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We present the case of a 41-year-old male patient without comorbidities, with Achilles tendon re-rupture 5 years after his first end-to-end plasty. We performed a full thickness lyophilized graft reconstruction of the Achilles tendon; proposing an alternative fixation of the non-anatomical trans-osseous graft in the apex of the body of the calcaneus with a 9mm x 35mm Bio Composite Arthrex interference screw. Clinical and imaging follow-up at 11 months.
This technique is used for cases with irreparable losses greater than 5 cm from the Achilles tendon. A) the insertion of the graft via tunnel to the calcaneus with calibrated drills can be adjusted to the thickness of the graft; Likewise, it facilitates the dynamic muscular balance of flexion and extension during fixation. b) Two approaches instead of a single approach reduces morbidity and shows advantages by depressurizing the skin and fibrous area main point of tension to the tendon. c) Application of washing with saline solution in the tissue substance throughout the graft is an essential support for its integration. d) This technique allows us an early mobilization and facilitates a prompt rehabilitation and sports reintegration.
