Minimally invasive achilles tendon reconstruction using the peroneus brevis tendon graft

Abstract

Minimally invasive peroneus brevis reconstruction for the Achilles tendon (AT) overcome the problems with an open procedure, namely difficulty with wound healing because of the tenuous blood supply and increased chance of wound breakdown and infection. In this chapter we presented a technique which uses two para-midline incisions preserving skin integrity over the site most prone to wound breakdown. This minimally invasive technique allows reconstruction of the Achilles tendon using the tendon of peroneus brevis preserving skin integrity over the site most prone to wound breakdown, and can be especially used to reconstruct the Achilles tendon in the presence of gap less than 6 cm.