CORR Insights^®: Is Dual Semitendinosus Allograft Stronger Than Turndown for Achilles Tendon Reconstruction? An In Vitro Analysis

Excerpt

Chronic Achilles tendon tears are remarkably common, but their management is technically demanding, results can be unpredictable, and complications following reconstruction are frequent. Classic treatment options include turn-down flaps and extensive reconstructions, and even thoughtfully planned and well executed procedures may fail to restore the patient to full function [4]. These reconstructions should be protected from weight bearing and early ROM unless the construct is sufficiently strong to withstand the loads associated with early motion and loading. In this respect, therefore, turndown flaps are not the best option because the tendon that would be part of the reconstruction is itself affected by degenerative processes [3]. Though the gap between the retracted stumps is bridged with a turndown flap, the tissue used is not of ideal quality. The large surgical exposure necessary for such procedures also may be associated with a higher risk of skin complications and infection [7]. …