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Free Hamstrings Tendon Transfer and Interference Screw Fixation for Less Invasive Reconstruction of Chronic Avulsions of the Achilles Tendon

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Minimally Invasive Surgery of the Foot and Ankle

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Abstract

Chronic avulsions of the Achilles tendon from the calcaneus are infrequent.1,13,19,26 Achilles “sleeve” avulsions are a surgical challenge, as the Achilles tendon sleeves from its insertion into the calcaneus leaving virtually no tendinous tissue on the posterior calcaneus to facilitate a repair to the free end of the Achilles tendon.22 Therefore, reconstruction of chronic avulsions of the Achilles tendon can be technically difficult. Hence, can be necessary a tendon graft because may be not possible to directly reattach the Achilles tendon. The free hamstrings tendon transfer and interference screw fixation for less invasive reconstruction of chronic avulsions of the Achilles tendon is a less invasive technique using a free semitendinosus tendon graft with interference screw fixation in the calcaneus through a Cincinnati incision. This approach permits a wide exposure of the insertion of the Achilles tendon, preserving the integrity of the skin overlying the site most decreasing the risk of wound breakdown.

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Authors and Affiliations

  1. Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England, UK

    Nicola Maffulli

Authors
  1. Nicola Maffulli
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  2. Umile Giuseppe Longo
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  3. Filippo Spiezia
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  4. Vincenzo Denaro
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Corresponding author

Correspondence to Nicola Maffulli .

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Editors and Affiliations

  1. Queen Mary University of London Barts, Midhurst Road, Ealing 29, London, W13 9XS, United Kingdom

    Nicola Maffulli

  2. Duke Health Center, Crutchfield Street 407, Durham, 27704-2726, North Carolina, USA

    Mark Easley

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Maffulli, N., Longo, U.G., Spiezia, F., Denaro, V. (2010). Free Hamstrings Tendon Transfer and Interference Screw Fixation for Less Invasive Reconstruction of Chronic Avulsions of the Achilles Tendon. In: Maffulli, N., Easley, M. (eds) Minimally Invasive Surgery of the Foot and Ankle. Springer, London. https://doi.org/10.1007/978-1-84996-417-3_35

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  • DOI: https://doi.org/10.1007/978-1-84996-417-3_35

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84996-416-6

  • Online ISBN: 978-1-84996-417-3

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