Minimally Invasive Achilles Tendon Reconstruction Using the Peroneus Brevis Tendon Graft

  • Nicola MaffulliEmail author
  • Filippo Spiezia
  • Umile Giuseppe Longo
  • Vincenzo Denaro


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.


Achilles Tendon Sural Nerve Tendon Graft Distal Stump Wound Breakdown 
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Copyright information

© Springer London 2010

Authors and Affiliations

  • Nicola Maffulli
    • 1
    Email author
  • Filippo Spiezia
  • Umile Giuseppe Longo
  • Vincenzo Denaro
  1. 1.Centre for Sports and Exercise MedicineQueen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End HospitalLondonUK

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