BACKGROUND Many techniques have been developed for the reconstruction of the Achilles tendon in chronic tears. In presence of a large gap (greater than 6 centimetres), tendon augmentation is required. METHODS We present our method of minimally invasive semitendinosus reconstruction for the Achilles tendon using one para-midline and one midline incision. RESULTS The first incision is a 5 cm ...

[Purpose] We investigated Achilles tendon injury in Kendo players in junior and senior high schools to obtain a possible indicator for preventing an outbreak of Achilles tendon injury and tendonitis, possible risk factors concerning foot function and morphology were extracted. [Subjects and Methods] The subjects were 60 Kendo players aged 14-18 years from Wakayama Prefecture, Japan (33 boys and...

A neglected Achilles tendon rupture is often characterized by muscle weakness and an overlengthened repair by scar tissue. Reconstructive surgery is usually performed taking into account the patient's required level of function. Two surgical cases of neglected Achilles tendon rupture are presented in this article. In both instances it was expected that central fibrosis, possibly after neglected...

background: wound complications following open repair for acute achilles tendon ruptures (aatr) remain the subject of significant debate. the aim of this study is to investigate the effects of covering repaired aatr using well-nourished connective tissues (paratenon and deep fascia) to avoid complications after open repair.   methods: in this case series study, open repair was performed for 32 ...

in this study, the role of local injection of butyric acid (ba) with autogenous omental graft was evaluated in healing of experimental achilles tendon injury in rabbits. nine adult male new zealand rabbits were anesthetized and a partial thickness tenotomy was created on both hindlimbs. in treated group, omental graft was secured in place using ba soaked polygalactin 910 suture. in control grou...

BACKGROUND There has been no published report assessing the mechanical properties of a repaired Achilles tendon after surgery using shear wave elastography (SWE). The aim of this study was to investigate the changes in mechanical properties of the healing Achilles tendon after surgical repair of a tendon rupture using ultrasound SWE and how these changes correlate with tendon function. MATERIAL...

BACKGROUND The purpose of this investigation was to evaluate if clinical assessment, Ultrasound + Colour Doppler (US + CD) and Ultrasound Tissue Characterisation (UTC) can be useful in detecting plantaris tendon involvement in patients with midportion Achilles tendinopathy. METHODS Twenty-three tendons in 18 patients (14 men, mean age: 37 years and 4 women: 44 years) (5 patients with bilatera...

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 r...

This review highlights recent research on Achilles tendon healing, and comments on the current clinical controversy surrounding the diagnosis and treatment of injury. The processes of Achilles tendon healing, as demonstrated through changes in its structure, composition, and biomechanics, are reviewed. Finally, a review of tendon developmental biology and mechano transductive pathways is comple...

The aim of this study was to determine the effects of 14 wk of plyometric training on mechanical properties of the Achilles tendon. Nineteen subjects were randomly assigned to trained or control group. Cross-sectional area (CSA), stiffness, and dissipation coefficient of the Achilles tendon were measured before and after the training period. In the trained group, a decrease in dissipation coeff...