Endoscopic Achilles tendon shortening

Reduced Achilles Tendon Stiffness Disrupts Calf Muscle Neuromechanics in Elderly Gait

“…For example, exoskeleton controllers with access to biomarkers of tissue degeneration could modify their assistance parameters in response to material properties of user connective tissues (i.e., Achilles tendon). Alternatively, surgical interventions that adjust Achilles tendon slack length and restore length-tension properties are common after Achilles tendon rupture [59]. As these surgeries become less invasive, similar interventions may offer an opportunity to preserve walking economy for older adults.…”

Minimally Invasive Approaches to Haglund’s Deformity and Insertional Achilles Tendinopathy: A Contemporary Review

“…Finally, when patients present with attritional Achilles lengthening or extensive Achilles degeneration (>50%), an open reconstruction with or without a flexor hallucis longus (FHL) tendon transfer may be warranted. 14,36,53 Of note, a gastrocnemius recession should be considered in the setting of a gastrocnemius contracture. 63 However, this should not be performed when performing a Zadek osteotomy, as the osteotomy itself functionally lengthens the triceps surae.…”

“…Finally, when patients present with attritional Achilles lengthening or extensive Achilles degeneration (>50%), an open reconstruction with or without a flexor hallucis longus (FHL) tendon transfer may be warranted. 14 , 36 , 53 …”