School of Medicine, University Hospital of North StaffordshireStoke-on-Trent, StaffordshireUK
  3. 3.Department of Orthopaedic and Trauma SurgeryCampus Biomedico UniversityTrigoria, RomeItaly

Personalised recommendations