Novel Technique of Achilles Tendon Reconstruction Using Semitendinosus and Gracilis Tendon. Preliminary Report.

BACKGROUND: Achilles tendon ruptures are a common clinical problem. While there are many techniques of Achilles tendon reconstruction, there is little evidence that any of them is clearly superior to the others. The most common techniques rely on augmentation of the plantar tendon, peroneus brevis tendon and flexor hallucis longus tendon.

MATERIAL AND METHODS: The article describes a novel procedure for Achilles tendon reconstruction using the hamstring grafts, Endobutton stabilization, collagen membrane and the administration of autologous bone marrow cells to the region of the reconstructed tendon.

RESULTS: This technique was used by the author (with the good early results) in so-called "difficult cases" as a "salvage procedure".

CONCLUSION: The use of a hamstring autograft is safe and does not further affect the injured foot or induce an autoimmune reaction.