Achilles Tendon Reattachment after Surgical Treatment of Insertional Tendinosis Using the Suture Bridge Technique: A Case Series

Knotted Versus Knotless Suture Bridge Repair of the Achilles Tendon Insertion

“…3,16 Some authors, however, have begun to advocate that complete detachment of the tendon is the most effective way to gain access to the entire area of injury associated with the Haglund triad. 12,23,37,39 Optimal reattachment in these instances would involve a high initial fixation strength to prevent repair site gapping and promote healing. 3 A previous report has shown that patients immobilized in neutral dorsiflexion experience forces up to 369 N while ambulating.…”

“…The clinical evidence for suture anchor repair varies regarding technique but suggests that the suture bridge is a viable and effective method of Achilles tendon fixation. 37,39 The purpose of this study was to compare the biomechanical strength of knotted and knotless suture bridge repairs of the Achilles tendon. Our hypothesis was that there would be no significant difference in the load to failure, mode of failure, tendon strain, tendon stiffness, repair site gapping, or reattached footprint size when we compared the knotted suture bridge to the knotless suture bridge for Achilles tendon repair after complete detachment for insertional Achilles tendinopathy.…”

Percutaneous Reconstruction of the Anterolateral Ligament of the Knee With a Polyester Tape

“…The concept of using braided polyester tape has shown positive results, with a low rate of complications for tendon repair in shoulder rotator cuff tendons 32 and tendoachilles injuries 33 as well as in ligament reconstruction for lateral ankle ligaments 34 and coracoclavicular ligament injuries. 35 These results may justify broadening of its clinical applications to ALL reconstruction, with an extra goal of protecting a reconstructed ACL from noncompliant patient activity, secondary injury, or graft elongation and failure during early rehabilitation.…”

Knee Medial Collateral Ligament and Posteromedial Corner Anatomic Repair With Internal Bracing

“…[14][15][16] These results may justify broadening of clinical indications to internal bracing of a ligament repair or reconstruction, with a goal of protecting a repaired ligament from noncompliant patient activity, secondary injury, or construct elongation and failure during early rehabilitation 17,18 or as a secondary stabilizer after return to sport, particularly when patient compliance with external orthotics may be poor. 19,20 However, future research is required to determine the results of ligament internal brace augmentation of a ligament repair or ligament autograft or allograft tissue reconstruction.…”