Direct Anatomical Reconstruction of the Achilles Tendon and Its Application for Surgical Treatment of Acute Achilles Tendon Ruptures
<b>Background/Objectives:</b> Acute ruptures of the Achilles Tendon (AT) are common injuries in the active population, in particular among men aged 30 to 50. Full functional recovery after this kind of injury is long and challenging and nowadays there is no universal “gold standard” stra...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-11-01
|
| Series: | Surgical Techniques Development |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2038-9582/13/4/30 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850060001857503232 |
|---|---|
| author | Alessandro Pisano Gaetano Caruso |
| author_facet | Alessandro Pisano Gaetano Caruso |
| author_sort | Alessandro Pisano |
| collection | DOAJ |
| description | <b>Background/Objectives:</b> Acute ruptures of the Achilles Tendon (AT) are common injuries in the active population, in particular among men aged 30 to 50. Full functional recovery after this kind of injury is long and challenging and nowadays there is no universal “gold standard” strategy when dealing with them. <b>Methods:</b> When it comes to surgical treatment, various techniques have been described: in case of a typical lesion at the midportion of the tendon (which is the most common type), the basic principle of surgical repair is the end-to-end suture of the tendon stumps. The AT (“calcaneal tendon” according to the <i>International Anatomical Terminology</i>) is the strongest tendon of the human body, it is the conjunct tendon of the two Gastrocnemii Muscles and the Soleus Muscle and has a <b>well-recognizable twisted structure</b>: the subtendon from the Medial Head of the Gastrocnemius attaches postero-laterally on the calcaneal tendon footprint, the subtendon from the Lateral Head of the Gastrocnemius attaches antero-laterally and the subtendon from the Soleus attaches medially, therefore creating a 90° twist of the tendon structure. <b>Results: the twisted structure of the human AT is of central importance to its biomechanics</b>, since it gives the tendon a higher resistance to deformation and concurs in supination of the subtalar joint during gait. <b>Conclusions:</b> given the abovementioned anatomical and biomechanical premises, we believe that the restoration of the subtendons anatomy can lead to a better functional recovery of the Triceps Surae—Achilles Tendon complex, therefore we recently decided to adopt for open surgical repair the Direct Anatomical Reconstruction of the Achilles Tendon, which we describe in the present article. |
| format | Article |
| id | doaj-art-d1df4104f9a54997beb963455aa1567e |
| institution | DOAJ |
| issn | 2038-9582 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgical Techniques Development |
| spelling | doaj-art-d1df4104f9a54997beb963455aa1567e2025-08-20T02:50:43ZengMDPI AGSurgical Techniques Development2038-95822024-11-0113438239210.3390/std13040030Direct Anatomical Reconstruction of the Achilles Tendon and Its Application for Surgical Treatment of Acute Achilles Tendon RupturesAlessandro Pisano0Gaetano Caruso1Department of Neurosciences and Rehabilitation, “S. Anna” University Hospital, University of Ferrara, Via Aldo Moro 8, 44124 Ferrara, ItalyDepartment of Neurosciences and Rehabilitation, “S. Anna” University Hospital, University of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy<b>Background/Objectives:</b> Acute ruptures of the Achilles Tendon (AT) are common injuries in the active population, in particular among men aged 30 to 50. Full functional recovery after this kind of injury is long and challenging and nowadays there is no universal “gold standard” strategy when dealing with them. <b>Methods:</b> When it comes to surgical treatment, various techniques have been described: in case of a typical lesion at the midportion of the tendon (which is the most common type), the basic principle of surgical repair is the end-to-end suture of the tendon stumps. The AT (“calcaneal tendon” according to the <i>International Anatomical Terminology</i>) is the strongest tendon of the human body, it is the conjunct tendon of the two Gastrocnemii Muscles and the Soleus Muscle and has a <b>well-recognizable twisted structure</b>: the subtendon from the Medial Head of the Gastrocnemius attaches postero-laterally on the calcaneal tendon footprint, the subtendon from the Lateral Head of the Gastrocnemius attaches antero-laterally and the subtendon from the Soleus attaches medially, therefore creating a 90° twist of the tendon structure. <b>Results: the twisted structure of the human AT is of central importance to its biomechanics</b>, since it gives the tendon a higher resistance to deformation and concurs in supination of the subtalar joint during gait. <b>Conclusions:</b> given the abovementioned anatomical and biomechanical premises, we believe that the restoration of the subtendons anatomy can lead to a better functional recovery of the Triceps Surae—Achilles Tendon complex, therefore we recently decided to adopt for open surgical repair the Direct Anatomical Reconstruction of the Achilles Tendon, which we describe in the present article.https://www.mdpi.com/2038-9582/13/4/30achilles tendonachilles tendon rupturecalcaneal tendonopen achilles tendon repairtriceps surae |
| spellingShingle | Alessandro Pisano Gaetano Caruso Direct Anatomical Reconstruction of the Achilles Tendon and Its Application for Surgical Treatment of Acute Achilles Tendon Ruptures Surgical Techniques Development achilles tendon achilles tendon rupture calcaneal tendon open achilles tendon repair triceps surae |
| title | Direct Anatomical Reconstruction of the Achilles Tendon and Its Application for Surgical Treatment of Acute Achilles Tendon Ruptures |
| title_full | Direct Anatomical Reconstruction of the Achilles Tendon and Its Application for Surgical Treatment of Acute Achilles Tendon Ruptures |
| title_fullStr | Direct Anatomical Reconstruction of the Achilles Tendon and Its Application for Surgical Treatment of Acute Achilles Tendon Ruptures |
| title_full_unstemmed | Direct Anatomical Reconstruction of the Achilles Tendon and Its Application for Surgical Treatment of Acute Achilles Tendon Ruptures |
| title_short | Direct Anatomical Reconstruction of the Achilles Tendon and Its Application for Surgical Treatment of Acute Achilles Tendon Ruptures |
| title_sort | direct anatomical reconstruction of the achilles tendon and its application for surgical treatment of acute achilles tendon ruptures |
| topic | achilles tendon achilles tendon rupture calcaneal tendon open achilles tendon repair triceps surae |
| url | https://www.mdpi.com/2038-9582/13/4/30 |
| work_keys_str_mv | AT alessandropisano directanatomicalreconstructionoftheachillestendonanditsapplicationforsurgicaltreatmentofacuteachillestendonruptures AT gaetanocaruso directanatomicalreconstructionoftheachillestendonanditsapplicationforsurgicaltreatmentofacuteachillestendonruptures |