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Updated: Jul 10, 2026
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Harvesting of Peroneus Longus Tendon Autograft
Published on: September 2, 2025
Less invasive Achilles tendon reconstruction
Michael R Carmont1, Nicola Maffulli
1Department of Trauma and Orthopaedics, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, ST7 4QG UK. mcarmont@hotmail.com
BMC Musculoskeletal Disorders
|October 30, 2007
Summary
This study presents a new surgical technique for Achilles tendon reconstruction using the peroneus brevis tendon. The method utilizes two para-midline incisions to preserve skin integrity and minimize wound breakdown risks.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Reconstruction
Background:
- Chronic Achilles tendon ruptures necessitate surgical reconstruction for optimal outcomes.
- Peroneus brevis tendon grafts are a common method for Achilles tendon reconstruction.
- Traditional techniques carry risks of wound breakdown due to long incisions in hypovascular areas.
Purpose of the Study:
- To describe an improved surgical technique for Achilles tendon reconstruction.
- To address the limitations of classical reconstruction methods regarding wound complications.
Main Methods:
- A novel approach utilizing two para-midline incisions for peroneus brevis tendon harvesting and graft preparation.
- Reconstruction of the Achilles tendon defect with the prepared peroneus brevis graft.
Main Results:
- The described technique preserves skin integrity over critical areas prone to breakdown.
- This method facilitates Achilles tendon reconstruction with reduced risk of surgical site complications.
Conclusions:
- The para-midline incision technique offers a safer alternative for Achilles tendon reconstruction using peroneus brevis.
- This method is particularly beneficial for patients with prior surgeries or compromised soft tissues around the Achilles tendon.