Repair of neglected achilles tendon ruptures with Marlex mesh

In Vitro Biomechanical Comparison of Polypropylene Mesh, Modified Three‐Loop Pulley Suture Pattern, and a Combination for Repair of Distal Canine Achilles' Tendon Injuries

“…The 3‐loop pulley is biomechanically superior to other suture patterns 8–10 ; however, there are few studies evaluating repair with mesh materials. These studies have primarily been in human patients that had impaired healing because of rheumatoid arthritis or diabetes or had limited autogenous tissue to graft 11,12 . We are unaware of studies evaluating the biomechanical properties of mesh repair for Achilles' tendons.…”

“…These studies have primarily been in human patients that had impaired healing because of rheumatoid arthritis or diabetes or had limited autogenous tissue to graft. 11,12 We are unaware of studies evaluating the biomechanical properties of mesh repair for Achilles' tendons. Thus, our purpose was to compare a modified 3-loop pulley, 8,9 which served as our control, to 2 novel repair methods using polypropylene mesh.…”

Surgical repair of Achilles tendon rupture in dogs: a review of the literature, a case report and new perspectives

“…However, in human literature this technique is not advised because, in elderly patients (like in our clinical case), healthy tissue had to be sacrificed, which could produce a weakness of the limb (Choskey et al, 1996). This concern was also expressed by Shani and Sharar (2000).…”

“…Moreover, they proved that this material provided a frame or bridgework for ingrowth collagen bundles (Hosey et al, 1991). In 1996, Choskey et al described the repair of a neglected Achilles tendon in five human patients producing satisfactory results using, for tendon reconstruction, a tunnel technique with a Marlex mesh (Choskey et al, 1996). On the basis of these reports, we focused our attention on the use of polypropilene mesh alone as a method for tendon repair in the following clinical case.…”

“…The polypropylene mesh is used widely in surgery, especially in orthopaedic reconstructive surgery, as a synthetic implant (Ozaky et al, 1986;Hosey et al, 1991;Choskey et al, 1996;Swiderski et al, 2005). It is chemically inert, hypoallergenic, and capable of withstanding mechanical stress; in addition, its porosity allows fibrous tissue ingrowth (Swiderski et al, 2005).…”