alexa Percutaneous Achilles tendon lengthening: a cadaver-based study of failure of the triple hemisection technique.
Social & Political Sciences

Social & Political Sciences


Author(s): Hoefnagels EM, Waites MD, Belkoff SM, Swierstra BA

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Abstract BACKGROUND AND PURPOSE: Modern descriptions of the percutaneous triple hemisection technique for Achilles tendon lengthening do not take into account the axial twist in the ligament. We were concerned that technical failures of the lengthening technique might occur more often than has been reported, and analyzed the results of the triple hemisection technique in cadaveric tendons in quantitative and qualitative terms, focusing on insufficient or complete tenotomies. METHODS: We performed a percutaneous triple hemisection of the Achilles tendon in 20 legs from adult cadavers, and measured the increase in ankle dorsiflexion in degrees, the length of the cuts in mm, and the depth of the cuts as a percentage of the total diameter of the tendon. Failure of the hemisection was defined as a sliding gap of
  • DOI: 10.1080/17453670710014590
  • This article was published in Acta Orthop and referenced in Anthropology

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