Acute Distal Achilles Tendon Rupture Reconstruction with the Ipsilateral Semitendinosus Tendon and Review of the Literature

Abstract

Acute distal Achilles tendon ruptures are uncommon, at the same time these is no standard method of treatment. We propose reconstructing the tendon with the ipsilateral semitendinosus tendon, passed through a transverse tunnel just distal to the region of the Achilles insertion, and weaved through the Achilles tendon, along with 1 or 2 strong sutures. This technique offers a strong fixation, early weightbearing and reduced risk of recurrence by augmenting this degenerated tendon area.