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- Carmont, Michael R, 1972, et al.
(author)
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Endoscopically Assisted Reconstruction of the Achilles Tendon Using Semitendinosus Graft
- 2021
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In: Video Journal of Sports Medicine. - : SAGE Publications. - 2635-0254. ; 1:5
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Journal article (peer-reviewed)abstract
- Background:Chronic ruptures of the Achilles tendon may lead to symptomatic weakness, despite rehabilitation. Open reconstruction yields good outcome but has a high complication rate, notably wound problems. Endoscopically assisted free semitendinosus transfer restores ankle and preserves first metatarsophalangeal joint (MTPJ) function.Indications:The main indication for the procedure is symptomatic chronic rupture of the Achilles tendon with a palpable tendon gap.Technique Description:The procedure can be split into 4 stages: graft harvest, calcaneum and tunnel preparation, proximal graft attachment, and finally graft passage and screw insertion.Discussion/Conclusion:Following reconstruction, patients use a cast in full plantar flexion for 2 weeks, then a graduated walker for full weight-bearing.
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